KIMBERLY SPENCER (NPI# 1396139069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396139069 |
| Entity Type | Individual |
| Full Name | KIMBERLY SPENCER |
| Other Name | KIMBERLY NOELLE KNIGHT |
| Credential | PA-C |
| Practice Address |
16101 Evans St Suite 100 Omaha NE 68116-6447 |
| Practice Telephone | 4027179700 |
| Practice Fax Number | 4027179701 |
| Mailing Telephone | 4027179700 |
| Mailing Fax Number | 4027179701 |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2016-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2014 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
076849 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639610058 | Kimberly Ellen Spencer | Marriage & Family Therapist | 290 Technology Way Ste 300, Rocklin, CA 95765-1216 | 2017-03-18 |
| 1548684202 | Kimberly Ann Spencer | Counselor | 1500 Sw 10th Avenue, Topeka, KS 66606 | 2014-02-14 |
| 1972851889 | Kimberly Spencer | Social Worker | 2711 West 15th Street, Panama City, FL 32401 | 2012-08-27 |
| 1548516917 | Kimberly Ann Spencer | Occupational Therapy Assistant | 408 S Lincoln St, Philo, IL 61864-9761 | 2012-08-03 |
| 1588174569 | Kimberly Spencer | Social Worker | 1507 Ne 122nd Ave, Portland, OR 97230 | 2017-10-04 |
| 1316323850 | Kimberly Spencer | Nurse Practitioner | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2015-08-06 |
| 1730599523 | Kimberly Spencer | Counselor | 11 Union St, Lawrence, MA 01840-1815 | 2014-05-01 |
| 1477996783 | Kimberly Spencer | Specialist/Technologist | 861 Auto Center Dr., #d, Palmdale, CA 93551 | 2013-04-17 |
| 1710139654 | Kimberly L. Spencer | Registered Nurse | 176 Virginia Avenue, Rochester, PA 15074-1723 | 2008-10-22 |
| 1780721811 | Kimberly D Spencer | Registered Nurse | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2007-01-30 |
| Street Address |
16101 EVANS ST SUITE 100 |
| City | OMAHA |
| State | NE |
| Zip Code | 68116-6447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851319743 | Lewis W Eirinberg | Family Medicine | 16101 Evans St, Omaha, NE 68116-2020 | 2006-07-18 |
| 1992310080 | Patricia Williams | Registered Nurse | 16101 Evans St, Omaha, NE 68116-6447 | 2020-09-15 |
| 1538774724 | Christopher T Holman | Registered Nurse | 16101 Evans St, Omaha, NE 68116-6447 | 2020-09-14 |
| 1043861586 | Jessica Loree Curtice | Registered Nurse | 16101 Evans St, Omaha, NE 68116-6447 | 2019-09-26 |
| 1952893547 | Joshua Ryan Peterson | Registered Nurse | 16101 Evans St, Omaha, NE 68116 | 2018-05-31 |
| 1831688787 | Angela Marie Konrad | Registered Nurse | 16101 Evans St, Omaha, NE 68116 | 2018-05-07 |
| 1114414158 | Brandy M Sampson | Registered Nurse | 16101 Evans St, Omaha, NE 68116 | 2018-04-16 |
| 1366944282 | Tabitha Rae Barnard | Nurse Practitioner | 16101 Evans St, Omaha, NE 68116-6447 | 2018-03-07 |
| 1194238378 | Melissa Lynn Howey | Nurse Practitioner | 16101 Evans St, Omaha, NE 68116-6447 | 2017-11-10 |
| 1447638895 | Kayla Marie Davison | Physician Assistant | 16101 Evans St, Omaha, NE 68116-2020 | 2015-05-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311997 | Paul Hoppmann | Physical Therapist | 3537 N 162nd Ct, Omaha, NE 68116 | 2020-09-16 |
| 1972148112 | Smile Station Pediatric Dentistry, North LLC | Dentist | 4001 N 168th St, Omaha, NE 68116 | 2019-11-12 |
| 1912564212 | Vision Specialists of Omaha LLC | Optometrist | 3606 N 156th Street, Suite 104, Omaha, NE 68116 | 2019-05-22 |
| 1619450061 | Focus Therapy A West Omaha Counseling Practice | Counselor | 3520 N 163rd Plaza Suite 6, Omaha, NE 68116 | 2018-09-12 |
| 1952831570 | Adam Freeman | Chiropractor | 3605 North 147th Street, Suite 106, Omaha, NE 68116 | 2017-06-15 |
| 1407394042 | Chiropractic Group of Nebraska LLC | Chiropractor | 3727 N 153rd St, Omaha, NE 68116 | 2017-02-02 |
| 1992177083 | Emily Gunderson | Speech-Language Pathologist | 14850 Laurel Ave, Omaha, NE 68116 | 2015-10-28 |
| 1720478647 | Chelsea Hunter | Social Worker | 16101 Evans Street, Omaha, NE 68116 | 2015-01-30 |
| 1982988432 | Andrew Steve Huang-pacheco | Pediatrics | 3306 N 164th St, Omaha, NE 68116 | 2011-10-03 |
| 1073831996 | Mosaic | Intermediate Care Facility, Mentally Retarded | 2814 S 169 St, Omaha, NE 68116 | 2010-05-17 |
| Find all providers in zip 68116 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475375 | Patrick Donald Heavey | Physician Assistant | 4660 Pine St, Omaha, NE 68106-2520 | 2020-10-22 |
| 1780297440 | Tayler Marie Llewellyn | Physician Assistant | 17241 Oak Dr, Omaha, NE 68130-2428 | 2020-08-24 |
| 1154933992 | Alexandria Rae Mctaggart | Physician Assistant | 5024 S 130th St, Omaha, NE 68137-1820 | 2020-08-22 |
| 1124651443 | Kathryn A Kesti | Physician Assistant | 4242 Farnam St Ste 500, Omaha, NE 68131-2850 | 2020-02-14 |
| 1760014757 | Timothy Shew | Physician Assistant | 7500 Mercy Rd Ste 1300, Omaha, NE 68124-2319 | 2020-02-07 |
| 1083264303 | Alicia K Clough | Physician Assistant | 15236 Westchester Dr, Omaha, NE 68154-2060 | 2019-09-18 |
| 1669935565 | Taylor Elizabeth Hepp | Physician Assistant | 8005 Farnam Dr Ste 204, Omaha, NE 68114-3426 | 2019-04-09 |
| 1851895924 | Mohammed Saeb Shakir | Physician Assistant | 7306 Ontario St, Omaha, NE 68124-3561 | 2018-03-22 |
| 1386162790 | Anna Jean Sorrell | Physician Assistant | Emile St & S 42nd St, Omaha, NE 68198-4742 | 2017-09-06 |
| 1659804292 | Kaitlyn Ann Boosalis | Physician Assistant | 4331 Mayberry St, Omaha, NE 68105-1711 | 2017-04-11 |
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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.