Kim Marie Redfearn, CRNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

R160299 Issued in MD

Practice address

18415 Garner LN
Accokeek, MD 20607-3228

Phone

(202) 679-1546

NPI assigned

May 15, 2018

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

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Current Care PA 545 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kim.redfearn.1@22446.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Current Care PA

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1003090879

  DC

  Medicare reassignment Care Compare group NPD
• American Current Care PA

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1235313156

  MD

  Medicare reassignment Care Compare group NPD
• American Current Care PA

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1013194455
  Care Compare group
• American Current Care PA

  • Urgent Care Clinic/Center
  • South Portland, ME
  • NPI 1053680876
  Care Compare group
• American Current Care PA

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1184805574
  Care Compare group
• American Current Care PA

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1275714677
  Care Compare group
• American Current Care PA

  • Health Service Clinic/Center
  • Addison, TX
  • NPI 1326222191
  Care Compare group
• American Current Care PA

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1386962587
  Care Compare group
• American Current Care PA

  • Urgent Care Clinic/Center
  • Racine, WI
  • NPI 1477730356
  Care Compare group
• American Current Care PA

  • Health Service Clinic/Center
  • Addison, TX
  • NPI 1477734861
  Care Compare group
• American Current Care PA

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1568646487
  Care Compare group
• American Current Care PA

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1710168117
  Care Compare group

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1861982936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18415 GARNER LN",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "206073228",
            "telephone_number": "202-679-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18415 GARNER LN",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "206073228",
            "telephone_number": "202-679-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDFEARN",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R160299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Accokeek, MD
• Gerontology Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.