Kimberly Elliott, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

257678 Issued in NC

Practice address

1170 Fairgrove Church Rd
Hickory, NC 28602-9695

Phone

(828) 464-1172

NPI assigned

Nov 8, 2014

Last updated

Nov 8, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1415404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415404800000",
    "number": "1891191490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CLANTON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 FAIRGROVE CHURCH RD",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029695",
            "telephone_number": "828-464-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "KIMBERLY",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-08",
        "last_updated": "2014-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "257678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor Health Professional NC, PLLC
• Elite Family Eye Care, OD, PLLC (Elite Family Eye Care)
• Elite Upper Cervical Chiropractic PC
• Suzanne H Eller, LMBT
• Tracy A. Ellingson, CRNA
• Lee Clayton Elliott, MD
• Justin D. Ellis, P.A.
• Michelle Lynn Ellis
• Kimberlee Marie Ellison, APRN
• Michelle Hanrahan Ellwanger, LPC

• Registered Nurse in Hickory, NC
• Providers in Hickory, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2014; 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.