MRS. MERCEDITA VILLAR KIMBROUGH (NPI# 1053640342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053640342 |
| Entity Type | Individual |
| Full Name | MRS. MERCEDITA VILLAR KIMBROUGH |
| Credential | FNP-BC |
| Practice Address |
1900 E Langsford Rd Lees Summit MO 64063-3600 |
| Mailing Address |
12401 East 37th Terr South Independence MO 64055-7101 |
| Practice Telephone | 8165549500 |
| Mailing Telephone | 8163925714 |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2019-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2009038441 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1900 E LANGSFORD RD |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64063-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164466538 | Missouri Cvs Pharmacy LLC | Pharmacy | 1900 E Langsford Rd, Lees Summit, MO 64063-3600 | 2006-06-16 |
| 1770128688 | Kristyn Kuplen Thorpe | Nurse Practitioner | 1900 E Langsford Rd, Lees Summit, MO 64063-3600 | 2019-11-14 |
| 1346756525 | Kristy Herndon | Nurse Practitioner | 1900 E Langsford Rd, Lees Summit, MO 64063-3600 | 2017-12-25 |
| 1316261225 | Nhuha Tran | Nurse Practitioner | 1900 E Langsford Rd, Lees Summit, MO 64063-3600 | 2010-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649895533 | Ian Christopher Fekete | Student in an Organized Health Care Education/Training Program | Lee's Summit Medical Center, 2100 Se Blue Pkwy, Lee's Summit, MO 64063 | 2020-06-16 |
| 1083268403 | Rachelle Colyer | Physical Therapist | 298 Sw Blue Pkwy, Lee's Summit, MO 64063 | 2019-07-25 |
| 1326504200 | Brenda Michelle Brown | Physical Therapist | 2160 Se Blue Parkway Addington Place, 2160 Seblue Parkway, Lee's Summit, MO 64063 | 2019-02-15 |
| 1528545068 | Bayada Home Health Care, Inc. | Home Health | 600 Sw Jefferson St Ste 101, Lees Summit, MO 64063 | 2018-07-27 |
| 1972089118 | Summit Integrative Dental (bromley, D.d.s. and Broyles, D.d.s.), P.C. | Dentist | 688 Se Bayberry Lane, Suite 101, Lee's Summit, MO 64063 | 2018-07-11 |
| 1104327576 | Molly Moore Mcgraw Davidson | Nurse Practitioner | 2000 Se Blue Pkwy Ste 270a, Lees Summit, MO 64063 | 2018-02-21 |
| 1821507591 | Joshua Greenwell | Chiropractor | 1634 Se Blue Pkwy, Lee's Summit, MO 64063 | 2017-09-26 |
| 1457870651 | Tlc Home Healthcare Consulting Inc | Registered Nurse | 109 Sw Madison St, Lee's Summit, MO 64063 | 2017-09-19 |
| 1053834622 | Kristin E Schwartz | Advanced Practice Midwife | 2000 Se Blue Pkwy Ste 220, Lees Summit, MO 64063 | 2017-07-25 |
| 1316493828 | Laura Ballantyne | Speech-Language Pathologist | 600 Se Miller St, Lees Summit, MO 64063 | 2016-08-26 |
| Find all providers in zip 64063 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1659979169 | Samantha Rose Morris | Nurse Practitioner | 1980 Se Blue Pkwy Ste 2320, Lees Summit, MO 64063-1102 | 2020-10-16 |
| 1578173712 | Valerie De Jong | Nurse Practitioner | 1611 Se Boone Trl, Lees Summit, MO 64063-6023 | 2020-08-03 |
| 1255958369 | Amara Sluder | Nurse Practitioner | 1029 Ne Bluff Cir, Lees Summit, MO 64086-4955 | 2020-07-06 |
| 1457971905 | Rujira Renick | Nurse Practitioner | 100 Ne Missouri Rd Ste 202, Lees Summit, MO 64086-4716 | 2020-04-24 |
| 1417501255 | Nicole Hamilton | Nurse Practitioner | 303 Nw Central St, Lees Summit, MO 64063-1920 | 2019-07-30 |
| 1932683836 | Rene Russell | Nurse Practitioner | 2416 Sw Wintergreen Ct, Lees Summit, MO 64081 | 2018-09-18 |
| 1104327576 | Molly Moore Mcgraw Davidson | Nurse Practitioner | 2000 Se Blue Pkwy Ste 270a, Lees Summit, MO 64063 | 2018-02-21 |
| 1225537665 | Crystal Sheets | Nurse Practitioner | 1221 Se 12th St, Lees Summit, MO 64081-2905 | 2018-02-12 |
| 1295257277 | Sara Barnett | Nurse Practitioner | 100 Ne Saint Lukes Blvd Ste 500, Lees Summit, MO 64086-6000 | 2017-07-12 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64063 |
Please comment or provide details below to improve the information on MRS. MERCEDITA VILLAR KIMBROUGH.
| 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.