KIMBERLY LEE BROCKLEHURST CNP NPI 1649748310

NPI Information

NPI: 1649748310
Provider Name: KIMBERLY LEE BROCKLEHURST, CNP
Classification: Nurse Practitioner - 363LF0000X
Specialization: Family
Entity Type: Individual
PECOS Registration: Yes
Address: 2195 ALLENTOWN RD
LIMA, OH
ZIP 45805
Phone: (419) 227-2245

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NPI Details

Kimberly Lee Brocklehurst, CNP is a family nurse practitioner in Lima, OH with 7 years of experience. Kimberly Lee Brocklehurst, CNP NPI is 1649748310. 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:

2195 ALLENTOWN RD
LIMA, OH
ZIP 45805-705
Phone: (419) 227-2245
Fax: (419) 229-1573

The NPI 1649748310 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
Urinalysis, manual test (HCPCS:81002)

The enumeration date for this NPI number is 11/11/2018 and was last updated on 10/12/2024.

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	163WE0003X	Registered Nurse	Emergency	313177	OHIO	No
2	208000000X	Pediatrics		ARRN.CNP.024119	OHIO	No
3	208000000X	Pediatrics		APRN.CNP.024119	OHIO	No
4	363LF0000X	Nurse Practitioner	Family	APRN.CNP.024119	OHIO	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	APRN.CNP.024119	OTHER	OHIO	CERTIFIED NURSE PRACTITIONER
2	3131777	OTHER	OHIO	REGISTEREC NURSE
3	APRN.CNP.024119	OTHER	OHIO	CERTFIED NURSE PRACTITIONER

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: 3/30/2025

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