KIMBERLY T SIMNICHT (NPI# 1134220742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134220742 |
| Entity Type | Individual |
| Full Name | KIMBERLY T SIMNICHT |
| Credential | CFNP |
| Practice Address |
3688 Veterans Memorial Dr Ste 200 Hattiesburg MS 39401-8246 |
| Practice Telephone | 6015547400 |
| Practice Fax Number | 6015547499 |
| Mailing Telephone | 6015547400 |
| Mailing Fax Number | 6015547499 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2016-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | R785277 | MS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00116081 | 05 |
| Street Address |
3688 VETERANS MEMORIAL DR STE 200 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-8246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906157 | Southern Surgery Center, LLC | Clinic/Center | 3688 Veterans Memorial Dr, Suite 100, Hattiesburg, MS 39401-8246 | 2005-07-19 |
| 1548883200 | Emily Mcdermott | Physical Therapist | 3688 Veterans Memorial Dr, Hattiesburg, MS 39401-8246 | 2020-05-28 |
| 1851924013 | Melissa Ann Ezelle | Registered Nurse | 3688 Veterans Memorial Dr, Hattiesburg, MS 39401-8246 | 2020-02-17 |
| 1932607132 | Kerri Michelle Easterling | Occupational Therapist | 3688 Veterans Memorial Dr, Hattiesburg, MS 39401-8246 | 2018-01-23 |
| 1174980213 | Marshall Bynum | Physician Assistant | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 2016-01-20 |
| 1487854295 | John J Davis | Specialist/Technologist | 3688 Veterans Memorial Dr, Hattiesburg, MS 39401-8246 | 2007-07-19 |
| 1356546295 | Southern Bone& Joint Specialists | Specialist | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 2007-06-20 |
| 1295937928 | John Herrington Kosko | Orthopaedic Surgery | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 2007-06-04 |
| 1952523607 | Frederick O'neal Gregg | Orthopaedic Surgery | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401 | 2007-05-03 |
| 1912033291 | Sunbelt Rehabilitation Systems, LLC | Clinic/Center | 3688 Veterans Memorial Dr, Suite 300, Hattiesburg, MS 39401-8246 | 2007-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700115557 | John Howard Mccann Jr. | Specialist | 203 Jervis Mims Rd, Hattiesburg, MS 39401-8625 | 2009-12-08 |
| 1184702532 | Asthma & Allergy Clinic of Hattiesburg, Pllc | Specialist | 109 Millsaps Dr Ste C, Hattiesburg, MS 39402-1587 | 2006-11-02 |
| 1063513141 | Charles R Brent | Specialist | 1212 South 28th Ave, Hattiesburg, MS 39402 | 2006-09-25 |
| 1235197096 | Arthur Nick Fokakis | Specialist | 109 Millsaps Dr, Suite C, Hattiesburg, MS 39402-1587 | 2006-05-02 |
| 1538122742 | Karen S Hostetter | Specialist | 118 College Dr # 5142, Hattiesburg, MS 39406-0002 | 2006-04-10 |
| 1124091822 | Geoffry Alan Haines | Specialist | 6490 U S Highway 49, Apt 246, Hattiesburg, MS 39401-3010 | 2006-02-12 |
| 1124459136 | St Michaels Urgent Care of Hattiesburg | Specialist | 3700 Hardy St, Hattiesburg, MS 39402-1610 | 2013-12-02 |
| 1033395298 | Administrators of The Tulane Educational Fund | Specialist | 200 Hospital Dr W, Hattiesburg, MS 39402-1346 | 2008-01-17 |
| 1578747390 | Timothy Luke Thompson | Specialist | 1605 S 28th Ave, Hattiesburg, MS 39402-3110 | 2007-12-28 |
| 1356546295 | Southern Bone& Joint Specialists | Specialist | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 2007-06-20 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
Please comment or provide details below to improve the information on KIMBERLY T SIMNICHT.
| 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.