KIMBERLY RYCKELEY (NPI# 1396264255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396264255 |
| Entity Type | Individual |
| Full Name | KIMBERLY RYCKELEY |
| Credential | DNP, CPNP-PC |
| Practice Address |
1303 Dantignac St Ste 2100 Augusta GA 30901-2777 |
| Practice Telephone | (706) 396-0604 |
| Practice Fax Number | 7063960606 |
| Mailing Telephone | 7063960604 |
| Mailing Fax Number | 7063960606 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
20172511 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1303 DANTIGNAC ST STE 2100 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-2777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194914580 | Margaret O. Green,m.d.,p.c. | Ophthalmology | 1303 Dantignac St Ste 2100, Augusta, GA 30901-2777 | 2007-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815717 | Valerie Renee' Grenald | Nurse Practitioner | Augusta University Health, Augusta, GA 30912-0001 | 2020-09-09 |
| 1275091712 | Michelle Davignon | Nurse Practitioner | 1456 Walton Way Ste A, Augusta, GA 30901-2692 | 2019-03-04 |
| 1255817755 | Krystal Lee Oestreich | Nurse Practitioner | 1120 15th St # Bp-3129, Augusta, GA 30912-0004 | 2018-07-17 |
| 1033408620 | Pamela Bracewell Pilcher | Nurse Practitioner | 3652 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2011-04-04 |
| 1922185313 | Barbara S. Kiernan | Nurse Practitioner | 987 St. Sebastian Way, Medical College of Georgia, Augusta, GA 30912 | 2006-11-01 |
| 1255895975 | Ashley Stanczak Willis | Nurse Practitioner | 1226 Dantignac St, Augusta, GA 30901-2788 | 2019-01-27 |
| 1932628013 | Carlee Nicole Leopard | Nurse Practitioner | 1120 15th St, Augusta, GA 30912 | 2017-09-11 |
| 1578014510 | Jennifer Dean | Nurse Practitioner | 1299 Interstate Pkwy, Augusta, GA 30909-6481 | 2016-10-14 |
| 1851732556 | Alicia Tindol Murdock | Nurse Practitioner | 3652 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2013-07-10 |
| 1992056667 | Tonia L Jones Saluga | Nurse Practitioner | 1551 Augusta Chatham Rd, Augusta, KY 41002-9224 | 2012-09-21 |
| Find all providers in AUGUSTA | ||||
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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.