Active NPI
Kimberly Hibben, NP
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP031340
- Practice address
- 205 N Broad St Ste 300
Philadelphia, PA 19107-1553 - Phone
- (215) 569-1111
- NPI assigned
- Feb 8, 2021
- Last updated
- Mar 5, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP031340 | PA | Primary |
Addresses
Primary practice location
205 N Broad St Ste 300
Philadelphia, PA 19107-1553
Mailing address
2323 Race St Unit 421
Philadelphia, PA 19103-1081
Phone (203) 554-3395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
205 N Broad St
Suite 300
Philadelphia, PA 19107-1553
Phone (215) 569-1111
2059 Briggs Rd
Suite 306
Mount Laurel, NJ 08054-4640
Phone (856) 316-0300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP031340 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergic Disease Associates PC | Current | Accepting new patients | |
| Griebs Darien Pharmacy Inc. | Past | Accepting new patients |
Locations
2059 Briggs Rd
Ste 306
Mount Laurel, NJ 08054
Phone (856) 316-0300
404 Middletown Blvd
Ste 305
Langhorne, PA 19047
Phone (215) 750-7040
205 N Broad St
Philadelphia, PA 19107
Phone (215) 496-9300
205 N Broad St
Ste 300
Philadelphia, PA 19107
Phone (215) 569-1111
205 N Broad St
Ste 301
Philadelphia, PA 19107
2137 Welsh Rd
Ste 2B
Philadelphia, PA 19115
Phone (215) 667-4433
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Asthma Center
- Allergy & Immunology Physician
- Philadelphia, PA
- NPI 1710033477
NJ
-
- Community/Retail Pharmacy
- Darien, CT
- NPI 1003926502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1922690270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 RACE ST UNIT 421",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191031081",
"telephone_number": "203-554-3395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N BROAD ST STE 300",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191071553",
"telephone_number": "215-569-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIBBEN",
"first_name": "KIMBERLY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-08",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP031340",
"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 Mar 5, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.