Linda Kimble, APRN -BC PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN192334-07560 Issued in OH

Practice address

675 Hobby Horse LN
Milford, OH 45150-1461

Phone

(513) 443-1700

Fax

(855) 919-6229

NPI assigned

Jul 21, 2007

Last updated

Apr 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mrs. Linda Kimble Professional name

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lswhb, LLCGroup PAC ID 9638414204, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ethoscare.lindakimble@151221.advancedmd-direct.com

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.

• Lswhb LLC

  dba ETHOS Care

  • Behavioral Neurology & Neuropsychiatry Physician
  • Milford, OH
  • NPI 1407325939
  Medicare reassignment Care Compare group NPD
• Ranga R Thalluri, MD

  • Psychiatry Physician
  • Alliance, OH
  • NPI 1467566745
  Medicare reassignment
• Geriatric Nurse Practitioners, Inc.

  • Nurse Practitioner
  • Akron, OH
  • NPI 1427008200
  NPD (past)
• Prosearch Healthcare Inc

  • Family Nurse Practitioner
  • University HTS, OH
  • NPI 1538257985
  NPD (past)
• Psychological & Family Consultants, Inc.

  • Psychologist
  • Canton, OH
  • NPI 1952460008
  NPD (past)
• Traveling Nurse Practitioner, LLC

  • General Practice Registered Nurse
  • Wadsworth, OH
  • NPI 1588995849
  NPD (past)

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

{
    "created_epoch": "1184976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1962602573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 ORCHARDVIEW DR SE",
            "city": "EAST CANTON",
            "state": "OH",
            "postal_code": "447309513",
            "telephone_number": "330-488-6083",
            "fax_number": "330-488-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 HOBBY HORSE LN",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501461",
            "telephone_number": "513-443-1700",
            "fax_number": "855-919-6229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4336 Orchardview Dr SE",
            "address_purpose": "LOCATION",
            "city": "East Canton",
            "state": "OH",
            "postal_code": "447309513",
            "country_code": "US",
            "telephone_number": "330-488-6083",
            "fax_number": "330-488-6083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E State St",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446014936",
            "country_code": "US",
            "telephone_number": "330-596-7650",
            "fax_number": "330-596-7657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2725 Lincoln St E",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447072769",
            "country_code": "US",
            "telephone_number": "330-454-2000",
            "fax_number": "330-454-6184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "APRN -BC PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-21",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "RN192334",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN192334-07560",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "RN192334",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2958456",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "KIMBLE",
            "prefix": "MRS.",
            "credential": "PMHNP-BC APRN-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Kid Power Therapy Services, Inc
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• Zoey Kincannon, RBT
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• Debra A Kingery, RPH
• Kajen Kingsley, RBT
• Tracie Kingsolver, OD

• Psychiatric/Mental Health Nurse Practitioner in Milford, OH
• Providers in Milford, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.

Verify at the official NPI Registry.