MRS. KIMBERLY KAY PULLEN (NPI# 1134407992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134407992 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY KAY PULLEN |
| Credential | MS |
| Practice Address |
18905 Sarichef Loop Eagle River AK 99577-8629 |
| Practice Telephone | 9079802566 |
| Mailing Telephone | 9079802566 |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881923530 | Kimberly Diane Pullen | Physician Assistant | 4504 Boat Club Rd, #800, Fort Worth, TX 76135-7003 | 2009-12-09 |
| Street Address |
18905 SARICHEF LOOP |
| City | EAGLE RIVER |
| State | AK |
| Zip Code | 99577-8629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
| 1073007209 | Center for Natural Medicine, Inc. | Acupuncturist | 16844 Easy St, Eagle River, AK 99577 | 2018-06-20 |
| 1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
| 1700387529 | Aaron Wesley Jones | Behavior Technician | 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 | 2018-02-27 |
| 1033641881 | Sierra Bracken | Massage Therapist | 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 | 2017-03-31 |
| 1699213231 | Jolene Denee Rogers | Counselor | 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 | 2017-02-02 |
| 1881040962 | Elizabeth Hanson | Behavioral Analyst | 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 | 2016-05-09 |
| 1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
| 1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
| 1417365362 | Tammi Smith | Community Health Worker | 16510 Centerfield Dr B 107, Eagle River, AK 99577 | 2014-07-23 |
| Find all providers in zip 99577 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851925184 | Our Meadows LLC | Counselor | 12110 Business Blvd Ste 34, Eagle River, AK 99577-7741 | 2020-02-25 |
| 1225306368 | Susan J Hadacek | Counselor | 11940 Business Blvd Ste 205, Eagle River, AK 99577-7742 | 2011-12-04 |
| 1558691535 | Dennis Abarr | Counselor | 16635 Centerfield Dr Ste 202, Eagle River, AK 99577-7746 | 2010-01-13 |
| 1750410585 | Rebecca Marie Shaw | Counselor | 9535 W Lake Dr, Eagle River, AK 99577-9568 | 2007-03-05 |
| 1154864619 | Heidi Quimby | Counselor | 8012 Stewart Mountain Dr, Eagle River, AK 99577-9013 | 2016-11-30 |
| 1588936579 | Julia Jackson | Counselor | 8012 Stewart Mountain Dr, Eagle River, AK 99577-9013 | 2012-02-06 |
| 1821374588 | Megan Gruhl | Counselor | 11517 Old Glenn Hwy, Suite 204, Eagle River, AK 99577-7312 | 2011-10-26 |
| 1396075818 | Christina Mcgauthiar | Counselor | 8012 Stewart Mountain Dr, Eagle River, AK 99577-9013 | 2010-01-05 |
| 1851625669 | Trudy Reder | Counselor | 17101 Snowmobile Ln, Eagle River, AK 99577 | 2009-09-25 |
| 1669668471 | Jenna S Forsyth | Counselor | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 | 2007-09-15 |
| Find all providers in EAGLE RIVER | ||||
| City | EAGLE RIVER |
| Zip Code | 99577 |
Please comment or provide details below to improve the information on MRS. KIMBERLY KAY PULLEN.
| 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.