KIMBERLY BOURGEOIS
NPI 1629878731
Technician - Attendant Care Provider in Gulfport, MS

Q: What is Kimberly Bourgeois's NPI number?

The NPI number for Kimberly Bourgeois is 1629878731. It was assigned to this individual provider in the NPPES registry on March 17, 2025.

Q: What is Kimberly Bourgeois's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

Active since March 17, 2025

3421 12TH ST, GULFPORT, MS 39501(228) 229-9839 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimberly Bourgeois NPPES

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

KIMBERLY BOURGEOIS (NPI 1629878731) is an individual attendant care provider provider in Gulfport, Mississippi and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1629878731

Entity TypeIndividualFemale

Primary Taxonomy3747A0650X

Provider Legal NameKIMBERLY BOURGEOIS

Location Address3421 12TH STGulfport, MS 39501-1606

Mailing Address3421 12th StGulfport, MS 39501-1606 · (228) 229-9839

Phone(228) 229-9839

Sole ProprietorYes

Enumeration DateMarch 17, 2025

NPPES CertifiedMarch 17, 2025

✔ NPI 1629878731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers

Taxonomy Code3747A0650X

Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

3421 12TH ST, Gulfport, MS 39501

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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 Kimberly Bourgeois's NPI number?

The NPI number for Kimberly Bourgeois is 1629878731. It was assigned to this individual provider in the NPPES registry on March 17, 2025.

Where is Kimberly Bourgeois located?

Kimberly Bourgeois practices at 3421 12th St, Gulfport, MS 39501. The listed phone number is (228) 229-9839.

What is Kimberly Bourgeois's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Kimberly Bourgeois was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.