MRS. BARBARA LYNN EDMUNDS-KIMREY


Address: 8801 Horizon Blvd., Suite 260, United Health Care- Optum, Albuquerque, NM 87109
Phone: 5057986248

MRS. BARBARA LYNN EDMUNDS-KIMREY (NPI# 1841662095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841662095
Entity Type Individual
Full Name MRS. BARBARA LYNN EDMUNDS-KIMREY
Credential AGNP-BC
Practice Address 8801 Horizon Blvd., Suite 260
United Health Care- Optum
Albuquerque
NM 87109
Practice Telephone 5057986248
Practice Fax Number 8557580342
Mailing Telephone 5057986248
Mailing Fax Number 8557580342
Enumeration Date 2015-10-28
Last Update Date 2016-05-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
CNP-02788 NM Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
CNP-02788 NM Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8801 HORIZON BLVD., SUITE 260
UNITED HEALTH CARE- OPTUM
City ALBUQUERQUE
State NM
Zip Code 87109

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City ALBUQUERQUE
Zip Code 87109

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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