Christina Eve Jensen Kimball, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD044705E Issued in PA

Practice address

14 Gaelsong LN
Wyomissing, PA 19610-3120

Phone

(610) 463-8775

NPI assigned

Jul 1, 2005

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

Other identifiers 1

Other names 1

• Dr. C Eve J Kimball Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ekimball@direct.meditouchehr.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• All About Children Pediatric Partners PC

  • Pediatrics Physician
  • West Reading, PA
  • NPI 1801854401
  NPD

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1972500163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GAELSONG LN",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103120",
            "telephone_number": "610-463-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 GAELSONG LN",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103120",
            "telephone_number": "610-463-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "CHRISTINA EVE",
        "middle_name": "JENSEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD044705E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD-044705E",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C EVE",
            "last_name": "KIMBALL",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Keystone Orthopaedic Specialists,LLC
• Yasmeen Khaskia, M.D.
• James N Kim, M.D.
• Paul Young-Chan Kim, D.O.
• Sanghoon Kim, MD
• Carol L Kinsey, CRNA
• Kaylee Kistler
• Amanda Deloatche Klayum
• Gretchen Marie Klepper, DPT
• James R. Kline, PA-C

• Pediatrics Physician in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.