KIMBERLY PIPKIN WILDER (NPI# 1407496227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407496227 |
| Entity Type | Individual |
| Full Name | KIMBERLY PIPKIN WILDER |
| Practice Address |
5703 South Acres Houston TX 77048 |
| Mailing Address |
Po Box 84136 Pearland TX 77584-0018 |
| Practice Telephone | 8327241374 |
| Mailing Telephone | 8327241374 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | ||
| Y | 376G00000X | Nursing Home Administrator | Nursing Service Related Providers |
| Street Address |
5703 SOUTH ACRES |
| City | HOUSTON |
| State | TX |
| Zip Code | 77048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124677273 | Herlinda Carrizales | Technician | 4610 Allison Rd. #312, Houston, TX 77048 | 2019-09-10 |
| 1558831347 | State of Texas Veterans Land Board | Skilled Nursing Facility | 14041 Cottingham Road, Houston, TX 77048 | 2018-12-05 |
| 1548620594 | Danielle Michelle Brooks | Anesthesiologist Assistant | 12418 Dawn Terrace, Houston, TX 77048 | 2016-03-03 |
| 1720225568 | Pharmacy At Cullen Commons | Pharmacy | 12805 Cullen Blvd, Suite C, Houston, TX 77048 | 2009-01-15 |
| 1235639105 | Shanee Elizabeth Robinson | Registered Nurse | 12322 Dawns Edge Dr, Houston, TX 77048-1060 | 2018-02-17 |
| 1801405436 | Jessica Rash | Registered Nurse | 13111 Withee Path Ln, Houston, TX 77048-1100 | 2020-07-29 |
| 1922383165 | Looking To New Horizons | Counselor | 5208 S Acres Dr, Suite B, Houston, TX 77048-1118 | 2011-10-19 |
| 1013412758 | Tara L Brooks | Registered Nurse | 5119 Denoron Dr, Houston, TX 77048-1601 | 2018-03-26 |
| 1336357243 | Prevailing Faith Outreach Center | Assisted Living Facility | 5423 Grace Point Ln, Houston, TX 77048-1726 | 2007-05-21 |
| 1215588116 | Patricia Ozz | Technician | 5618 Denoron Dr, Houston, TX 77048-1823 | 2019-09-23 |
| Find all providers in zip 77048 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083148449 | Mashanda Deshazer | Nursing Home Administrator | 10807 Misty River Dr, Houston, TX 77086-1919 | 2017-04-12 |
| 1821535048 | Onome Ubaru | Nursing Home Administrator | 6922 Vialinda Dr, Houston, TX 77083-1155 | 2017-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902419112 | Quelyndria Washington | Nursing Home Administrator | 11740 Northpointe Blvd Apt 706, Tomball, TX 77377-6081 | 2020-08-26 |
| 1528699592 | Katherine Ann Champion | Nursing Home Administrator | 4918 Mable St, Corpus Christi, TX 78411-4029 | 2020-01-29 |
| 1811552094 | Gilda Vasquez | Nursing Home Administrator | 3132 Moonlit Lake Cir, League City, TX 77573-5972 | 2019-05-03 |
| 1982268918 | Kelly Marie Ortiz | Nursing Home Administrator | 710 Shadowbrook Dr, Spring, TX 77380-2233 | 2019-04-25 |
| 1336622141 | Olanrewaju Awofeso | Nursing Home Administrator | 2818 Shady Ln, Tyler, TX 75702-7745 | 2018-09-09 |
| 1235615550 | Sinai Mountain Homecare | Nursing Home Administrator | 464 Cedarwood Ave, Horizon City, TX 79928-6582 | 2018-07-19 |
| 1851821763 | Brenda Joyce Cunningham | Nursing Home Administrator | 1798 Strickland Ln, Eagle Lake, TX 77434-7082 | 2017-06-13 |
| 1962936187 | Heidi Mckay | Nursing Home Administrator | 3424 Tempest Ln, Oak Point, TX 75068-3319 | 2017-04-13 |
| 1205216470 | Deshun Stanley | Nursing Home Administrator | 13108 Grantham Ridge Ct, Rosharon, TX 77583 | 2015-06-03 |
| 1508270513 | Katia Taylor | Nursing Home Administrator | 3911 Southern Sky, San Antonio, TX 78222-3457 | 2014-06-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIMBERLY PIPKIN WILDER.
| 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.