Active NPI
Kimberly Nicole Steinberg, CRNP
- Pediatric Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1982943452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN245855
- Practice address
- 5455 Meridian Mark Rd
Suite 130
Atlanta, GA 30342 - Phone
- (404) 255-2033
- Fax
- (404) 252-1901
- NPI assigned
- Feb 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R196074 | MD | |
| Pediatric Nurse Practitioner | 363LP0200X | RN245855 | GA | Primary |
Addresses
Primary practice location
5455 Meridian Mark Rd
Suite 130
Atlanta, GA 30342
Mailing address
5455 Meridian Mark Rd
Suite 130
Atlanta, GA 30342
Phone (404) 255-2033
Other names 1
- Kimberly Nicole Crouse
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN245855 | GA | MD | Pediatric Nurse Practitioner |
| R196074 | MD | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Pediatric Ear, Nose, & Throat of Atlanta, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Otolaryngology Physician
- Atlanta, GA
- NPI 1134380017
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428019200000",
"number": "1982943452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5455 MERIDIAN MARK RD",
"address_2": "SUITE 130",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30342",
"telephone_number": "404-255-2033",
"fax_number": "404-252-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5455 MERIDIAN MARK RD",
"address_2": "SUITE 130",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30342",
"telephone_number": "404-255-2033",
"fax_number": "404-252-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEINBERG",
"first_name": "KIMBERLY",
"middle_name": "NICOLE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-04",
"last_updated": "2015-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "R196074",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN245855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "CROUSE",
"middle_name": "NICOLE",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.