KIMBERLY TYLER (NPI# 1356403547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356403547 |
| Entity Type | Individual |
| Full Name | KIMBERLY TYLER |
| Credential | BCBA |
| Practice Address |
4921 Vistawood Way Durham NC 27713-8066 |
| Practice Telephone | 9196022292 |
| Mailing Telephone | 9196022292 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2015-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1932658846 | Kimberly Tyler | Counselor | 297 Jacksonville Rd, East Machias, ME 04630-3829 | 2016-10-04 |
| 1013980432 | Kimberly Tyler | Family Medicine | 2415 University Pkwy Ste 218, Sarasota, FL 34243-2809 | 2006-02-08 |
| 1659998029 | Kimberly Melissa Tyler | Registered Nurse | 1001 W Arbrook Blvd Ste 161, Arlington, TX 76015-4222 | 2020-07-01 |
| 1427066976 | Kimberly Brennan Tyler | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-08-03 |
| Street Address |
4921 VISTAWOOD WAY |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-8066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619453149 | Jennifer Gioia | Behavioral Analyst | 4921 Vistawood Way, Durham, NC 27713-8066 | 2018-07-18 |
| 1093230278 | Lindsay Cutting Ryals | Behavioral Analyst | 4921 Vistawood Way, Durham, NC 27713-8066 | 2017-08-08 |
| 1730566100 | Little Steps Big Leaps, LLC | Behavioral Analyst | 4921 Vistawood Way, Durham, NC 27713-8066 | 2015-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654278 | Step By Step In Home Care LLC | Home Health | Imperial Business Park, 4819 Emperor Blvd Suite 400, Durham, NC 27703 | 2020-09-16 |
| 1639796857 | Howards Angels Care LLC | Home Health | 3645 Guess Rd, Durham, NC 27705-6908 | 2020-07-03 |
| 1013530393 | A Divine Stick | Home Health | 407 E End Ave, Durham, NC 27703-4435 | 2020-05-21 |
| 1225663586 | Inspired Home Healthcare Services LLC | Home Health | 708 Adeline Ct, Durham, NC 27713-5000 | 2020-03-06 |
| 1114561800 | War Memorial Home Healthcare Agency LLC | Home Health | 12336 Tetons Ct, Durham, NC 27703-8903 | 2019-11-05 |
| 1568923142 | Starnisha Burnette | Home Health | 800 N Mangum St Ste A-1, Durham, NC 27701-2260 | 2019-03-27 |
| 1043783087 | Danielle Lavette Mcneil | Home Health | 3407 N Duke St, Durham, NC 27704-2107 | 2019-01-02 |
| 1245701168 | Quality Life Home Health Care LLC | Home Health | 800 Elmira Ave, Durham, NC 27707-4825 | 2018-12-17 |
| 1255867099 | Elite Wellness & Healthcare | Home Health | 3118 Forrestal Dr, Durham, NC 27703-4782 | 2017-05-11 |
| 1558818963 | Agape Health LLC | Home Health | 2011 Chapel Hill Rd, Durham, NC 27707-1109 | 2016-09-01 |
| Find all providers in DURHAM | ||||
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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.