AMANDA KIMBALL
NPI 1396681045
Nurse Practitioner - Family in Oswego, IL

Q: What is Amanda Kimball's NPI number?

The NPI number for Amanda Kimball is 1396681045. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Q: What is Amanda Kimball's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Kimball was last updated on April 27, 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.

Active since April 27, 2026

4416 BICKFORD AVE, OSWEGO, IL 60543(630) 696-6712 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Amanda Kimball NPPES

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

AMANDA KIMBALL (NPI 1396681045) is an individual family provider in Oswego, Illinois, licensed in Illinois (209030610) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1396681045

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA KIMBALL

Location Address4416 BICKFORD AVEOswego, IL 60543-8158

Mailing Address4416 Bickford AveOswego, IL 60543-8158

Phone(630) 696-6712

Sole ProprietorNo

Enumeration DateApril 27, 2026

NPPES CertifiedApril 26, 2026

✔ NPI 1396681045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209030610

4416 BICKFORD AVE, Oswego, IL 60543

Open in Google Maps ↗

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 Amanda Kimball's NPI number?

The NPI number for Amanda Kimball is 1396681045. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Where is Amanda Kimball located?

Amanda Kimball practices at 4416 Bickford Ave, Oswego, IL 60543. The listed phone number is (630) 696-6712.

What is Amanda Kimball's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Amanda Kimball was last updated on April 27, 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.