MS. KIMBERLY JEAN ANDREWS CPNP-PC NPI 1053429761

NPI Information

NPI: 1053429761
Provider Name: MS. KIMBERLY JEAN ANDREWS, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1965 S FREMONT
STE 260
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 820-0280
Get Directions

MS. Kimberly Jean Andrews, CPNP-PC is a pediatrics nurse practitioner in Springfield, MO. MS. Kimberly Jean Andrews, CPNP-PC NPI is 1053429761. 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:

1965 S FREMONT
STE 260
SPRINGFIELD, MO
ZIP 65804-257
Phone: (417) 820-0280
Fax: (417) 820-0290

The enumeration date for this NPI number is 8/25/2006 and was last updated on 8/30/2012.

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	152395	MISSOURI	Yes

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	431560263	OTHER	MISSOURI	TRICARE
2	P01037293	OTHER	MISSOURI	MCR RR
3	192788758	MEDICAID	ARKANSAS
4	132680288	MEDICARE PIN	MISSOURI
5	1053429761	MEDICAID	MISSOURI

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: 11/14/2023

NPI Synchronization or Removal

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