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TRACI A. KIMBALL MD PC
NPI 1174305601
Durable Medical Equipment & Medical Supplies in Arvada, CO

Active since October 18, 2023CLIA 06D2337834 · Waiver
10050 RALSTON RD UNIT 3, ARVADA, CO 80004(303) 940-1611(303) 432-2296 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2026, Feb 24, 2025, Oct 18, 2023 (3 updates tracked since 2023).

About Traci A. Kimball Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACI A. KIMBALL MD PC (NPI 1174305601), doing business as The Wish Clinic, is a healthcare organization registered as a durable medical equipment & medical supplies in Arvada, Colorado and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through January 29, 2028, maintains a secondary practice location in Englewood, and lists Traci A. Kimball, Owner, as its authorized official.

NPPES Registry Identity

NPI1174305601
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameTRACI A. KIMBALL MD PC
Location Address10050 RALSTON RD UNIT 3Arvada, CO 80004-4974
Mailing Address10050 Ralston Rd Unit 3Arvada, CO 80004-4974 · (303) 940-1611 · Fax (303) 432-2296
Phone(303) 940-1611
Fax(303) 432-2296
Organization SubpartNo
Authorized OfficialTraci A. KimballOwner · (303) 940-1611
Enumeration DateOctober 18, 2023
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1174305601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X
Also ListedRegistered Nurse · Infusion TherapyTaxonomy 163WI0500X
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X
Also ListedLicensed Practical NurseTaxonomy 164W00000X
Also ListedHealth and Wellness CoachTaxonomy 171400000X
Also ListedSpecialist · Research StudyTaxonomy 1744R1102X
Also ListedIntegrative MedicineTaxonomy 202D00000X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedClinical Exercise PhysiologistTaxonomy 224Y00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
10050 RALSTON RD UNIT 3, Arvada, CO 80004
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Other Names 1

Doing Business AsThe Wish Clinic

Secondary Practice Location 1

Location 14798 S Acoma StEnglewood, CO 80110-6541 · Phone (303) 940-1611 · Fax (303) 432-2296

Other Identifiers 1

Medicaid9000223352CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2337834

Traci A Kimball MD PC · Arvada, CO
Active · expires Jan 29, 2028
CLIA Number06D2337834
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorTraci A. Kimball
Laboratory Phone(303) 940-1611
Laboratory LocationTraci A Kimball MD PC10050 Ralston Rd, Unit 3, Arvada, CO 80004
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACI A. KIMBALL MD PC
Clinic/Center (Multi-Specialty)
10050 RALSTON RD UNIT 3
ARVADA, CO 80004
Jefferson County (720) 577-4584
TRACI A. KIMBALL MD CWSP
Surgery
10050 RALSTON RD UNIT 3
ARVADA, CO 80004
Jefferson County (303) 940-1611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traci A. Kimball MD PC's NPI number?

The NPI number for Traci A. Kimball MD PC is 1174305601. It was assigned to this organization in the NPPES registry on October 18, 2023. The provider is doing business as The Wish Clinic.

Where is Traci A. Kimball MD PC located?

Traci A. Kimball MD PC is located at 10050 Ralston Rd Unit 3, Arvada, CO 80004. The listed phone number is (303) 940-1611.

What is Traci A. Kimball MD PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Traci A. Kimball MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2337834) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Traci A. Kimball MD PC was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.