Individual provider Active NPI

M Linda Kimmerle, RN BSN MPM CCM

  • Case Management Registered Nurse
  • Spring Hill, FL
National Provider Identifier
1861662728
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN9187293 Issued in FL
Practice address
6403 Hazelwood Rd
Spring Hill, FL 34608-1216
Phone
(352) 597-2425
NPI assigned
Mar 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN9187293 FL Primary

Addresses

Primary practice location

6403 Hazelwood Rd
Spring Hill, FL 34608-1216

Mailing address

6403 Hazelwood Rd
Spring Hill, FL 34608-1216
Phone (352) 597-2425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9187293FLMDCase Management Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1861662728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6403 HAZELWOOD RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346081216",
            "telephone_number": "352-597-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6403 HAZELWOOD RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346081216",
            "telephone_number": "352-597-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMERLE",
        "first_name": "M LINDA",
        "credential": "RN BSN MPM CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "RN9187293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.