MRS. KIMBERLY BURGESS (NPI# 1164956066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164956066 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY BURGESS |
| Credential | AGNP-C |
| Practice Address |
3 Saint Elizabeth Blvd Ste 5000 O Fallon IL 62269-1282 |
| Practice Telephone | 6186145803 |
| Practice Fax Number | 6186075116 |
| Mailing Telephone | 6186145803 |
| Mailing Fax Number | 6186075116 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2019-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209015757 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215238431 | Kimberly Ann Burgess | Social Worker | 23 Carriage Way, Ellsworth, ME 04605 | 2010-11-04 |
| 1013103506 | Kimberly Marie Burgess | Developmental Therapist | 6440 N Allen Rd, Unit 55, Peoria, IL 61614-3281 | 2007-09-19 |
| 1578760450 | Kimberly Lynn Burgess | Urology | 15 Park Creek Dr, Greenville, SC 29605-4270 | 2007-07-02 |
| 1043429202 | Kimberly Ann Burgess | Physician Assistant | 2656 Blue Cypress Lake Ct, Cape Coral, FL 33909-2912 | 2007-05-22 |
| 1811293418 | Kimberly Burgess | Counselor | 1025 Airport Dr, South Burlington, VT 05403-6013 | 2011-01-31 |
| 1154597797 | Kimberly Burgess | Specialist | 156 Burnetts Way, Suffolk, VA 23434-8166 | 2008-05-04 |
| 1679759740 | Kimberly Laine Burgess | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222-4628 | 2008-01-18 |
| 1356536288 | Kimberly Anne Burgess | Nurse Practitioner | 7909 Highway N, O Fallon, MO 63368-7382 | 2007-09-13 |
| 1316973183 | Kimberly Ann Burgess | Pharmacist | 1907 Johnson St, Jennings, LA 70546-3627 | 2006-06-24 |
| 1952378911 | Kimberly Ann Burgess | Orthopaedic Surgery | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2006-03-08 |
| Street Address |
3 SAINT ELIZABETH BLVD STE 5000 |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-1282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902889793 | Kostantinos Elias Psihramis | Urology | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 | 2005-11-25 |
| 1255848214 | Elayna Leah Temares | Nurse Practitioner | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1099 | 2017-12-29 |
| 1245752211 | Joseph Edward Scott | Physician Assistant | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 | 2017-07-12 |
| 1063893949 | Maung Htein Thu | Urology | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 | 2015-06-16 |
| 1255741278 | Zachary Berg | Internal Medicine | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 | 2014-04-29 |
| 1023379369 | Travis J Junge | Orthopaedic Surgery | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 | 2012-06-04 |
| 1669785408 | Bassim Assioun | Internal Medicine | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 | 2010-07-22 |
| 1619940640 | Randall E Dooley | Urology | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942712310 | Shannon Marie Williams | Nurse Practitioner | 124 Regency Park Ste 7, O Fallon, IL 62269-1994 | 2017-10-25 |
| 1811357833 | Jodi Jany | Nurse Practitioner | 3 Saint Elizabeth Blvd Ste 3800, O Fallon, IL 62269-1281 | 2016-03-03 |
| 1851799720 | Metro-east Anp Services Inc | Nurse Practitioner | 1151 Red Hawk Ridge Ln, O Fallon, IL 62269-6939 | 2014-12-09 |
| 1447654827 | Tanja Johnson | Nurse Practitioner | 5 Mccluer Ct, O Fallon, MO 63368-1503 | 2014-10-14 |
| 1770509093 | Constance Stranquist | Nurse Practitioner | 2920 Highway K, O Fallon, MO 63368-7861 | 2006-07-14 |
| 1548205008 | Jennifer Testerman | Nurse Practitioner | 920 N Main St, O Fallon, MO 63366-1746 | 2006-06-18 |
| 1255848214 | Elayna Leah Temares | Nurse Practitioner | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1099 | 2017-12-29 |
| 1205348133 | Katy Jo Lorenzo | Nurse Practitioner | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2017-11-01 |
| 1194259275 | Surgassist, LLC | Nurse Practitioner | 108 Cloverleaf Meadows Ct, O Fallon, MO 63366-4190 | 2017-04-17 |
| 1558800813 | Sarah Jane Poirot | Nurse Practitioner | 670 Pierce Blvd, O Fallon, IL 62269-2579 | 2017-02-20 |
| Find all providers in O FALLON | ||||
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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.