MS. KIMBERLY J. NEDROW (NPI# 1063590008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063590008 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY J. NEDROW |
| Credential | LMP |
| Practice Address |
2210 Black Lake Blvd Sw Ste G Olympia WA 98512-5604 |
| Mailing Address |
12532 Champion Dr Sw Olympia WA 98512-9016 |
| Practice Telephone | 3609563771 |
| Practice Fax Number | 3607054103 |
| Mailing Telephone | 3609563771 |
| Mailing Fax Number | 3607054103 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA00014338 | WA | Other Service Providers |
| Street Address |
2210 BLACK LAKE BLVD SW STE G |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98512-5604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1205465622 | Falina Marie Luce | Counselor | 3285 Ferguson St, Olympia, WA 98512 | 2020-04-07 |
| 1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
| 1700432507 | Maria E Zavala Negrete | Behavior Technician | 3285 Ferguson Street Southwest, Tumwater, WA 98512 | 2019-08-16 |
| 1669026951 | Bradley Allen Labrador | Social Worker | 3285 Ferguson St, Sw, Tumwater, WA 98512 | 2019-07-25 |
| 1033762893 | Janice Lapreal Swanzey | Licensed Practical Nurse | 3285 Ferguson Lane St Sw, Olympia, WA 98512 | 2019-07-22 |
| 1821569195 | Linda Marie Moffitt | Registered Nurse | 7741 Littlerock Rd. Sw, Tumwater, WA 98512 | 2018-12-16 |
| 1427534577 | Matthew Hart | Occupational Therapist | 2620 Rw Johnson Boulevard Southwest Suite 112, Tumwater, WA 98512 | 2018-07-12 |
| 1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
| 1669998183 | Bradley Ross Bishop | Registered Nurse | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2017-08-16 |
| Find all providers in zip 98512 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972982346 | Troy M Kochel | Specialist | 1308 Conger Ave Nw, Olympia, WA 98502-4866 | 2015-05-19 |
| 1164824041 | Franklin Paudler | Specialist | 8509 Island View Ct Ne, Olympia, WA 98506-9741 | 2014-09-22 |
| 1164830766 | Sarah Beth Killion | Specialist | 805 W Bay Dr Nw, Olympia, WA 98502-4839 | 2014-07-27 |
| 1629480629 | Jamie R Murphy | Specialist | 2350 Cain Rd Se Apt 15, Olympia, WA 98501-3073 | 2014-05-24 |
| 1578975876 | Richele Renee Akers | Specialist | 1832 Fairview St Ne, Olympia, WA 98506-3488 | 2014-05-21 |
| 1457781544 | Joanna Isobel Williams | Specialist | 3403 Steamboat Island Rd Nw, Olympia, WA 98502-4876 | 2013-11-26 |
| 1447692413 | Emily Pixie | Specialist | 1959 Union Ave Se, Olympia, WA 98501-1851 | 2013-07-19 |
| 1649616954 | Erin Marie Adams | Specialist | 1317 4th Ave E, #b, Olympia, WA 98506-4245 | 2013-05-14 |
| 1376987347 | Brook Lynn Schales | Specialist | 8839 Quinault Loop Ne, Olympia, WA 98516-5912 | 2013-04-22 |
| 1942643069 | Sharlene D. Reed | Specialist | 2108 Olympia Ave Ne, Olympia, WA 98506-4745 | 2013-04-08 |
| Find all providers in OLYMPIA | ||||
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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.