MRS. DOMINICK DANIALE WEST-KIMMONS (NPI# 1003124579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003124579 |
| Entity Type | Individual |
| Full Name | MRS. DOMINICK DANIALE WEST-KIMMONS |
| Credential | LPN |
| Practice Address |
2155 Old Hickory Ln Holland OH 43528-9570 |
| Practice Telephone | 4193202185 |
| Mailing Telephone | 4193202185 |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2010-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN 121733 | OH | Nursing Service Providers |
| Street Address |
2155 OLD HICKORY LN |
| City | HOLLAND |
| State | OH |
| Zip Code | 43528-9570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542345 | Bobbi Stall | Technician | 1027 Raymil, Holland, OH 43528 | 2020-09-15 |
| 1336789049 | Diana Kobylak | Licensed Practical Nurse | Racing for Recovery, 6202 Trust Dr., Holland, OH 43528 | 2020-01-10 |
| 1982262291 | Raven Diane Hannah | Licensed Vocational Nurse | 350 South Irwin Rd, Holland, OH 43528 | 2019-06-01 |
| 1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
| 1184199432 | Pamela Adrienne Wilson | Rehabilitation Counselor | 350 S. Irwin Road, Holland, OH 43528 | 2018-10-12 |
| 1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
| 1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
| 1174025100 | Samantha Hoelzer | Optometrist | 1460 Spring Meadows Drive, E100, Holland, OH 43528 | 2018-03-06 |
| 1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
| 1922519859 | Shaunta Marie Grier | Licensed Practical Nurse | 350 S Irwin Street, Holland, OH 43528 | 2017-10-18 |
| Find all providers in zip 43528 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336789049 | Diana Kobylak | Licensed Practical Nurse | Racing for Recovery, 6202 Trust Dr., Holland, OH 43528 | 2020-01-10 |
| 1881251759 | Tekoah Mcclure | Licensed Practical Nurse | 745 Favony Ave, Holland, OH 43528-8565 | 2019-05-25 |
| 1922519859 | Shaunta Marie Grier | Licensed Practical Nurse | 350 S Irwin Street, Holland, OH 43528 | 2017-10-18 |
| 1558718833 | Shaye Chanell Parker | Licensed Practical Nurse | 89 W Foxrun St, Holland, OH 43528-9340 | 2016-05-17 |
| 1861823080 | Diamond Cole | Licensed Practical Nurse | 6579 Pilliod Rd, Holland, OH 43528-8614 | 2013-12-13 |
| 1992086912 | Cody Alan Penske | Licensed Practical Nurse | 729 Harefoote St, Holland, OH 43528-8566 | 2011-09-03 |
| 1952693772 | Consuelo Martin | Licensed Practical Nurse | 9746 Oak Green Ct, Holland, OH 43528-9758 | 2011-05-12 |
| 1265668479 | Felicia Alexander | Licensed Practical Nurse | 2108 Old Hickory Ln, Holland, OH 43528-9570 | 2009-06-02 |
| 1982855854 | Anita M Abbott | Licensed Practical Nurse | 9841 Olean Rd, Holland, NY 14080-9772 | 2008-10-09 |
| 1477702306 | Katherine Ostrowski | Licensed Practical Nurse | 11571 Holland Glenwood Rd, Holland, NY 14080-9551 | 2008-09-16 |
| Find all providers in HOLLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.