MRS. KIMBERLY LYNN DIEL (NPI# 1245887447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245887447 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY LYNN DIEL |
| Credential | AGACNP-BC |
| Practice Address |
129 Vision Park Blvd Ste 307 Shenandoah TX 77384-3024 |
| Mailing Address |
129 Vision Park Blvd Shenandoah TX 77384-3023 |
| Practice Telephone | 3693215440 |
| Practice Fax Number | 9362713707 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APP144254 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NA | 805026 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 227 Moon Dance Ct, Conroe, TX 773042241 | 7138512919 |
| Street Address |
129 VISION PARK BLVD STE 307 |
| City | SHENANDOAH |
| State | TX |
| Zip Code | 77384-3024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114044294 | April Christine Donovan | Nurse Practitioner | 129 Vision Park Blvd Ste 307, Shenandoah, TX 77384-3024 | 2007-03-23 |
| 1508324013 | Gastroenterology Partners of North Houston Pllc | Internal Medicine | 129 Vision Park Blvd Ste 307, Shenandoah, TX 77384-3024 | 2019-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104381441 | Reshanda Baudy | Registered Nurse | 2477 F.m. 1488 Rd, 536, Conroe, TX 77384 | 2019-01-31 |
| 1841768447 | Alina Nichole Smith | Physical Therapist | Texas Children's Hospital - The Woodlands, 17580 Interstate 45 South, The Woodlands, TX 77384 | 2018-11-13 |
| 1952878472 | Courtney Nicole Jersey | Physician Assistant | 17600 I-45 South, Conroe, TX 77384 | 2018-11-02 |
| 1558851394 | Woodlands Integrative Care Hospital | Psychiatric Hospital | 1006 Windsor Lake Blvd., Suite 200, Conroe, TX 77384 | 2018-05-17 |
| 1326570334 | Surgeons Assistant Rita Yamel David Inc | Specialist/Technologist, Other | 3720 College Park Dr # 6304, Conroe, TX 77384 | 2017-03-29 |
| 1316483191 | Jason Cazares | Specialist/Technologist | 17450 St. Luke's Way, Medical Arts Center IIi, #350, The Woodlands, TX 77384 | 2017-01-17 |
| 1023564325 | 1488 Family Medicine Group, Pllc | Clinic/Center | 2400 Fm 1488, Suite 400, Conroe, TX 77384 | 2016-08-28 |
| 1740641976 | Signature Smiles Woodlands, Pllc | Clinic/Center | 2400 Fm 1488 Suite 200, Conroe, TX 77384 | 2016-03-16 |
| 1427397256 | David William White | Dentist | 3600 Farm To Market Rd 1488 #90, Conroe, TX 77384 | 2013-02-14 |
| 1740549542 | North Woods Family Medicine Pllc | Family Medicine | 17350 St.luke's Way, Suite 350, The Woodlands, TX 77384 | 2012-05-14 |
| Find all providers in zip 77384 | ||||
| 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 |
|---|---|---|---|---|
| 1336589969 | Jenifer Ann Deziel | Nurse Practitioner | Shenandoah Medical Center, 300 Pershing Avenue, Shenandoah, IA 51601 | 2013-06-27 |
| 1548605975 | Andrea N Scace | Nurse Practitioner | 19675 I 45 S, Suite 100, Shenandoah, TX 77385-8761 | 2013-04-29 |
| 1114044294 | April Christine Donovan | Nurse Practitioner | 129 Vision Park Blvd Ste 307, Shenandoah, TX 77384-3024 | 2007-03-23 |
| 1912532078 | Megan Fournier | Nurse Practitioner | 9200 Pinecroft Dr Ste 280, Shenandoah, TX 77380-3281 | 2020-03-10 |
| 1336615806 | Winfred Gichimu | Nurse Practitioner | 123 Vision Park Blvd, Shenandoah, TX 77384-3001 | 2018-10-22 |
| 1891224424 | Kristi A Justice | Nurse Practitioner | 9191 Pinecroft Dr Ste 225, Shenandoah, TX 77380-2807 | 2017-06-07 |
| 1437552924 | Tamikiia A Brown | Nurse Practitioner | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2014-09-29 |
| 1184033300 | Shenandoah Medical Center | Nurse Practitioner | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2014-08-13 |
| 1154745750 | Christi Ann Swierenga | Nurse Practitioner | 9200 Pinecroft Dr, Shenandoah, TX 77380-3279 | 2014-02-18 |
| 1770766537 | Ancuta Abigail Striblea | Nurse Practitioner | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2007-12-14 |
| Find all providers in SHENANDOAH | ||||
| City | SHENANDOAH |
| Zip Code | 77384 |
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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.