Kimberly McDuffie, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3233652 Issued in FL

Practice address

4325 SW 179TH Way
Miramar, FL 33029-6303

Phone

(954) 391-1517

Fax

(954) 499-2329

NPI assigned

Jan 25, 2014

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 FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1390608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390608000000",
    "number": "1922421064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 SW 179TH WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330296303",
            "telephone_number": "954-391-1517",
            "fax_number": "954-499-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 SW 179TH WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330296303",
            "telephone_number": "954-391-1517",
            "fax_number": "954-499-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDUFFIE",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-25",
        "last_updated": "2014-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "3233652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaina McCann- Brinson, OT/L
• Jonathan James McClain
• Geoffrey Osmond McCorkle
• Rena McDermott, M.D.
• Ivett Beverley McDonald
• Rose Lavine McGhie-Anderson, PHD, APRN, FNP-BC
• Susan M McGinness, ARNP
• Rebecca Marier McGuigan, MD
• Leigh Ann McHenry, LPCC-S, LICDC
• Carlene Hamilton McIntosh

• All providers in Miramar, FL
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.