KIMBERLY JOELL BATES (NPI# 1114365590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114365590 |
| Entity Type | Individual |
| Full Name | KIMBERLY JOELL BATES |
| Credential | LPCC |
| Practice Address |
2225 W Broadway Louisville KY 40211-1003 |
| Mailing Address |
10101 Linn Station Rd Ste 600 Louisville KY 40223-3818 |
| Practice Telephone | 5025898910 |
| Mailing Telephone | 5025898600 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
251758 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100610320 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1072 S Dixie Blvd, Radcliff, KY 401601103 | 2707652605 | 2702348572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790107530 | Kimberly Bates | Nurse Practitioner | 2222 Simon Bolivar Ave Ste 200, New Orleans, LA 70113-1470 | 2014-01-14 |
| 1700088275 | Kimberly Lynn Bates | Technician/Technologist | 1240 N Thornton Ave, Dalton, GA 30720-3605 | 2007-06-05 |
| 1972076776 | Kimberly Bates | Dental Hygienist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2019-01-04 |
| 1003392283 | Kimberly Sue Bates | Nurse Practitioner | 15100 Birchaven Ln, Findlay, OH 45840-9773 | 2018-07-11 |
| 1033601216 | Kimberly Bates | Counselor | 77 E Merrimack St, Lowell, MA 01852-1251 | 2018-06-04 |
| 1952743429 | Kimberly Roberts Bates | Dentist | 1303 W Lexington Ave, Ste A, Winchester, KY 40391-3100 | 2013-07-24 |
| 1699117564 | Kimberly Dawn Bates | Counselor | 1017 Nw 6th St, Oklahoma City, OK 73106-7202 | 2013-07-22 |
| 1114279734 | Kimberly Ann Bates | Pharmacist | 17 W Main St, Hummelstown, PA 17036-1516 | 2012-10-05 |
| 1891070330 | Kimberly Melissa Bates | Nurse Practitioner | 699 W Cocoa Beach Cswy, Suite 603, Cocoa Beach, FL 32931-3577 | 2011-10-16 |
| 1609055292 | Kimberly L Bates | Physician Assistant | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2007-10-31 |
| Street Address |
2225 W BROADWAY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40211-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013934959 | Manoocher Mofidi | Psychiatry & Neurology | 2225 W Broadway, Louisville, KY 40211-1003 | 2006-07-16 |
| 1396274965 | Angela Rudd | Pharmacist | 2225 W Broadway, Louisville, KY 40211-1003 | 2017-06-07 |
| 1164839940 | Tessa Stephens | Social Worker | 2225 W Broadway, Louisville, KY 40211-1003 | 2014-07-14 |
| 1326459934 | Candace Bell | Marriage & Family Therapist | 2225 W Broadway, Louisville, KY 40211-1003 | 2014-05-16 |
| 1568873552 | Amna Amir | Counselor | 2225 W Broadway, Louisville, KY 40211-1003 | 2014-05-13 |
| 1225452253 | Ziberia Persley | Nurse's Aide | 2225 W Broadway, Louisville, KY 40211-1003 | 2014-02-11 |
| 1033556246 | Paige Brown | Student in an Organized Health Care Education/Training Program | 2225 W Broadway, Louisville, KY 40211-1003 | 2013-05-29 |
| 1124462023 | Rashaad Abdur-rahman | Social Worker | 2225 W Broadway, Louisville, KY 40211-1003 | 2013-04-22 |
| 1447503727 | Shermeka Wallace | Social Worker | 2225 W Broadway, Louisville, KY 40211-1003 | 2012-10-24 |
| 1073863924 | Reza Gharachamani Asl | Case Manager/Care Coordinator | 2225 W Broadway, Louisville, KY 40211-1003 | 2012-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942792940 | Kare LLC | Dentist | 2500 W Broadway Ste 500, Louisville, KY 40211 | 2018-06-05 |
| 1265943716 | Practicare Home Care Services, LLC | Nurse Practitioner | 1667 Russell Lee Dr, Louisville, KY 40211 | 2017-10-23 |
| 1518478221 | Latoya Samantha Hall | Counselor | 646 South 36th Street, Louisville, KY 40211 | 2017-10-20 |
| 1003071200 | Mark Cassol Md Psc | Ophthalmology | 2600 W. Broadway, Suite 105, Louisville, KY 40211 | 2008-07-28 |
| 1194919548 | Hardin Housing Corp | Assisted Living Facility | 2035 S 41st St, Louisville, KY 40211 | 2007-08-29 |
| 1184770562 | Eta Day Care Center LLC | Case Management | 724 So 44th Street, Louisville, KY 40211 | 2007-01-26 |
| 1871571356 | Alice C Gunnison | Physician Assistant | 2406 West Broadway, Jencare Neighborhood Medical Center West Broadway, LLC, Louisville, KY 40211 | 2006-01-05 |
| 1730733783 | Mark A Bush | Nurse Practitioner | 3015 Wilson Ave, Louisville, KY 40211 | 2019-07-29 |
| 1407419237 | Gina M Beckford | Nurse Practitioner | 3015 Wilson Ave, Louisville, KY 40211 | 2019-04-17 |
| 1730694266 | Orchid House, Inc. | Early Intervention Provider Agency | 703 S 31st St, Louisville, KY 40211 | 2017-12-06 |
| Find all providers in zip 40211 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625649 | Laronica Shonta Lawson | Counselor | 17127 Piton Way, Louisville, KY 40245-5409 | 2020-06-29 |
| 1295351724 | Jonathan Yussman | Counselor | 3102 Sunfield Cir, Louisville, KY 40241-6514 | 2020-06-20 |
| 1841811478 | Geneva Marie Drane | Counselor | 4316 Lonsdale Ave, Louisville, KY 40215-1036 | 2020-05-05 |
| 1366082059 | Ramicha T Smith | Counselor | 4602 Southern Pkwy Ste 2c, Louisville, KY 40214-1442 | 2020-01-09 |
| 1558904888 | Sarah Christine Faulkner | Counselor | 3801 Beaufort Ln Apt B, Louisville, KY 40207-4454 | 2019-10-18 |
| 1477101103 | Far Journeys LLC | Counselor | 9720 Bunsen Pkwy, Louisville, KY 40299-1802 | 2019-08-27 |
| 1528615689 | Candace Cooper | Counselor | 214 Breckenridge Ln Ste 203, Louisville, KY 40207-3879 | 2019-08-23 |
| 1760036768 | Rebecca L Roberts-kerns | Counselor | 1936 Gardiner Ln Apt 3, Louisville, KY 40205-2858 | 2019-07-29 |
| 1477110906 | Lauren Muir | Counselor | 1860 Mellwood Ave Ste 117, Louisville, KY 40206-1033 | 2019-05-20 |
| 1851956999 | Christine Smock | Counselor | 700 Front St # 106, Louisville, CO 80027-1805 | 2019-05-03 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40211 |
Please comment or provide details below to improve the information on KIMBERLY JOELL BATES.
| 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.