Kimberly Ann Matthews

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2053374 Issued in KY

Practice address

2812 N Highway 261
Hardinsburg, KY 40143-4983

Phone

(270) 750-0426

NPI assigned

Feb 20, 2019

Last updated

Feb 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Ann Matthews Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1861959314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 454",
            "city": "HARDINSBURG",
            "state": "KY",
            "postal_code": "401430454",
            "telephone_number": "270-750-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 N HIGHWAY 261",
            "city": "HARDINSBURG",
            "state": "KY",
            "postal_code": "401434983",
            "telephone_number": "270-750-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "KY",
            "license": "2053374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MATTHEWS",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Halie N Koch
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• Catherine M Lewis, APRN
• Tiffany Lucas, LCSW
• Ruth A Martin
• Sarah P Mattingly, MSPT
• Thomas Matthew Mattingly, MSPT
• Tricia Ann Medley, COTA L
• Cheryl Miller-Tivitt, LCSW, MSSW
• Cherie C Mullins, APRN

• Licensed Practical Nurse in Hardinsburg, KY
• Providers in Hardinsburg, KY by specialty
• Licensed Practical Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.