KIMBERLY GATES (NPI# 1346749504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346749504 |
Entity Type | Individual |
Full Name | KIMBERLY GATES |
Other Name | KIM GATES |
Credential | APRN |
Practice Address |
2504 Mccain Blvd Ste 118 North Little Rock AR 72116-7624 |
Practice Telephone | 5018126655 |
Practice Fax Number | 5018126677 |
Mailing Telephone | 5018126655 |
Mailing Fax Number | 5018126677 |
Enumeration Date | 2018-02-02 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A005505 | AR | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
812 Oak St, Conway, AR 720324408 | 5013277100 | 5013277121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114462835 | Kimberly Ann Gates | Speech-Language Pathologist | 12061 Westover Rd, Omaha, NE 68154-3065 | 2017-01-04 |
1609288232 | Kimberly Gates | Speech-Language Pathologist | 5872 W State Road 16, Royal Center, IN 46978-9028 | 2014-06-02 |
1376621292 | Kimberly Gates | Physical Therapist | 4055 Oceanside Blvd Ste A-c, Oceanside, CA 92056-5821 | 2006-11-01 |
1881965812 | Kimberly R Gates | Audiologist | 6550 E Broadway Rd, Suite 206, Mesa, AZ 85206-1732 | 2012-01-23 |
1306128186 | Kimberly Lynn Gates | Counselor | 1407 S State St, New Ulm, MN 56073-3715 | 2011-09-16 |
1588749964 | Kimberly J. Gates | Physician Assistant | 2725 S 144th St, Suite 212, Omaha, NE 68144-5243 | 2006-10-26 |
Street Address |
2504 MCCAIN BLVD STE 118 |
City | NORTH LITTLE ROCK |
State | AR |
Zip Code | 72116-7624 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295154300 | Min-ji Lee | Family Medicine | 2504 Mccain Blvd Ste 118, North Little Rock, AR 72116 | 2014-04-16 |
1528412269 | Charmaine Beasley | Counselor | 2504 Mccain Blvd Ste 118, North Little Rock, AR 72116-7624 | 2016-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710509997 | Dickerson Family Resource Center, LLC | Counselor | 5401 John F. Kennedy Blvd, Suite I Rm 1, North Little Rock, AR 72116 | 2020-05-11 |
1831609262 | Bill J Carpenter Sr. | Counselor | 4700 W Commercial Dr Ste B3, North Little Rock, AR 72116 | 2017-10-12 |
1992257646 | Meagan Booe | Behavioral Analyst | 3812 Lakewood Valley Drive, North Little Rock, AR 72116 | 2016-10-28 |
1255603486 | Crystal N Lackey | Physical Therapist | 3801 Jfk Blvd Ste C, North Little Rock, AR 72116 | 2012-02-03 |
1003055724 | North Little Rock, Pllc | Chiropractor | 4614 Jfk Blvd, North Little Rock, AR 72116 | 2009-02-19 |
1891933826 | Jennifer Ann Freilino | Counselor | 3805 Mccain Park Dr Ste 112, North Little Rock, AR 72116 | 2009-01-29 |
1679729669 | Amy Marie Jones | Speech-Language Pathologist | 5901 John F Kennedy Blvd Apt 5127, North Little Rock, AR 72116 | 2008-08-11 |
1992970917 | Ronald F Boyles Od Pa | Eyewear Supplier (Equipment, not the service) | 2520 Crestwood Road, North Little Rock, AR 72116 | 2008-04-30 |
1992976377 | Kencur Inc Statco Hearing Labs | Hearing Instrument Specialist | 4000 Mccain Blvd, Suite D, North Little Rock, AR 72116 | 2008-03-13 |
1427236165 | Walker Orthodontics, Inc | Dentist | 200 South University Suite 200, Little Rock, AR 72116 | 2008-02-05 |
Find all providers in zip 72116 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225693286 | Elizabeth Kirk | Nurse Practitioner | 7308 Westwind Dr, North Little Rock, AR 72113-9505 | 2019-05-06 |
1407350424 | Buffy Michelle Maynard | Nurse Practitioner | 3333 Springhill Drive, 2c, Women & Children's Department, North Little Rock, AR 72117-2922 | 2018-03-23 |
1053826842 | Kelli Lauron Johnson | Nurse Practitioner | 2800 North Willow Street, North Little Rock, AR 72114 | 2017-12-03 |
1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
1083956601 | Michelle Swope | Nurse Practitioner | 4901 Fairway Ave Ste C, North Little Rock, AR 72116-7178 | 2013-03-21 |
1447890595 | Alecia Cloird | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117-2947 | 2020-01-07 |
1750928784 | Jennifer Marie Lemmon | Nurse Practitioner | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2019-12-10 |
1053957464 | Julie Ann Hill | Nurse Practitioner | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2019-11-20 |
1306406806 | Susan Darnell | Nurse Practitioner | 14 Parkstone Cir, North Little Rock, AR 72116-7086 | 2019-06-17 |
1588223861 | Hermien Clyburn | Nurse Practitioner | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2019-06-10 |
Find all providers in NORTH LITTLE ROCK |
City | NORTH LITTLE ROCK |
Zip Code | 72116 |
Please comment or provide details below to improve the information on KIMBERLY GATES.
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.