KIMBERLY CLARK (NPI# 1245694298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245694298 |
| Entity Type | Individual |
| Full Name | KIMBERLY CLARK |
| Practice Address |
333 Walker Dr Rexburg ID 83440-1657 |
| Practice Telephone | 2083594764 |
| Mailing Telephone | 2083594764 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LMSW-34397 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902362452 | Kimberly Michelle Clark | Technician, Other | 2819 Se Brodiaea Ct, Hillsboro, OR 97123-5201 | 2019-02-20 |
| 1780037994 | Kimberly Clark | Nurse Practitioner | 11251 Westwood Ave, Denham Springs, LA 70726-6947 | 2016-07-22 |
| 1053651869 | Kimberly Gail Clark | Hearing Instrument Specialist | 401 Apperson Dr, Salem, VA 24153-7026 | 2013-02-15 |
| 1952660524 | Kimberly Jo Clark | Licensed Practical Nurse | 334 Elmwood Ave, Barberton, OH 44203-1153 | 2012-05-16 |
| 1336421999 | Kimberly D Clark | Speech-Language Pathologist | 1524 Lexington Road, Clovis, NM 88101-6846 | 2011-09-09 |
| 1376878595 | Kimberly Clark | Physical Therapist | 101 S Kraemer Blvd Ste 125, Placentia, CA 92870-6100 | 2009-10-06 |
| 1609050913 | Kimberly Irene Clark | Counselor | 3077 Coolidge Ave, Costa Mesa, CA 92626-2809 | 2007-12-21 |
| 1053591875 | Kimberly Ann Clark | Counselor | 1516 S Boston Ave, Suite 100, Tulsa, OK 74119-4003 | 2007-11-08 |
| 1841400868 | Kimberly Clark | Social Worker | 4350 Woodland Ave, Jackson, MS 39206-3955 | 2007-05-22 |
| 1902900293 | Kimberly A Clark | Physical Therapist | 614 Monkton Rd, Bristol, VT 05443-5392 | 2006-09-08 |
| Street Address |
333 WALKER DR |
| City | REXBURG |
| State | ID |
| Zip Code | 83440-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316073190 | Idaho Dept of Health & Welfare Region 7 Amh Psr Rexburg | Clinic/Center | 333 Walker Dr, Rexburg, ID 83440-1657 | 2007-02-26 |
| 1306209101 | Linda I Price | Social Worker | 333 Walker Dr, Rexburg, ID 83440-1657 | 2016-03-30 |
| 1235591298 | Judy Nelson | Social Worker | 333 Walker Dr, Rexburg, ID 83440-1657 | 2016-03-28 |
| 1831551894 | Melissa Clinger | Social Worker | 333 Walker Dr, Rexburg, ID 83440-1657 | 2016-03-28 |
| 1639539786 | Sadie N. Evans | Specialist | 333 Walker Dr, Rexburg, ID 83440-1657 | 2016-03-02 |
| 1447386867 | Idaho Dept of Health & Welfare Region 7 Cmh Clinic Rexburg | Clinic/Center | 333 Walker Dr, Rexburg, ID 83440-1657 | 2007-02-27 |
| 1508992926 | Idaho Dept of Health & Welfare Region 7 Cmh Psr Rexburg | Clinic/Center | 333 Walker Dr, Rexburg, ID 83440-1657 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235768490 | Henry's Fork Surgery Center Pllc | Clinic/Center | 23 Sawtelle Ave, Rexburg, ID 83440 | 2020-04-08 |
| 1952956906 | Shane Ellis Withers | Pharmacist | 164 E. Main, Rexburg, ID 83440 | 2019-08-06 |
| 1316392285 | Emma Anderson | Speech-Language Pathologist | 36 Professional Plaza Suite 110, Rexburg, ID 83440 | 2016-04-28 |
| 1851755524 | Sandra Frickey | Speech-Language Pathologist | 1087 Summers Drive, Premier Therapy Associates, Rexburg, ID 83440 | 2016-04-08 |
| 1275997215 | Kerry Denney | Counselor | 333 Walker Drive, Rexburg, ID 83440 | 2016-04-06 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1649692609 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 410 W 1st N, Rexburg, ID 83440 | 2014-01-10 |
| 1043652571 | Creed Simon Webster | Counselor | 30 S 2nd W, Rexburg, ID 83440 | 2013-07-25 |
| 1033461660 | James Cannon Allen Dds PC | Dentist | 106 E 1st North, Rexburg, ID 83440 | 2012-10-05 |
| 1417217316 | Shelby Dee Woolstenhulme | Speech-Language Pathologist | 450 E. Main Street, Rexburg, ID 83440 | 2012-05-24 |
| Find all providers in zip 83440 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326697111 | Christina Lynn Hazelton | Social Worker | 185 E 3rd S # 1, Rexburg, ID 83440-2246 | 2019-09-05 |
| 1730643008 | Jordon R Ostermiller | Social Worker | 242 E 7th N Ste 4, Rexburg, ID 83440-3550 | 2019-01-30 |
| 1902318686 | Lana Marie Weber | Social Worker | 631 N 200 E Ste A, Rexburg, ID 83440-3599 | 2017-11-02 |
| 1285078923 | Stephanie Hawkins | Social Worker | 707 S 5th W Apt 1802, Rexburg, ID 83440-5218 | 2013-04-24 |
| 1679706717 | Graciela Maria Clark | Social Worker | 430 W 5th S Apt 507, Rexburg, ID 83440-2347 | 2009-08-24 |
| 1700429032 | Jocelyn Hobbs | Social Worker | 242 E 7th N Ste 4, Rexburg, ID 83440-3550 | 2019-10-18 |
| 1033765862 | Tami J Saunders | Social Worker | 242 E 7th N Ste 4, Rexburg, ID 83440-3550 | 2019-08-16 |
| 1063070035 | Courtney I Stimpson | Social Worker | 316 N 3rd E, Rexburg, ID 83440-1661 | 2019-06-04 |
| 1851855548 | Teri Huchendorf | Social Worker | 631 N 200 E, Rexburg, ID 83440-3599 | 2019-01-26 |
| 1417427501 | Centerpoint Counseling Services, LLC | Social Worker | 393 E 2nd N, Rexburg, ID 83440 | 2018-11-30 |
| Find all providers in REXBURG | ||||
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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.