KIMBERLY NICOLE PATRICK
NPI 1639685639
Licensed Practical Nurse in Petal, MS
NPI Status: Active since December 28, 2017
- Individual
- Female
- Licensed Practical Nurse
About KIMBERLY PATRICK
This page provides the complete NPI Profile along with additional information for Kimberly Patrick, a provider established in Petal, Mississippi with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1639685639 assigned on December 2017. The practitioner's primary taxonomy code is 164W00000X with license number 334167 (MS). The provider is registered as an individual and her NPI record was last updated May 2025.
- NPI
- 1639685639
- Provider Name
- KIMBERLY NICOLE PATRICK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 15 SUNLINE DR PETAL, MS 39465
- Location Phone
- (601) 325-1107
- Mailing Address
- 635 HAMPSHIRE DR BRANDON, MS 39047
- Mailing Phone
- (601) 325-1107
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-28-2017
- Last Update Date
- 05-28-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 334167
- License State
- MS
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163WC1500X | Nursing Service Providers | Registered Nurse | 931616 (MS) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 6 | 8 | 5 | 6 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 12 | 8 | 10 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 2 + 8 + 1 + 0 + 6 + 6 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1639685639 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639685639, enumerated in the NPI registry as an "individual" on December 28, 2017
The provider is located at 15 Sunline Dr Petal, Ms 39465 and the phone number is (601) 325-1107
The provider's speciality is Licensed Practical Nurse with taxonomy code 164W00000X
This NPI record was last updated on December 28, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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