Daizah Raye Kimberland, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4044398 Issued in KY

Practice address

141 Parkway Dr
Bardstown, KY 40004-3220

Phone

(502) 348-4757

Fax

(502) 348-4755

NPI assigned

Sep 3, 2025

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 KY

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 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Community Care Health Network LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  KY

  Medicare reassignment NPD

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1871473876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 PARKWAY DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400043220",
            "telephone_number": "502-348-4757",
            "fax_number": "502-348-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 PARKWAY DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400043220",
            "telephone_number": "502-348-4757",
            "fax_number": "502-348-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBERLAND",
        "first_name": "DAIZAH",
        "middle_name": "RAYE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-03",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4044398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kentucky Orthopedic Rehabilitation LLC
• Kentucky Orthopedic Rehabilitation LLC
• Kentucky Orthopedic Solutions, LLC
• Savannah Marie Keown
• Kibbe Orthopedics PLLC
• Kiosk Medicine of Kentucky LLC
• Bartley J Klindt, DC
• Diana L Koch, D.M.D
• Kroger Limited Partnership I
• Ky Karesmore Pharmacy Services Inc

• Family Nurse Practitioner in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.