Kay Elaine Timbreza, NNP

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

157861 Issued in NC

Practice address

1126 Garden Club Way
Leland, NC 28451-4133

Phone

(910) 232-0190

NPI assigned

Sep 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kay Elaine Henry Former 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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1891943973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 GARDEN CLUB WAY",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514133",
            "telephone_number": "910-232-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 GARDEN CLUB WAY",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514133",
            "telephone_number": "910-232-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMBREZA",
        "first_name": "KAY",
        "middle_name": "ELAINE",
        "credential": "NNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "NC",
            "license": "157861",
            "primary": true
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "TX",
            "license": "541723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "HENRY",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patrick W Tester, MD
• The Comfort Zone
• Amanda Gettier Thomas, FNP
• Kendall Elaine Thomas, PT, DPT
• Nathaniel Lee Thompson, PT, DPT, MBA
• Dustin Wade Timmerman, DDS
• Total Renal Care of North Carolina LLC
• Town of Leland
• Tracie L. Vestal, DDS, PA
• Hai Tran, LCSWA

• Critical Care Neonatal Nurse Practitioner in Leland, NC
• Providers in Leland, NC by specialty
• Critical Care Neonatal Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.