KIMBERLY MICHELLE BLUM (NPI# 1376952457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376952457 |
| Entity Type | Individual |
| Full Name | KIMBERLY MICHELLE BLUM |
| Credential | APRN, AGCNS |
| Practice Address |
2315 W Ben White Blvd Austin TX 78704-7524 |
| Practice Telephone | 5123265440 |
| Practice Fax Number | 5123268660 |
| Mailing Telephone | 5123265440 |
| Mailing Fax Number | 5123268660 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2017-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
AP126079 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 339976801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972977973 | Kimberly Blum | Physician Assistant | 5200 Eastern Ave Rm 260, Baltimore, MD 21224-2734 | 2015-11-14 |
| 1326310574 | Kimberly Blum | Dietitian, Registered | 4001 W 15th St, 350, Plano, TX 75093-5841 | 2012-02-03 |
| Street Address |
2315 W BEN WHITE BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-7524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598745317 | Pain Care Physicians, Pa | Physical Medicine & Rehabilitation | 2315 W Ben White Blvd, Austin, TX 78704-7524 | 2006-01-18 |
| 1679065445 | Amisha J. Amin | Nurse Practitioner | 2315 W Ben White Blvd, Austin, TX 78704-7524 | 2018-06-06 |
| 1023432051 | Cynthia Velasquez | Clinical Nurse Specialist | 2315 W Ben White Blvd, Austin, TX 78704-7524 | 2014-02-11 |
| 1548587553 | Bennjamin Duane Fronk | Anesthesiology | 2315 W Ben White Blvd, Austin, TX 78704-7524 | 2010-04-29 |
| 1639492945 | Jonathan Omar Mendoza | Chiropractor | 2315 W Ben White Blvd, Austin, TX 78704-7524 | 2010-03-02 |
| 1487884664 | Jason Edwin Carroll | Anesthesiology | 2315 W Ben White Blvd, Austin, TX 78704-7524 | 2009-07-21 |
| 1992716237 | Anand Joshi | Physical Medicine & Rehabilitation | 2315 W Ben White Blvd, Austin, TX 78704-7524 | 2006-08-11 |
| 1396784815 | Linda Ornelas Wilson | Specialist | 2315 W Ben White Blvd, Austin, TX 78704-7524 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797018 | Elizabeth Lynn Stevie | Clinical Nurse Specialist | 4315 Red Cloud Dr, Austin, TX 78759-4240 | 2020-10-11 |
| 1467954347 | Brianna Jean Lillehei | Clinical Nurse Specialist | 4525 Guadalupe St Apt 208, Austin, TX 78751-3097 | 2018-03-06 |
| 1275949802 | Rebekah Hamner | Clinical Nurse Specialist | 1111 W 34th St Ste 210, Austin, TX 78705-1916 | 2014-07-02 |
| 1962838284 | Carol Lynn Delville | Clinical Nurse Specialist | 4107 Medical Pkwy 210, Austin, TX 78756-3738 | 2013-09-18 |
| 1063852069 | Doctors Weight Loss Center & Wellness | Clinical Nurse Specialist | 11215 S Interstate 35, Suite 114, Austin, TX 78747-1863 | 2013-07-05 |
| 1982943015 | Shane Cristina Concepcion | Clinical Nurse Specialist | 1221 W Ben White Blvd Ste 100a, Austin, TX 78704-7792 | 2013-02-08 |
| 1023388725 | Sarah Granger-glauser | Clinical Nurse Specialist | 711f W 38th St, Austin, TX 78705-1105 | 2012-01-11 |
| 1386914612 | Robin Marie Mccray Choban Han | Clinical Nurse Specialist | 6611 River Place Blvd Ste 203, Austin, TX 78730 | 2012-01-03 |
| 1629354618 | Charisse Soller | Clinical Nurse Specialist | 13450 N Hwy 183, Suite 115, Austin, TX 78750-3239 | 2011-10-23 |
| 1356623011 | Austin Home Heart Care LLC | Clinical Nurse Specialist | 6429 Clay Allison Pass, Austin, TX 78749-2702 | 2011-09-19 |
| Find all providers in AUSTIN | ||||
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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.