JIM R KIMBAL (NPI# 1114985322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114985322 |
| Entity Type | Individual |
| Full Name | JIM R KIMBAL |
| Credential | ATC, LAT, LMT, CSCS |
| Practice Address |
1650 Cowles Street Fmh Rehab Department Fairbanks AK 99701 |
| Mailing Address |
Po Box 74293 Fairbanks AK 99707-4293 |
| Practice Telephone | 9074585670 |
| Mailing Telephone | 9074792526 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
124560 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
10650493-4810 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | 117476 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | 227005348 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1650 COWLES STREET FMH REHAB DEPARTMENT |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134190770 | Patrick D Dean | Psychiatry & Neurology | 1650 Cowles Street, Fairbanks, AK 99701 | 2006-01-31 |
| 1437514791 | Maria Jamison | Nurse Anesthetist, Certified Registered | 1650 Cowles Street, Fairbanks Memorial Hospital, Fairbanks, AK 99701 | 2015-12-30 |
| 1356437792 | Fairbanks Radiation Oncology LLC | Radiology | 1650 Cowles Street, Fairbanks, AK 99701 | 2006-10-05 |
| 1891881231 | Essam D Shihadeh | Radiology | 1650 Cowles Street, Fairbanks, AK 99701 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831541184 | Nicholas Meniettti | Specialist/Technologist | 1725 University Ave S, Apt D45, Fairbanks, AK 99709-4932 | 2016-07-11 |
| 1780167601 | Lauren Fox | Specialist/Technologist | 2310 Peger Rd Ste 105, Fairbanks, AK 99709 | 2018-09-07 |
| 1295184703 | Samantha Paige Smith | Specialist/Technologist | 3745 Geist Rd, Fairbanks, AK 99709 | 2016-06-06 |
| 1124405618 | David Boyd | Specialist/Technologist | 1919 Lathrop St, Suite 123, Fairbanks, AK 99701-5937 | 2015-05-04 |
| 1598021651 | Andrea Kay Harris | Specialist/Technologist | 1919 Lathrop St, Suite 123, Fairbanks, AK 99701-5937 | 2012-04-03 |
| 1275805707 | Jeremy Scott Lindgren | Specialist/Technologist | 751 Old Richardson Hwy, Suite 202, Fairbanks, AK 99701-7813 | 2012-01-30 |
| 1629347521 | Christopher David Dean | Specialist/Technologist | 1919 Lathrop St, Suite 105, Fairbanks, AK 99701-5937 | 2011-12-21 |
| 1164546099 | Heidi Jean Ritchie | Specialist/Technologist | 1650 Cowles St, Fairbanks, AK 99701-5925 | 2007-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265064943 | Claire E Feild | Specialist/Technologist | 12350 Industry Way Ste 110, Anchorage, AK 99515-4301 | 2020-02-10 |
| 1225693153 | Steven Lim | Specialist/Technologist | 7240 Newby Ave, Anchorage, AK 99507-6752 | 2019-05-06 |
| 1609330224 | Maiya Brielle Johnson | Specialist/Technologist | 5329 E 24th Ave, Anchorage, AK 99508-3807 | 2019-01-28 |
| 1164826293 | Michael Dhesse | Specialist/Technologist | 3550 Providence Dr, Anchorage, AK 99508 | 2014-10-17 |
| 1629482955 | Jennifer Sossamon | Specialist/Technologist | 8155 Kronos Dr, Anchorage, AK 99502-4627 | 2014-06-14 |
| 1649699612 | Anthony-edward K Urbi | Specialist/Technologist | 675 Ravens Way, Eielson Afb, AK 99702-1308 | 2014-04-07 |
| 1255532768 | Sharon Rudolph | Specialist/Technologist | 518 W 19th Ave, Anchorage, AK 99503-1830 | 2007-05-30 |
| 1942325410 | Lynne Marie Young | Specialist/Technologist | 3260 Providence Dr Ste 200, Anchorage, AK 99508-4603 | 2007-03-20 |
| 1093844466 | Mary Lynn Watts | Specialist/Technologist | 4075 9th St, #101, Ft Wainwright, AK 99703-7495 | 2007-03-03 |
| 1255468880 | Kyle Vincent Reeves | Specialist/Technologist | 3730 Chiniak Bay Dr, Anchorage, AK 99515-2362 | 2007-02-28 |
| Find all providers with the same taxonomy | ||||
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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.