Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1003328626 Deactivated / Inactive NPI Male Practitioner

Roy D Kimble , LPN

Licensed Practical Nurse • Frazeysburg, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Roy Kimble has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 05, 2017
NPI Deactivation Date December 27, 2023
Total Practice Duration ~6 Years of Practice (2017 – 2023)

Professional Overview & Biography Verified Profile Summary

Roy Kimble, LPN was a registered Licensed Practical Nurse practicing in Frazeysburg, OH. Throughout an active medical career spanning 6 years, Roy Kimble provided care at the practice location at 5559 RAIDERS ROAD until profile deactivation on 2023-12-27.

Practice Location & Contact Primary Location

Practice Address

5559 Raiders Road

Frazeysburg, OH 438224382

Telephone 8556927247
Fax 8556927247
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Frazeysburg, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Frazeysburg, OH (13034 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH LPN.165338.MEDS-IV

An individual 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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Taylor Binger

Social Worker - Clinical

NPI 1003671538
Alexis Shafer

Case Manager/Care Coordinator

NPI 1023942745
Desmond Stage

Case Manager/Care Coordinator

NPI 1043936826
Abigail Roberts

Case Manager/Care Coordinator

NPI 1053023093
Ashley Reynolds

Case Manager/Care Coordinator

NPI 1053138776
Marisa Streiff

Case Manager/Care Coordinator

NPI 1053911198

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 27, 2023

Record deactivated on December 27, 2023

NPI Profile Active November 05, 2017

NPI status registered as active in NPPES database

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Updated Practice Location November 05, 2017

Registered at 5559 RAIDERS ROAD, FRAZEYSBURG, OH 438224382 (Tel: 8556927247)

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Updated Business Mailing Address November 05, 2017

Registered at 5559 RAIDERS ROAD, FRAZEYSBURG, OH 43822 (Tel: 8556927247)

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Provider Name / Credentials Updated November 05, 2017

Recorded as ROY KIMBLE, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2017

Licensed Practical Nurse (License #LPN.165338.MEDS-IV in OH)

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Initial NPI Registration & Enumeration November 05, 2017

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: 1003328626
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2017
Last Update: November 05, 2017
Deactivation Date: December 27, 2023

Mailing Address

5559 Raiders Road

Frazeysburg, OH 43822

Phone: 8556927247

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.