DR. KIMBERLY M CHUPURDIA (NPI# 1083680870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083680870 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY M CHUPURDIA |
| Credential | PHD |
| Practice Address |
546 N Jefferson Ln Ste 200 Spokane WA 99201-7103 |
| Mailing Address |
Po Box 2808 Spokane WA 99220-2800 |
| Practice Telephone | 5096886700 |
| Practice Fax Number | 5094556913 |
| Mailing Telephone | 5096886700 |
| Mailing Fax Number | 5096886777 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2017-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2094 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | ORGANIZATION NPI NUMBER | 1154414761 | 01 |
| Street Address |
546 N JEFFERSON LN STE 200 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99201-7103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114913621 | John Forrest Floyd | Internal Medicine | 546 N Jefferson Ln, Spokane, WA 99201-7104 | 2005-09-21 |
| 1740747195 | Alyssa Marie Mueller | Nurse Practitioner | 546 N Jefferson Ln, Spokane, WA 99201-7104 | 2019-02-21 |
| 1144622036 | Peter Glanville | Physician Assistant | 546 N Jefferson Ln, Ste 200, Spokane, WA 99201-7103 | 2014-09-23 |
| 1821381336 | Michelle Catherine Gail Signs | Internal Medicine | 546 N Jefferson Ln, Spokane, WA 99201-7104 | 2011-05-17 |
| 1710096532 | Stacey F Mainer | Nurse Practitioner | 546 N Jefferson Ln, Suite 200, Spokane, WA 99201 | 2006-08-29 |
| 1881610038 | Sanjit K Dutta | Internal Medicine | 546 N Jefferson Ln, Spokane, WA 99201-7104 | 2006-07-14 |
| 1558310755 | Habtamua Melaku | Nurse Practitioner | 546 N Jefferson Ln, Spokane, WA 99201-7104 | 2006-05-08 |
| 1215994587 | Robert D Wigert | Internal Medicine | 546 N Jefferson Ln, Spokane, WA 99201-7104 | 2006-04-28 |
| 1295790129 | Berdine S Bender | Internal Medicine | 546 N Jefferson Ln, Spokane, WA 99201-7104 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
| 1649732793 | Marsha Rose Valenzuela | Peer Specialist | Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 | 2019-04-05 |
| 1770047896 | Rachel Nicole Burns | Counselor | 1321 W. Broadway Ave, Spokane, WA 99201 | 2019-01-23 |
| 1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
| 1083184675 | Alicia L Paschall | Counselor | 222 S Howard St, Apt 310, Spokane, WA 99201 | 2018-11-27 |
| 1003383159 | Sandra Kay Robinson | Counselor | New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 | 2018-10-26 |
| 1801361191 | Michael Joseph Lehman | Naturopath | 316 W Boone Ave Ste 777, Spokane, WA 99201 | 2018-10-12 |
| 1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
| Find all providers in zip 99201 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103026 | River City Tms, Pllc | Psychologist | 400 S Jefferson St Ste 118, Spokane, WA 99204-3142 | 2020-10-28 |
| 1386064756 | Angela Hille | Psychologist | 101 W Cataldo Ave Ste 210, Spokane, WA 99201-3200 | 2014-04-23 |
| 1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
| 1669801015 | Dennis Dyck | Psychologist | Tapio Professional Center, Green Flag Bldg 104 S. Freya, Suite 112c, Spokane, WA 99202 | 2013-11-06 |
| 1740585025 | John Bruce Jessen | Psychologist | 4107 S Bellgrove Ln, Spokane, WA 99223-6185 | 2011-01-18 |
| 1295970333 | Jameson C Lontz | Psychologist | 1624 W Dean Ave, Spokane, WA 99201-1825 | 2008-12-03 |
| 1790952141 | Nancy L. Worsham | Psychologist | East 502 Boone Ave, Gonzaga University Psychology Department, Spokane, WA 99258-0056 | 2008-05-14 |
| 1295947687 | Cornerstone Psychologist, Ps | Psychologist | 1525 W 8th Ave, Spokane, WA 99204-3414 | 2007-05-05 |
| 1568688646 | Kayleen Islam-zwart | Psychologist | 140 S Arthur St Ste 410, Spokane, WA 99202-2220 | 2007-04-17 |
| 1427272384 | Dennis Richard Pollack | Psychologist | 9 S Washington St, Suite 709, Spokane, WA 99201-3719 | 2007-04-12 |
| Find all providers in SPOKANE | ||||
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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.