Christina Lynette Kimbrough, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301096825 Issued in MI

Practice address

15560 Joy Rd
Detroit, MI 48228-8200

Phone

(313) 416-7100

NPI assigned

Apr 5, 2010

Sex

Female

Sole proprietor

No

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1942525894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15560 JOY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482288200",
            "telephone_number": "313-416-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15560 JOY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482288200",
            "telephone_number": "313-416-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBROUGH",
        "first_name": "CHRISTINA",
        "middle_name": "LYNETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301096825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherise Kimble
• Nadia Marie Kimble, RN
• Nakisha Nicole Kimble, BSN, RN
• Althea Kimbrough, NP
• Brooke Lindsey Kimbrough
• Desiree Lachelle Kimbrough
• Hope Kimbrough
• Tonia Kimbrough, BSW
• Zeyria Dewitt Kimbrough
• Kimmy;S Nest Home Care L.L.C

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.