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

Kimberly Barry, ARNP

Individual provider Family Nurse Practitioner · NPI 1508117342

Kimberly Barry, ARNP is a Nurse Practitioner in Jacksonville Beach, Florida. Qualified in 2011, 15 years ago. Practices with Riverside Spine and Pain Physicians LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2012
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

1375 Roberts Dr Ste 205
Jacksonville Beach, FL 32250-3209
Phone: (904) 389-1010
Fax: (904) 389-1082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence ARNP3054602 (FL)

Record details

NPI number1508117342
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedSeptember 19, 2012
Last updated in NPPESFebruary 27, 2017
Mailing address6195 Lake Gray Blvd, Suite 4, Jacksonville, FL 32244-5891

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Riverside Spine And Pain Physicians Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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