Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164633814 Individual Practitioner Female Practitioner

Brooke Annette Kimball , LMP

Specialist • Edmonds, WA

Professional Overview & Biography Verified Profile Summary

Brooke Kimball, LMP is a registered healthcare professional specializing in Specialist in Edmonds, WA. Practice services are available at 9631 FIRDALE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9631 Firdale Ave

Edmonds, WA 980206519

Telephone 2062715368
Fax 4257781014

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Edmonds, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
30 Specialists

Practicing in Edmonds, WA (2751 Statewide)

Telehealth Adoption Rate
6.7% 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 WA MA00017893

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

3 Associated Practitioners
Jennifer Dragoo , LMP

Massage Therapist

NPI 1114130275

Licensed Massage Practitioner

NPI 1780750240

Registered Nurse, Licensed Acupuncturist

Kathleen Long , LMP

Massage Therapist

NPI 1942404470

Licensed Massage Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 9631 FIRDALE AVE, EDMONDS, WA 980206519 (Tel: 2062715368)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5710 198TH ST SW APT D, LYNNWOOD, WA 980366146 (Tel: 4257769382)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BROOKE KIMBALL, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #MA00017893 in WA)

🟢
Initial NPI Registration & Enumeration May 24, 2007

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: 1164633814
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

5710 198th St Sw Apt D

Lynnwood, WA 980366146

Phone: 4257769382

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.