Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Kimberly Ann Vonderlieth, PA

Surgical Physician Assistant in Melbourne, FL · enumerated 2008 · practices at Active Chiropractic, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396917522

Verified

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Registry record

Entity type Individual (Type 1)

Name Kimberly Ann Vonderlieth

Credential PA

Sex Female

Practice address Melbourne, FL, 32901

Phone (321) 434-3420

Fax (321) 434-3423

Enumeration date Mar 27, 2008

Last updated in NPPES Nov 17, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA9101648 (FL) Secondary

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA9101648 (FL) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier	Type	State	Issuer
LS853	Other	FL	FL MEDICARE
104257000	Medicaid	FL	-
LY388	Other	FL	FL MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kimberly Vonderlieth?

The National Provider Identifier (NPI) for Kimberly Vonderlieth is 1396917522, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kimberly Vonderlieth practice?

The practice location on file with NPPES is in Melbourne, FL. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-17.