MRS. KIMBERLY ALLISON GLIDEWELL (NPI# 1124056189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124056189 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY ALLISON GLIDEWELL |
| Credential | M.S., PA-C |
| Practice Address |
912 Lorey Ln Caldwell TX 77836-1359 |
| Practice Telephone | 9792243866 |
| Mailing Telephone | 9792243866 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2013-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA04405 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
912 LOREY LN |
| City | CALDWELL |
| State | TX |
| Zip Code | 77836-1359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750529913 | Caldwell I Enterprises, LLC | Assisted Living Facility | 343 Country Club Dr, Caldwell, TX 77836 | 2009-01-27 |
| 1285784397 | Elza Leroy Kutch | Optometrist | 3431 County Rd 330, Caldwell, TX 77836 | 2007-01-11 |
| 1609947654 | Johanna A Elliott | Chiropractor | 101 Hwy 21 E, Caldwell, TX 77836 | 2006-11-13 |
| 1194825547 | Brookshire Brothers Inc | Pharmacy | 455 Hwy 36 N, Caldwell, TX 77836 | 2006-09-25 |
| 1225066541 | Joseph Bennett Jones | Emergency Medicine | 11410 County Road 311, Caldwell, TX 77836 | 2006-06-28 |
| 1093175184 | Waqas Tufail Od Pa | Optometrist | 2901 Riley Fuzzell Road, Spring, TX 77836 | 2016-03-02 |
| 1548687171 | Burleson County Hospital District | Skilled Nursing Facility | 1022 Presidential Corridor East, Caldwell, TX 77836 | 2014-03-20 |
| 1437443751 | Kyle Winkler | Family Medicine | 1103 Woodson Dr, Caldwell, TX 77836 | 2011-06-03 |
| 1467631598 | Del B. Stigler M.d. | Family Medicine | 302 Highway 21 West, Caldwell, TX 77836-0000 | 2007-10-25 |
| 1548891336 | Courtney Jane Chmelar | Student in an Organized Health Care Education/Training Program | 1004 Woodson Dr, Caldwell, TX 77836-1000 | 2020-01-30 |
| Find all providers in zip 77836 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1417376229 | Anthony Frederick Bushnell | Physician Assistant | 315 East Elm, Ste 100, Caldwell, ID 83605 | 2014-04-09 |
| 1194761536 | Janet E Mitchell | Physician Assistant | 4521 Thomas Jefferson St, Caldwell, ID 83605-5100 | 2006-06-22 |
| 1811987076 | Erin L Proctor | Physician Assistant | 315 E. Elm Ste. 100, Caldwell, ID 83605-4858 | 2005-10-27 |
| 1417581869 | Anne Crowl | Physician Assistant | 2523 S 10th Ave Ste 103, Caldwell, ID 83605-6760 | 2020-02-25 |
| 1710537964 | Donald E Sanford Jr. | Physician Assistant | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 | 2019-09-18 |
| 1275007965 | Ronnie Bryon Isaacson | Physician Assistant | 2609 S 10th Ave, Caldwell, ID 83605-6816 | 2019-01-15 |
| 1093281016 | Nicholas Anderson | Physician Assistant | 315 E Elm, Ste 100, Caldwell, ID 83605 | 2018-10-17 |
| 1174038798 | Andrew Don Mcmurray | Physician Assistant | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 | 2017-12-05 |
| 1962932343 | Derek Carl Bronson | Physician Assistant | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2017-06-18 |
| Find all providers in CALDWELL | ||||
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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.