KIMBERLY RAE SIEGRIST NP NPI 1043575780

NPI Information

NPI: 1043575780
Provider Name: KIMBERLY RAE SIEGRIST, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
154 GOVERNMENT CENTER DR
MOCKSVILLE, NC
ZIP 27028
Phone: (980) 859-9993
Get Directions

Kimberly Rae Siegrist, NP is a pediatrics nurse practitioner in Mocksville, NC. Kimberly Rae Siegrist, NP NPI is 1043575780. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

154 GOVERNMENT CENTER DR
MOCKSVILLE, NC
ZIP 27028-299
Phone: (980) 859-9993

The enumeration date for this NPI number is 7/9/2012 and was last updated on 3/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	210237	NORTH CAROLINA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	5005698	NORTH CAROLINA	Yes
3	363LP0200X	Nurse Practitioner	Pediatrics	1043575780	NORTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7006194	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »