Active NPI
Kelly Ann Timbers, CRNP
- Obstetrics & Gynecology Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1891945689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- VP003227G
- Practice address
- 3701 Market St
8TH Floor - Reproductive Research
Philadelphia, PA 19104-5502 - Phone
- (215) 662-7727
- Fax
- (215) 615-4200
- NPI assigned
- Sep 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | VP003227G | PA | Primary |
Addresses
Primary practice location
3701 Market St
8TH Floor - Reproductive Research
Philadelphia, PA 19104-5502
Mailing address
3701 Market St
8TH Floor - Reproductive Research
Philadelphia, PA 19104-5502
Phone (215) 662-7727
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VP003227G | PA | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222646400000",
"number": "1891945689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 MARKET ST",
"address_2": "8TH FLOOR - REPRODUCTIVE RESEARCH",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045502",
"telephone_number": "215-662-7727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 MARKET ST",
"address_2": "8TH FLOOR - REPRODUCTIVE RESEARCH",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045502",
"telephone_number": "215-662-7727",
"fax_number": "215-615-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMBERS",
"first_name": "KELLY",
"middle_name": "ANN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-29",
"last_updated": "2008-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "PA",
"license": "VP003227G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.