BROOKE ANNETTE KIMBALL (NPI# 1164633814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164633814 |
| Entity Type | Individual |
| Full Name | BROOKE ANNETTE KIMBALL |
| Credential | LMP |
| Practice Address |
9631 Firdale Ave Edmonds WA 98020-6519 |
| Mailing Address |
5710 198th St Sw Apt D Lynnwood WA 98036-6146 |
| Practice Telephone | 2062715368 |
| Practice Fax Number | 4257781014 |
| Mailing Telephone | 4257769382 |
| Mailing Fax Number | 4257781014 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA00017893 | WA | Other Service Providers |
| Street Address |
9631 FIRDALE AVE |
| City | EDMONDS |
| State | WA |
| Zip Code | 98020-6519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780750240 | Asha Novak | Acupuncturist | 9631 Firdale Ave, Edmonds, WA 98020-6519 | 2006-11-28 |
| 1942404470 | Kathleen Monica Long | Massage Therapist | 9631 Firdale Ave, Edmonds, WA 98020-6519 | 2007-06-11 |
| 1114130275 | Jennifer G. Dragoo | Massage Therapist | 9631 Firdale Ave, Edmonds, WA 98020 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538688189 | Jennifer Ducharme | Massage Therapist | 51 W. Dayton St 304, Edmonds, WA 98020 | 2017-09-14 |
| 1164959987 | Emily Grooms | Counselor | 406 Main St Ste 115c, Edmonds, WA 98020 | 2017-05-11 |
| 1427449255 | Victoria Janssen | Registered Nurse | 2225 95th Pl W, Edmonds, WA 98020 | 2015-02-16 |
| 1922496553 | Paktia Pharmacy LLC | Pharmacy | 315 5th Ave S Unit #c, Edmonds, WA 98020 | 2015-01-06 |
| 1770928491 | Sarah Campbell | Counselor | 10016 Edmonds Way, Ste C #185, Edmonds, WA 98020 | 2013-05-08 |
| 1568765170 | Sondra Beres | Marriage & Family Therapist | 300 Admiral Way Ste 203, Edmonds, WA 98020 | 2010-12-21 |
| 1649586777 | Kelly Druin Sievertson | Social Worker | 144 Railroad Ave, Suite 212, Edmonds, WA 98020 | 2010-08-26 |
| 1588817233 | Everard Jimenez Espinosa | Anesthesiology | 911-12th Ave. North, Edmonds, WA 98020 | 2008-10-28 |
| 1811109705 | Dawud Raamah | Dentist | 7935 216th St Sw # D, # D, Edmonds, WA 98020 | 2007-05-04 |
| 1437225430 | Edmonds Vision Center Ps Inc | Optometrist | 201 5th Ave S Ste 102, Edmonds, WA 98020 | 2006-11-28 |
| Find all providers in zip 98020 | ||||
| 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 |
|---|---|---|---|---|
| 1699231662 | Lice Spies LLC | Specialist | 8923 236th St Sw Ste C, Edmonds, WA 98026-9508 | 2019-02-14 |
| 1063862316 | K&k Industries LLC Dba The Workshop | Specialist | 172 Sunset Ave, Edmonds, WA 98020-4134 | 2016-06-17 |
| 1366832784 | Christopher Rizzi | Specialist | 7501 242nd Pl Sw, Edmonds, WA 98026-8539 | 2015-01-24 |
| 1356652705 | Kirsten Johnson | Specialist | 9405 218th Pl Sw, Edmonds, WA 98020-3947 | 2010-06-30 |
| 1982892568 | Carrie Deann Dahlgren | Specialist | 8512 242nd St Sw, Unit 7, Edmonds, WA 98026-9076 | 2007-10-09 |
| 1295958593 | Stephanie Ann Harris | Specialist | 8523 224th St Sw, Edmonds, WA 98026-8253 | 2007-04-11 |
| 1972621662 | Patricia L Mcquinn | Specialist | 7631 212th St Sw Ste 106b, Edmonds, WA 98026-7565 | 2007-03-27 |
| 1215063045 | Serena Lacour | Specialist | 7614 195th St Sw Ste 101, Edmonds, WA 98026-6260 | 2007-02-26 |
| 1912055419 | Mariya Preston | Specialist | 23303 Highway 99 Ste G, Edmonds, WA 98026-8762 | 2007-01-08 |
| 1215091368 | Kruger Clinic Orthopaedics, Pllc | Specialist | 21600 Hwy 99 Ste 150, Edmonds, WA 98026 | 2006-12-21 |
| Find all providers in EDMONDS | ||||
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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.