Individual provider Active NPI

Kimberly Nicholson, MA

  • Phlebotomy Technician
  • Durham, NC
National Provider Identifier
1871359893
Registry record updated Mar 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
266651 Issued in NC
Practice address
14 Moorefield CT
Durham, NC 27705-2058
Phone
(919) 532-9520
Fax
(919) 597-7197
NPI assigned
Feb 27, 2024
Last updated
Mar 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiology Technician 246W00000X 266651 NC
Home Health Agency 251E00000X NC
Phlebotomy Technician 246RP1900X 266651 NC Primary

Addresses

Primary practice location

14 Moorefield CT
Durham, NC 27705-2058

Mailing address

14 Moorefield CT
Durham, NC 27705-2058
Phone (919) 532-9520

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
266651NCMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Flow LLC CurrentSince Mar 3, 2024 Accepting new patients

Locations

5874 Faringdon Pl
Raleigh, NC 27609
Phone (919) 532-9520

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772323200000",
    "number": "1871359893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MOOREFIELD CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052058",
            "telephone_number": "919-532-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MOOREFIELD CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052058",
            "telephone_number": "919-532-9520",
            "fax_number": "919-597-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "KIMBERLY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2026-03-01",
        "certification_date": "2026-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246W00000X",
            "taxonomy_group": "",
            "desc": "Technician, Cardiology",
            "state": "NC",
            "license": "266651",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NC",
            "license": "266651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2026; 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.