KIMBERLY KEYES BARRETT (NPI# 1013408483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013408483 |
Entity Type | Individual |
Full Name | KIMBERLY KEYES BARRETT |
Other Name | KIMBERLY KEYES ADAMS |
Credential | PA-C |
Practice Address |
1111 Ronald Reagan Pkwy Avon IN 46123-7085 |
Practice Telephone | 2604331314 |
Mailing Telephone | 3172173649 |
Mailing Fax Number | 3172173474 |
Enumeration Date | 2018-05-22 |
Last Update Date | 2019-07-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 10002433A | IN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326532599 | Kimberly Sue Barrett | Dentist | 8794 Spring St, Montague, MI 49437-1221 | 2018-06-20 |
1144527771 | Kimberly Ann Barrett | Speech-Language Pathologist | 15 Fairhaven Rd, Rochester, NY 14610-2229 | 2011-02-16 |
1720262827 | Kimberly Jo Barrett | Physician Assistant | 421 Fountain St Ne, Grand Rapids, MI 49503-3334 | 2007-12-26 |
1407488588 | Kimberly Allysha Barrett | Counselor | 1114 Benfield Blvd Ste G, Millersville, MD 21108-2589 | 2020-02-06 |
1881133015 | Kimberly Barrett | Occupational Therapist | 675 3rd Ave, 5th Floor, New York, NY 10017-5704 | 2017-02-21 |
1073807244 | Kimberly Lynn Barrett | Counselor | 4928 Homberg Dr, Suite A-4, Knoxville, TN 37919-5100 | 2011-06-06 |
1811287360 | Kimberly Michell Barrett | Obstetrics & Gynecology | 1404 River Pl Ste 303, Braselton, GA 30517-5600 | 2011-04-17 |
1013166495 | Kimberly J Barrett | Nurse Practitioner | 110 Liberty St, Brockton, MA 02301-5521 | 2008-09-10 |
1508059460 | Kimberly Ar Barrett | Occupational Therapist | 4602 Cumberland Rd, Fayetteville, NC 28306-2412 | 2007-08-23 |
1932313392 | Kimberly Bree Barrett | Physician Assistant | 179 Route 6a, Briarpatch Pediatrics, Yarmouth Port, MA 02675-1714 | 2007-05-09 |
Street Address |
1111 RONALD REAGAN PKWY |
City | AVON |
State | IN |
Zip Code | 46123-7085 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447249990 | Chun L Ng | Emergency Medicine | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2005-10-18 |
1558978353 | Ann Allison | Clinical Nurse Specialist | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2020-09-25 |
1841804549 | Erica Newkirk | Clinical Nurse Specialist | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2020-09-01 |
1750901302 | Dawn M Hinshaw | Pharmacy Technician | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2020-04-23 |
1518590504 | Emily W Peat | Registered Nurse | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2020-02-18 |
1679105878 | Joni Ann Fiscus | Dietitian, Registered | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2020-02-06 |
1215572979 | Isioma Oladunni Nosegbe | Physician Assistant | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2019-11-16 |
1053956656 | Adam Jones | Physician Assistant | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2019-11-07 |
1437717295 | Vanessa D Scott | Nurse Practitioner | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2019-06-05 |
1881250058 | Olivia Lyn Beaver | Nurse Practitioner | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2019-05-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
Find all providers in zip 46123 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831702570 | Nathan Dean Hailey | Physician Assistant | 1115 Ronald Reagan Pkwy Ste 247, Avon, IN 46123-6911 | 2020-08-24 |
1841848298 | Kayla Nichole Kawiecki | Physician Assistant | 2351 Chelsea St, Avon, OH 44011-5227 | 2019-08-29 |
1831591791 | Michael Czajka | Physician Assistant | 33100 Cleveland Clinic Blvd # 2-2, Avon, OH 44011-1390 | 2014-09-23 |
1043558596 | Kelly L Foutch | Physician Assistant | 8607 E Us Highway 36 Ste 300, Avon, IN 46123-7960 | 2013-01-17 |
1215291943 | Mari E. Friedman | Physician Assistant | 1115 Ronald Reagan Pkwy Ste 348, Avon, IN 46123 | 2012-06-27 |
1346523636 | Amanda Duncan | Physician Assistant | 33100 Cleveland Clinic Blvd # 2-1, Avon, OH 44011-1390 | 2011-09-22 |
1134376304 | Katherine B Bares | Physician Assistant | 8 Canal Ct, Avon, CT 06001-3726 | 2008-08-19 |
1205059185 | Peter J. Dolan | Physician Assistant | 2077 Lakeville Rd, Suite 3, Avon, NY 14414 | 2007-04-10 |
1689640948 | Scott D. Petersen | Physician Assistant | 33300 Cleveland Clinic Blvd, Mail Code Avh4-143, Avon, OH 44011 | 2006-02-27 |
1467459206 | Don Armenoff | Physician Assistant | 8244 E Us Highway 36 Ste 1100, Avon, IN 46123-9627 | 2005-07-07 |
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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.