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

Kimberly Joy Basham, APRN

Individual provider Family Nurse Practitioner · NPI 1790154169

Kimberly Joy Basham, APRN is a Nurse Practitioner in The Villages, Florida. Qualified in 2015, 11 years ago. Practices with The Villages Health System LLC, a 148-clinician group and accepts Medicare assignment. Licensed in Florida and Illinois.

Years since qualifying
11
Licensed in
FL, IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

8877 SE 165th Mulberry Ln
The Villages, FL 32162-5887
Phone: (352) 674-1750
Fax: (352) 674-8950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN9430779 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209013223 (IL)

Record details

NPI number1790154169
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedSeptember 16, 2015
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address1020 Lake Sumter Lndg, The Villages, FL 32162-2699

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice The Villages Health System Llc — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in The Villages