KIMBERLY DIANE MATTHEWS CHRISTOPHER (NPI# 1083615876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083615876 |
| Entity Type | Individual |
| Full Name | KIMBERLY DIANE MATTHEWS CHRISTOPHER |
| Other Name | KIMBERLY DIANE CHRISTOPHER |
| Credential | CRNA |
| Practice Address |
2000 Mon Health Medical Park Dr Ste 2001 Morgantown WV 26505 |
| Mailing Address |
Po Box 3466 Charleston WV 25334-3466 |
| Practice Telephone | 3047208816 |
| Practice Fax Number | 9044946467 |
| Mailing Telephone | 3047208816 |
| Mailing Fax Number | 9044946467 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2018-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 37117 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | RN-275195-L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | WORKERS COMP | 27005299700 | 01 |
| WV | WORKERS COMP | 27005299701 | 01 |
| WV | RR MEDICARE | P00299102 | 01 |
| WV | TRICARE | 270052997004 | 01 |
| WV | 0207026000 | 05 | |
| WV | 3810002301 | 05 | |
| WV | MSBCBS | 001747843 | 01 |
| WV | MSBCBS | 001706470 | 01 |
| WV | RR MEDICARE | DA0096 | 01 |
| Street Address |
2000 MON HEALTH MEDICAL PARK DR STE 2001 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417387440 | Kelli Bagatini Marree | Nurse Anesthetist, Certified Registered | 2000 Mon Health Medical Park Dr Ste 2001, Morgantown, WV 26505-1134 | 2013-11-12 |
| 1073874657 | Miranda Lynn King | Anesthesiology | 2000 Mon Health Medical Park Dr Ste 2001, Morgantown, WV 26505 | 2012-05-31 |
| 1154565695 | Paul M Gera | Anesthesiology | 2000 Mon Health Medical Park Dr Ste 2001, Morgantown, WV 26505-1167 | 2009-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391001 | Alexandria Klumpp | Nurse Anesthetist, Certified Registered | 50 Weidner Dr, Morgantown, PA 19543-9332 | 2020-09-22 |
| 1497013916 | Christina Sivak | Nurse Anesthetist, Certified Registered | 368 Elmhurst St, Morgantown, WV 26505-3214 | 2012-05-03 |
| 1053616664 | Amanda Renee Larew | Nurse Anesthetist, Certified Registered | 2 French Quarters Dr, Morgantown, WV 26505-2284 | 2011-01-13 |
| 1700180783 | Nicole Leigh Knuth | Nurse Anesthetist, Certified Registered | 515 Meridan St, Morgantown, WV 26505-2317 | 2011-01-05 |
| 1316054836 | Amber L Henderson | Nurse Anesthetist, Certified Registered | 65 Ringold Ln, Morgantown, WV 26508 | 2006-08-23 |
| 1518908821 | Ann M Villers | Nurse Anesthetist, Certified Registered | 1129 Wades Rd, Morgantown, WV 26501-2091 | 2006-06-09 |
| 1427099738 | Linda A Zeh | Nurse Anesthetist, Certified Registered | 54 Easton Mill Rd, Morgantown, WV 26508-0914 | 2006-06-09 |
| 1902886187 | Janet Walleck | Nurse Anesthetist, Certified Registered | Wvu Hosp 1 Medical Drive, Morgantown, WV 26506 | 2006-01-23 |
| 1912908708 | Caprice Johnson | Nurse Anesthetist, Certified Registered | 21 Lafollette Dr, Morgantown, WV 26508-8005 | 2005-08-03 |
| 1194385583 | Kristen Nelson | Nurse Anesthetist, Certified Registered | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2019-06-18 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
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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.