Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720228679 Individual Practitioner Female Practitioner

Jennifer Kimberly , COTA, L

Specialist • Clovis, NM

Professional Overview & Biography Verified Profile Summary

Jennifer Kimberly, COTA, L is a registered healthcare professional specializing in Specialist in Clovis, NM. Practice services are available at 810 E 21ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

810 E 21st St

Clovis, NM 881014442

Telephone 5757639517

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Clovis, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Clovis, NM (429 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NM 2553

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
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Behavior Technician

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Gloria Zolman

Behavior Technician

NPI 1194450619
Nathan Snow

Behavior Technician

NPI 1205579976
Alexis Quintana , BT

Counselor - Professional

NPI 1245837525
Oliver Mancilla , BT

Behavior Technician

NPI 1255001129
Ashley Lubera

Behavior Technician

NPI 1306594106

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 04, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location March 04, 2009

Registered at 810 E 21ST ST, CLOVIS, NM 881014442 (Tel: 5757639517)

📍
Updated Business Mailing Address March 04, 2009

Registered at 810 E 21ST ST, SUITE 6A, CLOVIS, NM 881014442

👤
Provider Name / Credentials Updated March 04, 2009

Recorded as JENNIFER KIMBERLY, COTA/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2009

Specialist (License #2553 in NM)

🟢
Initial NPI Registration & Enumeration March 04, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720228679
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2009
Last Update: March 04, 2009
Sole Proprietor: Yes

Mailing Address

810 E 21st St, Suite 6a

Clovis, NM 881014442

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.