KIMBERLEY MYRICK
NPI 1255197471
Peer Specialist in Bismarck, ND

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since February 26, 2024

1308 ELBOWOOD LN, BISMARCK, ND 58503(701) 751-8260(701) 751-2274 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Kimberley Myrick NPPES

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

KIMBERLEY MYRICK (NPI 1255197471) is an individual peer specialist in Bismarck, North Dakota, licensed in North Dakota (00000) and active in the NPI registry since February 2024. She maintains a secondary practice location in Parshall.

NPPES Registry Identity

NPI1255197471

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameKIMBERLEY MYRICK

Location Address1308 ELBOWOOD LNBismarck, ND 58503-5712

Mailing Address1308 Elbowood LnBismarck, ND 58503-5712 · (701) 751-8260 · Fax (701) 751-2274

Phone(701) 751-8260

Fax(701) 751-2274

Sole ProprietorNo

Enumeration DateFebruary 26, 2024

NPPES CertifiedFebruary 22, 2024

✔ NPI 1255197471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in ND · 00000

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

1308 ELBOWOOD LN, Bismarck, ND 58503

Open in Google Maps ↗