Kimberly Nguyen, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC006895 Issued in PA

Practice address

4230 Crums Mill Rd
Harrisburg, PA 17112-2898

Phone

(717) 657-5050

Fax

(717) 657-9350

NPI assigned

Jun 10, 2014

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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rite Medical PLLC

  • General Practice Physician
  • Rhinebeck, NY
  • NPI 1114536034
  Medicare reassignment NPD
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  NY

  Medicare reassignment

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1972916617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 CRUMS MILL RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122898",
            "telephone_number": "717-657-5050",
            "fax_number": "717-657-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 CRUMS MILL RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122898",
            "telephone_number": "717-657-5050",
            "fax_number": "717-657-9350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15800 Detroit Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "OH",
            "postal_code": "441073748",
            "country_code": "US",
            "telephone_number": "216-227-2194",
            "fax_number": "216-227-2196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KIMBERLY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003856",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Xuan Khoi Ngo, DPM
• Julia Haily Nguyen-Dang
• Bao Nhi Nguyen, DO
• Hiep B Nguyen, RPH
• Joanne Nguyen, CRNA
• Minh Huynh Nguyen, DO
• Rachel Nguyen, DMD
• Theresa Nguyen, PHARMD
• Theresa Nguyen
• Tran Nguyen

• Podiatrist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.