MS. RENATE DORA KIMBROUGH (NPI# 1306280912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306280912 |
| Entity Type | Individual |
| Full Name | MS. RENATE DORA KIMBROUGH |
| Credential | M.D. |
| Practice Address |
815 Independence Ave Se Washington DC 20003-1317 |
| Mailing Address |
Po Box 15452 Washington DC 20003-0452 |
| Practice Telephone | 2025437132 |
| Practice Fax Number | 2025475167 |
| Mailing Telephone | 2025437132 |
| Mailing Fax Number | 2025475167 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
MD25184 | DC | Allopathic & Osteopathic Physicians |
| Street Address |
815 INDEPENDENCE AVE SE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20003-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686694 | Joy Mpode Nkede | Home Health Aide | 2012 12th Street Se, G35, Washington, DC 20003 | 2020-10-13 |
| 1548872617 | Marie Lubin | Licensed Practical Nurse | 100 New Jersery Ave Se, Suite 845, Washington, DC 20003 | 2020-08-20 |
| 1770115081 | District of Columbia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15 I Street Se, Washington, DC 20003 | 2020-02-05 |
| 1538706676 | Eric Schwartz | Specialist/Technologist | 2400 E Capitol St Se, Washington, DC 20003 | 2019-12-09 |
| 1669945879 | Taiwo O Adeyemo | Nurse Practitioner | Unity Health Care, Inc Department of Corrections, 1901 D Street Se, Washington, DC 20003 | 2019-01-10 |
| 1881164424 | Heather Yvonne Daniels | Social Worker | 650 I Street Ne, Washington, DC 20003 | 2018-11-27 |
| 1467946566 | Fanta Boakai Sheriff | Home Health Aide | 1202 12th Street Se, Washington, DC 20003 | 2018-06-21 |
| 1881117513 | Rose Physcial Therapy Group | Physical Therapist | 1015 Half Street #102, Washington, DC 20003 | 2017-07-25 |
| 1821510280 | Tiara Doniece Jackson | Technician | 601 L St Se, Apt 1001, Washington, DC 20003 | 2017-07-07 |
| 1083134985 | Sophia Olivia Hooper | Home Health Aide | 1612 A St Se, Washington, DC 20003 | 2017-06-21 |
| Find all providers in zip 20003 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609421 | Healthstat Inc Parker Sporlan | Preventive Medicine | 206 Lange Dr, Washington, MO 63090-1040 | 2020-08-17 |
| 1083891659 | Jaspal Ahluwalia | Preventive Medicine | Comdt, Uscg Hq (cg-1122), Us Coast Guard Stop 7907, Martin Luther King Jr Avenue Se, Washington, DC 20598 | 2008-01-26 |
| 1730377847 | Linda R. Holifield-kennedy | Preventive Medicine | 5803 Army Pentagon # Mf873b.4, Washington, DC 20310-5803 | 2007-10-15 |
| 1518162353 | Katherine Ciacco Palatianos | Preventive Medicine | Walter Reed Army Med Ctr, Occ Health Clinic, 6900 Georgia Ave Nw, Washington, DC 20307-5001 | 2007-06-20 |
| 1245373422 | Sharda Katyal | Preventive Medicine | 6900 Georgia Ave Nw # 3e-18, Walter Reed Amc, Washington, DC 20307-0003 | 2007-02-15 |
| 1376639781 | Michael J Horan | Preventive Medicine | 20th Street & Constitution Ave, Nw, Health Unit, Washington, DC 20551-0001 | 2006-10-04 |
| 1245236074 | Michael Montopoli | Preventive Medicine | 4201 37th St Nw, Washington, DC 20008-3132 | 2005-06-27 |
| 1922557438 | Frederick James Erdtmann | Preventive Medicine | 490 M St Sw, Apt 210w, Washington, DC 20024-2612 | 2016-09-26 |
| 1164774295 | Philip Andrew Edelman | Preventive Medicine | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2012-10-13 |
| 1881985778 | Dyann Waugh | Preventive Medicine | 900 Brentwood Rd Ne, Washington, DC 20066-9998 | 2011-04-26 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20003 |
Please comment or provide details below to improve the information on MS. RENATE DORA KIMBROUGH.
| 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.