Kimberli Vonkey Pittman

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

15818 SW Warfield Blvd
Indiantown, FL 34956-3513

Phone

(772) 597-0411

Fax

(772) 597-0412

NPI assigned

Jun 14, 2012

Last updated

Jun 14, 2012By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1902168982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3493 SE JAKE CT APT 98",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349945057",
            "telephone_number": "772-985-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15818 SW WARFIELD BLVD",
            "city": "INDIANTOWN",
            "state": "FL",
            "postal_code": "349563513",
            "telephone_number": "772-597-0411",
            "fax_number": "772-597-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "KIMBERLI",
        "middle_name": "VONKEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candy Edith Pagan, BA
• Alicia B. Pajares, LCSW
• John Pasquale, OTR/L
• Tisha Alecia Patten, NP-C, ARNP
• Physical Therapy Internet P.a. (Physical Therapy of Indiantown)
• Precision Psychiatric Care LLC
• Maxine Reeves Davis
• Hazel Lizeth Romero, MD
• Brian Boyd Rucks
• Patricia Del Carmen Ruiz de Nunez, DMD

• Case Manager/Care Coordinator in Indiantown, FL
• Providers in Indiantown, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.