KIMBERLY DODD (NPI# 1114467644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114467644 |
| Entity Type | Individual |
| Full Name | KIMBERLY DODD |
| Credential | NP |
| Practice Address |
5019 Portico Way Midland TX 79707-3102 |
| Practice Telephone | 4322420540 |
| Mailing Telephone | 4322420540 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP133160 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427578947 | Kimberly Michelle Dodd | Nurse Practitioner | 1110 Lakeview Dr, Sugar Land, TX 77478-3378 | 2017-06-26 |
| 1831440171 | Kimberly Ann Dodd | Marriage & Family Therapist | 12657 Adams Rd, Granger, IN 46530-9641 | 2012-09-26 |
| 1366646820 | Kimberly A Dodd | Internal Medicine | 150 Chestnut St Ste 4, Providence, RI 02903-4649 | 2007-06-11 |
| 1295044014 | Kimberly Anne Dodd | Occupational Therapist | 210 4th Ave, Grinnell, IA 50112-1898 | 2010-09-28 |
| Street Address |
5019 PORTICO WAY |
| City | MIDLAND |
| State | TX |
| Zip Code | 79707-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164937736 | Julie Elisabeth Martin | Nurse Practitioner | 5019 Portico Way, Midland, TX 79707-3102 | 2017-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
| 1396196036 | Endurance Inc | Pharmacy | 4906 Briarwood, Midland, TX 79707 | 2016-06-23 |
| 1841683356 | Carson Riley Phillips | Dentist | 4425 W Wadley Ave Ste 100, Midland, TX 79707 | 2015-03-07 |
| 1336538610 | Permian Basin Er II | Clinic/Center | 3201 N. Midland Drive, Ste 130, Midland, TX 79707 | 2015-01-09 |
| 1659776342 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5315 Briarwood Ave, Midland, TX 79707 | 2014-10-24 |
| 1982958799 | Tara Rae Nagel | Nurse Practitioner | 4214 Mamies Cir, Midland Pediatric Associates, Midland, TX 79707 | 2012-10-31 |
| 1336432046 | Ashley Thrasher Bell | Physician Assistant | 3600 N Garfield, Ttuhsc Pa Program, Midland, TX 79707 | 2011-05-27 |
| 1053626622 | Jerry Milton Lyon | Nurse Practitioner | 5000 Briarwood Ave Ste 203, Midland, TX 79707 | 2010-08-08 |
| 1053645838 | Marta Willoughby Md Pa | Clinic/Center | 3423 Caldera, Midland, TX 79707 | 2009-09-25 |
| 1326251950 | Bonnie Lloyd Clemmer | Registered Nurse | 3600 W Loop 250 North, Apt 1083, Midland, TX 79707 | 2007-05-08 |
| Find all providers in zip 79707 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170732 | Infinity Health and Wellness LLC | Nurse Practitioner | 1028 Andrews Hwy Ste G, Midland, TX 79701-3815 | 2020-10-02 |
| 1659984771 | Amy Pennington | Nurse Practitioner | 5710 San Miguel Ave, Midland, TX 79705-2226 | 2020-08-28 |
| 1821607219 | Alena Vladimirovna Turner | Nurse Practitioner | 1210 Cedar Creek Rd, Midland, TX 79705-4471 | 2020-07-30 |
| 1235748880 | Emily Brooke Combs | Nurse Practitioner | 10100 E County Road 103, Midland, TX 79706-5494 | 2020-07-29 |
| 1154949378 | Sheila Shepherd | Nurse Practitioner | 2505 Goddard Dr, Midland, TX 79705-3308 | 2020-07-14 |
| 1073149464 | Stephanie Parker Black | Nurse Practitioner | 1101 W Illinois Ave, Midland, TX 79701-6156 | 2020-03-17 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1205477874 | Justin Shanks | Nurse Practitioner | 1218 Century Dr, Midland, TX 79703-6914 | 2019-10-03 |
| 1265081616 | Stephanie Crawford | Nurse Practitioner | 3408 W County Road 185, Midland, TX 79706-7843 | 2019-09-09 |
| 1548819048 | Stella Elizabeth May | Nurse Practitioner | 1101 E County Road 128, Midland, TX 79706-6521 | 2019-09-06 |
| Find all providers in MIDLAND | ||||
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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.