Judith Kimatu, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2011010360 Issued in MO

Practice address

10977 Granada LN
Suite 105
Leawood, KS 66211-1468

Phone

(913) 215-5008

Fax

(816) 447-3960

NPI assigned

May 16, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Trinity Home Health Services, Inc.

  • Home Health Agency
  • Kansas City, KS
  • NPI 1992009450

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trinity Primary Care and Wound Specialists LLC

  • Primary Care Clinic/Center
  • Kansas City, KS
  • NPI 1710699285
  Medicare reassignment NPD Authorized official
• Signify Health Medical Associates of Kansas LLC

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1780261701
  Medicare reassignment NPD
• Trinity Home Health Services, Inc.

  • Home Health Agency
  • Kansas City, KS
  • NPI 1992009450
  NPD (past) Authorized official
• Kansas City Vascular & General Surgery Group LLC

  • Vascular Surgery Physician
  • Overland Park, KS
  • NPI 1295968865
  NPD (past)
• Complete Coverage LLC

  • Family Medicine Physician
  • Lees Summit, MO
  • NPI 1467725341
  NPD (past)

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1962794586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 875743",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641875743",
            "telephone_number": "913-215-5008",
            "fax_number": "816-447-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10977 GRANADA LN",
            "address_2": "SUITE 105",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111468",
            "telephone_number": "913-215-5008",
            "fax_number": "816-447-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMATU",
        "first_name": "JUDITH",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2011010360",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariam Khoury, MS, CCC-SLP
• Alisha Kidd
• Esther Kidwell
• Elizabeth Anne Killion, M.D.
• Jason S Kim, PHARM.D.
• Kincare Behavioral Health Inc
• Taylor Kinne, OTD, OTR/L
• Bianca Kinney, CLMP
• Lindsay Dawn Kinney
• Susan Kioko-Campbell

• Adult Health Nurse Practitioner in Leawood, KS
• Providers in Leawood, KS by specialty
• Adult Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.