KIMBERLY MARIE SOMERS (NPI# 1255804613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255804613 |
| Entity Type | Individual |
| Full Name | KIMBERLY MARIE SOMERS |
| Practice Address |
407 W Indiana Ave Chesterton IN 46304-2350 |
| Mailing Address |
Po Box 1430 Portage IN 46368-9230 |
| Practice Telephone | 2197638112 |
| Practice Fax Number | 2197638937 |
| Mailing Telephone | 2197638112 |
| Mailing Fax Number | 2197638937 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.019967 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71008722A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300023556 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144244799 | Kimberly K. Somers | Physician Assistant | 9000 W Wisconsin Ave, Pediatric Surgery, Milwaukee, WI 53226-4874 | 2006-07-27 |
| Street Address |
407 W INDIANA AVE |
| City | CHESTERTON |
| State | IN |
| Zip Code | 46304-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972695666 | Kimberly Ann Hess | Obstetrics & Gynecology | 407 W Indiana Ave, Chesterton, IN 46304-2350 | 2006-09-29 |
| 1063872109 | Lisa M Nichols | Nurse Practitioner | 407 W Indiana Ave, Chesterton, IN 46304-2350 | 2016-03-02 |
| 1568856045 | Northshore Health Centers, Inc. | Obstetrics & Gynecology | 407 W Indiana Ave, Chesterton, IN 46304-2350 | 2015-03-24 |
| 1558795732 | Lynda Nathan | Nurse Practitioner | 407 W Indiana Ave, Chesterton, IN 46304-2350 | 2013-08-24 |
| 1801199070 | Shannon Michele Gavin | Nurse Practitioner | 407 W Indiana Ave, Chesterton, IN 46304-2350 | 2010-12-09 |
| 1700049558 | Preethi Kiran Venepalli | Pediatrics | 407 W Indiana Ave, Chesterton, IN 46304-2350 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274268 | Trinity Healthcare Inc. | Occupational Therapist | 2300 Village Point, Chesterton, IN 46304 | 2019-09-19 |
| 1962987206 | Kara Polus | Physical Therapy Assistant | 1595 S Calumet Rd Suite 3, Chesterton, IN 46304 | 2018-10-02 |
| 1275024481 | Karson Rice | Developmental Therapist | 1595 S Calumet Rd, Suite 3, Chesterton, IN 46304 | 2018-05-23 |
| 1720527765 | Alina Broski I | Occupational Therapy Assistant | 1120 S. Calument Road, Suite 3, Chesterton, IN 46304 | 2017-02-22 |
| 1538612015 | Muhammad Ziad Souqiyyeh | Internal Medicine | 3100 Village Pt Ste 102, Chesterton, IN 46304 | 2016-08-01 |
| 1942671656 | Samantha Stremich | Psychologist | 1496 Pope Ct # 2, Chesterton, MI 46304 | 2015-10-08 |
| 1669852299 | Deborah Joan Krause | Physical Therapy Assistant | 780 Dickinson Rd., Addison Pointe Health & Rehab Center, Chesterton, IN 46304 | 2015-06-09 |
| 1538462338 | Sunil Patel Md. P.C. | Internal Medicine | 1140 S. Calumet Road, Suite #2, Chesterton, IN 46304 | 2010-12-16 |
| 1629301981 | Lindsay Allison Munden | Nurse Practitioner | 505 County Road 1100 North, Chesterton, IN 46304 | 2009-09-17 |
| 1881851509 | Total Renal Care Inc | Clinic/Center | 711 Plaza Dr, Ste 6, Chesterton, IN 46304 | 2008-05-20 |
| Find all providers in zip 46304 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629301981 | Lindsay Allison Munden | Nurse Practitioner | 505 County Road 1100 North, Chesterton, IN 46304 | 2009-09-17 |
| 1841790672 | Cassie R Layne | Nurse Practitioner | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2018-02-19 |
| 1790205292 | Jessica Lynn Wisdom | Nurse Practitioner | 650 Dickinson Rd, Chesterton, IN 46304-3387 | 2017-06-26 |
| 1740713197 | Jamie Hosfeld | Nurse Practitioner | 505 E 1100 N, Chesterton, IN 46304-9697 | 2017-04-04 |
| 1245775766 | Denise Colleen King | Nurse Practitioner | 505 E 1100 N, Chesterton, IN 46304-9697 | 2016-12-20 |
| 1063872109 | Lisa M Nichols | Nurse Practitioner | 407 W Indiana Ave, Chesterton, IN 46304-2350 | 2016-03-02 |
| 1699141184 | Wendy Vottero | Nurse Practitioner | 425 Sand Creek Dr, Chesterton, IN 46304-1589 | 2015-08-19 |
| 1356765085 | Melinda Pipik | Nurse Practitioner | 505 E 1100 N, Chesterton, IN 46304-9697 | 2014-02-17 |
| 1558795732 | Lynda Nathan | Nurse Practitioner | 407 W Indiana Ave, Chesterton, IN 46304-2350 | 2013-08-24 |
| 1649613316 | Lindsay Rieck | Nurse Practitioner | 810 Michael Dr, Chesterton, IN 46304-2694 | 2013-04-12 |
| Find all providers in CHESTERTON | ||||
| City | CHESTERTON |
| Zip Code | 46304 |
Please comment or provide details below to improve the information on KIMBERLY MARIE SOMERS.
| 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.