Physician Compare National (NPI:1780183228)

HEALTHCARE PROVIDER: KIMBERLEY BEASLEY SORRELL NP-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1780183228
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042574709
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180503002240
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SORRELL
	Individual professional last name
Provider First Name	KIMBERLEY
	Individual professional first name
Provider Middle Name	BEASLEY
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2017
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	VIRGINIA URGENT CARE LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2062572456
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	21
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	5825 PLANK RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 105
	Group Practice or individual's line 2 address
City	FREDERICKSBURG
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	224075207
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5407852727
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y