Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
KIMBERLY S SQUIRES
Active
Individual
KIMBERLY S SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C; PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
218478
NC
363LF0000X
Family Nurse Practitioner
2008001301
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2014029878
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5004974
ETN P97980
NC
Enumeration date
04/02/2009
Last updated
07/22/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers