Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Ann Kinney, FNP

Individual provider Family Nurse Practitioner · NPI 1053900035

Kimberly Ann Kinney, FNP is a Nurse Practitioner in Fairfax, Virginia. Qualified in 2020, 6 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and Virginia.

Years since qualifying
6
Licensed in
IN, VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

8081 Innovation Park Dr Ste 301
Fairfax, VA 22031-4867
Phone: (571) 472-6431
Fax: (571) 665-6826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2001 W 86th St, Indianapolis, IN 46260-1991 — (765) 860-2839
  • 3300 Gallows Rd, Falls Church, VA 22042-3307 — (703) 776-4001

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024183881 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 28121186A (IN)

Record details

NPI number1053900035
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 13, 2021
Last updated in NPPESMay 27, 2022
Certification dateMay 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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