Kimberly Tita, RN is a
Registered Nurse - Home Health based in Carver, Minnesota. Kimberly Tita is licensed to practice in Minnesota (license number 193593-8) and her current practice location is
706 Debbie Ln, Carver, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 207-0397.
NPI number for Kimberly Tita is 1376413807 and her current mailing address is 721 Harvest Ct, Shakopee, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376413807.
Provider's Profile
| Full Name | Kimberly Tita |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - Home Health |
|---|
| Location | 706 Debbie Ln, Carver, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376413807
- Provider Enumeration Date: 11/10/2025
- Last Update Date: 11/10/2025
Medical Identifiers
Medical identifiers for Kimberly Tita such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376413807 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WH0200X | Registered Nurse - Home Health | 193593-8 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Tita is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kimberly Tita, RN 721 Harvest Ct, Shakopee, MN 55379-8263 Ph: (612) 207-0397 | Kimberly Tita, RN 706 Debbie Ln, Carver, MN 55315-9306 Ph: (612) 207-0397 |
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