Individual provider Active NPI

Kimber Guinn, DO

  • Pediatrics Physician
  • Osage Beach, MO
National Provider Identifier
1962853986
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2019015005 Issued in MO
Practice address
54 Hospital Dr
Osage Beach, MO 65065-3050
Phone
(573) 348-8000
Fax
(573) 302-2297
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2019015005 MO Primary

Addresses

Primary practice location

54 Hospital Dr
Osage Beach, MO 65065-3050

Mailing address

54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8000

Other practice location 1

404 N Keene St
Women's and Children's Hospital
Columbia, MO 65201-6626
Phone (573) 882-4438

Other identifiers 1

IdentifierTypeStateIssuer
2019015005OtherMOSTATE LICENSE

Other names 1

  • Kimber Barrett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190805001707 MO Practitioner - Pediatric Medicine 8426341223 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2019015005MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Regional Health Services CurrentSince Dec 29, 2025 Accepting new patients
Lake Regional Health System Current Accepting new patients
Lake Regional Health System Pediatrics CurrentSince Aug 1, 2019 Accepting new patients
SSM Regional Health Services CurrentSince Dec 29, 2025 Accepting new patients
Lake Regional Health System CurrentSince Aug 1, 2019 Accepting new patients
SSM Regional Health Services Past Accepting new patients
Lake Regional Health System Past Accepting new patients

Locations

7655 Solutions Ctr
Chicago, IL 60677

3348 American Ave
Jefferson City, MO 65109
Phone (573) 761-7210

100 Saint Marys Plz
Jefferson Cty, MO 65101
Phone (573) 635-7642

1870 Bagnell Dam Blvd
Lake Ozark, MO 65049
Phone (573) 365-2318

1057 Medical Park Dr
Osage Beach, MO 65065
Phone (573) 302-3100

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

54 Hospital Dr
Ste 213
Osage Beach, MO 65065
Phone (573) 302-2864

Interoperability endpoints

  • Direct secure messaging: kimberguinn@mhccaremail.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1962853986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653050",
            "telephone_number": "573-348-8000",
            "fax_number": "573-302-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653050",
            "telephone_number": "573-348-8000",
            "fax_number": "573-302-2297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 N Keene St",
            "address_2": "Women's and Children's Hospital",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652016626",
            "country_code": "US",
            "telephone_number": "573-882-4438",
            "fax_number": "573-884-9992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUINN",
        "first_name": "KIMBER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2019015005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2019015005",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBER",
            "last_name": "BARRETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Osage Beach, MO

Sources for this page

Verify at the official NPI Registry.