KIMBERLY CAROL VANDALEN (NPI# 1053784009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053784009 |
| Entity Type | Individual |
| Full Name | KIMBERLY CAROL VANDALEN |
| Practice Address |
193 S Progress Dr Xenia OH 45385-2673 |
| Practice Telephone | 9373727583 |
| Mailing Telephone | 9373727583 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | AP129610 | TX | Allopathic & Osteopathic Physicians |
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
AP129610 | TX | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | AP129610 | TX | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.025839 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP129610 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 87V600 | 01 |
| TX | TEXAS STATE LICENSE | AP129610 | 01 |
| TX | 063389301 | 05 | |
| TX | 083850001 | 05 | |
| OH | 0389946 | 05 | |
| TX | 017801401 | 05 | |
| TX | BCBS | 87V601 | 01 |
| Street Address |
193 S PROGRESS DR |
| City | XENIA |
| State | OH |
| Zip Code | 45385-2673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689219008 | Ashley Marie Mosher | Registered Nurse | 1728 Dayton Xenia Road, Xenia, OH 45385 | 2019-11-08 |
| 1255892824 | Hart Behavior Group LLC | Behavioral Analyst | 1690 Kingsway Dr, Xenia, OH 45385 | 2019-03-27 |
| 1053814996 | Briana Creamer | Community/Behavioral Health | 673 Sutton Dr, Xenia, OH 45385 | 2018-03-16 |
| 1174031769 | Maggie Ann Weyandt | Social Worker | 380 Bellbrook Ave., Xenia, OH 45385 | 2018-01-17 |
| 1588116362 | Te Carr | Specialist/Technologist | 1200 Us 42 E, Xenia, OH 45385 | 2016-10-27 |
| 1649678400 | Crystal Misner | Occupational Therapy Assistant | 1694 Pawnee Drive, Xenia, OH 45385 | 2014-12-10 |
| 1750627345 | Claudette May Ross | Registered Nurse | 2301 Dundee Drive, Dayton, OH 45385 | 2012-12-31 |
| 1578868386 | Traditions At Xenia | Assisted Living Facility | 695 Wycliffe Dr, Xenia, OH 45385 | 2011-01-26 |
| 1851624720 | Robert T Morrison Md LLC | Internal Medicine | 215 S. Allison Ave., Xenia, OH 45385 | 2009-09-10 |
| 1790945186 | Tracey D Hacker | Licensed Practical Nurse | 1896 Pueblo Dr, Xenia, OH 45385 | 2008-06-10 |
| Find all providers in zip 45385 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619295425 | Colbert Family Health and Wellness, LLC | Nurse Practitioner | 1986 El Camino Dr, Xenia, OH 45385-1118 | 2010-05-04 |
| 1629571880 | Marcus Paul Bolton | Nurse Practitioner | 1157 N Monroe Dr Ste 220, Xenia, OH 45385-1699 | 2018-03-14 |
| 1659810737 | Kimberly Ann Bell | Nurse Practitioner | 1157 N Monroe Dr Ste 220, Xenia, OH 45385-1699 | 2017-02-22 |
| 1568846517 | Stephanie Morrison | Nurse Practitioner | 46 N Detroit St, Unit B, Xenia, OH 45385-2983 | 2015-07-18 |
| 1366840548 | Cynthia Mcmaken | Nurse Practitioner | 360 Wilson Dr, Xenia, OH 45385-1810 | 2014-12-20 |
| 1942635396 | Karen J Smith | Nurse Practitioner | 1768 W Park Sq, Xenia, OH 45385-2667 | 2013-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184681 | Madison Baxter | Nurse Practitioner | 2730 Hyde Park Ave, Cincinnati, OH 45209-2004 | 2020-11-06 |
| 1932700937 | Caroline V Murrey | Nurse Practitioner | 109 Ratcliff Ln, Plain City, OH 43064-8662 | 2020-11-05 |
| 1134720154 | Anthonia Ndali Chukwudelunzu | Nurse Practitioner | 20 Rocky Top Ct, Maple Heights, OH 44137-4760 | 2020-11-05 |
| 1275134801 | Abram James Basinger | Nurse Practitioner | 3956 Sparkhill Dr, Enon, OH 45323-1436 | 2020-11-02 |
| 1780284091 | Tana Darniece Williams | Nurse Practitioner | 513 Harris Rd, Richmond Heights, OH 44143-2539 | 2020-10-27 |
| 1174123335 | Heidi Archer | Nurse Practitioner | 52003 Peck Wadsworth Rd, Wellington, OH 44090-9725 | 2020-10-27 |
| 1114526662 | Angelina Fiszlewicz | Nurse Practitioner | 69 Bayberry Ln, Monroe, OH 45050-2521 | 2020-10-25 |
| 1851990600 | Brandy Baker | Nurse Practitioner | 494 Yorkshire Dr, Newark, OH 43055-1522 | 2020-10-22 |
| 1538768445 | Ashley Nicole Morgan | Nurse Practitioner | 15099 State Route 170, East Liverpool, OH 43920-9598 | 2020-10-21 |
| 1881293082 | Sommer Saddler | Nurse Practitioner | 2120 Hampstead Rd, Cleveland Heights, OH 44118-2509 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.