KIMBERLY MICHELLE BURRIS (NPI# 1154800399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154800399 |
Entity Type | Individual |
Full Name | KIMBERLY MICHELLE BURRIS |
Practice Address |
120 N Walnut St Jefferson TX 75657-1934 |
Mailing Address |
Po Box 901 Jefferson TX 75657-0901 |
Practice Telephone | 9036656131 |
Enumeration Date | 2018-08-08 |
Last Update Date | 2018-08-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164X00000X | Licensed Vocational Nurse | 302332 | TX | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902377039 | Kimberly Vick Burris | Registered Nurse | 3715 N Business Dr Ste 202, Fayetteville, AR 72703-5288 | 2018-12-16 |
Street Address |
120 N WALNUT ST |
City | JEFFERSON |
State | TX |
Zip Code | 75657-1934 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942255591 | First In Pediatrics Home Health Care, Inc. | Home Health | 120 N Walnut St, Jefferson, TX 75657-1934 | 2006-05-23 |
1487273793 | Cynthia Berniece Chappell | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2020-04-16 |
1912526237 | Linda Kay Humber | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2020-04-16 |
1902449986 | Cally Elizabeth Eans | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-10-23 |
1003457862 | Amiee Darlene Burks Elam | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-10-03 |
1821639626 | Tequilla Monique Ford | Registered Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-10-02 |
1376184473 | Brandi Shardale Mccuin | Registered Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-10-01 |
1952942054 | Dedria Mechel Hightower | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-10-01 |
1790336436 | Ariel Anastashia Malone | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-09-24 |
1003467739 | Maci Danielle Sikes | Registered Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-09-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780131995 | Kimberly George | Case Manager/Care Coordinator | 261 Ma County Road 3430, Jefferson, TX 75657 | 2016-09-06 |
1124116561 | The Med Shop | Durable Medical Equipment & Medical Supplies | 110 N . Walnut, Jefferson, TX 75657 | 2006-10-11 |
1487644068 | Denise Sepulvado Norris | Occupational Therapist | 1404 Marion County Road 3509, Jefferson, TX 75657 | 2005-10-25 |
1700870185 | Robin Lynne Gale | Nurse Practitioner | 219 N Polk St, Jefferson, TX 75657 | 2005-08-31 |
1700072477 | James Leo Carroll | Physical Therapy Assistant | 339 Tangiers, Jefferson, TX 75657-0598 | 2007-09-17 |
1952397739 | Pine Hill Nursing and Rehabilitation Lp | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2005-09-27 |
1124495486 | Fannin County Hospital Authority | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2015-08-21 |
1598910291 | Jefferson I Enterprises, LLC | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2008-11-21 |
1558404293 | Jefferson Isd | Local Education Agency (LEA) | 1600 Martin Luther King Dr, Jefferson, TX 75657-1061 | 2007-02-14 |
1730352667 | Demetria Rena Parker | Nurse's Aide | 506 E Harrison St, Jefferson, TX 75657-1106 | 2008-04-11 |
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Taxonomy Code | 164X00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Vocational Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033759378 | Pamela Sue Lawrence | Licensed Vocational Nurse | 708 N Canal St, Jefferson, TX 75657-1514 | 2020-01-15 |
1366921611 | Gena Kay French | Licensed Vocational Nurse | 10824 Us Highway 59 N, Jefferson, TX 75657-8268 | 2018-08-08 |
1487273793 | Cynthia Berniece Chappell | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2020-04-16 |
1912526237 | Linda Kay Humber | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2020-04-16 |
1902449986 | Cally Elizabeth Eans | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-10-23 |
1003457862 | Amiee Darlene Burks Elam | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-10-03 |
1952942054 | Dedria Mechel Hightower | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-10-01 |
1790336436 | Ariel Anastashia Malone | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-09-24 |
1457902181 | Wesley Mark Benson | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-09-24 |
1700436888 | Christy Proctor Satterfield | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-09-19 |
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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.