KIMBERLY LISA JOAN PERRY (NPI# 1417190133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417190133 |
| Entity Type | Individual |
| Full Name | KIMBERLY LISA JOAN PERRY |
| Credential | LPN |
| Practice Address |
16342 N Il Hwy 37 Mount Vernon IL 62864 |
| Mailing Address |
Po Box 428 Mount Vernon IL 62864-0054 |
| Practice Telephone | 6182421510 |
| Practice Fax Number | 6182420958 |
| Mailing Telephone | 6182421510 |
| Mailing Fax Number | 6182420958 |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 043056318 | IL | Nursing Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699272542 | Kimberly Perry | Behavioral Analyst | 950 Railroad St Apt 132, Ypsilanti, MI 48197-3513 | 2018-04-08 |
| 1114252137 | Kimberly Deane Perry | Social Worker | 127 Hughes St, Fountain Inn, SC 29644-2222 | 2009-10-08 |
| 1982870341 | Kimberly Dawn Perry | Student in an Organized Health Care Education/Training Program | 1109 E 360 S, Provo, UT 84606-5253 | 2008-05-06 |
| 1457316630 | Kimberly Ann Perry | Nurse Practitioner | 3651 Tullahoma Hwy, Winchester, TN 37398-4940 | 2006-04-19 |
| 1063055333 | Kimberly Perry | Massage Therapist | 1421 Kempsville Rd Ste C, Chesapeake, VA 23320-1406 | 2019-10-19 |
| 1598326936 | Kimberly Perry | Behavior Technician | 217 Station St, Jacksonville, NC 28546-6304 | 2019-06-26 |
| 1407354889 | Kimberly Perry | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2018-01-31 |
| 1033583786 | Kimberly Perry | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2015-11-18 |
| 1306210026 | Kimberly Perry | Physical Therapy Assistant | 23 Fair St, Bristol, CT 06010-5531 | 2015-11-18 |
| 1568895837 | Kimberly S Perry | Nurse Practitioner | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2013-08-09 |
| Street Address |
16342 N IL HWY 37 |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083058440 | Mike Lehker | Counselor | 16342 N Il Hwy 37, Mount Vernon, IL 62864-0054 | 2013-04-29 |
| 1023361268 | Andrea Hills | Licensed Practical Nurse | 16342 N Il Hwy 37, Mount Vernon, IL 62864-0054 | 2012-10-25 |
| 1619223641 | Cynthia Booher | Counselor | 16342 N Il Hwy 37, Mount Vernon, IL 62864-0054 | 2012-07-27 |
| 1598010480 | Robert Studley | Counselor | 16342 N Il Hwy 37, Mount Vernon, IL 62864 | 2012-07-17 |
| 1922383413 | Debra A. Bacher | Counselor | 16342 N Il Hwy 37, Mount Vernon, IL 62864-0054 | 2011-10-15 |
| 1326281049 | Jennifer Elaine Dodson | Case Manager/Care Coordinator | 16342 N Il Hwy 37, Mount Vernon, IL 62864 | 2009-04-10 |
| 1235372954 | Teresa L Mendenhall | Registered Nurse | 16342 N Il Hwy 37, Mount Vernon, IL 62864 | 2009-04-10 |
| 1861635591 | Heather Renee Gilbert | Counselor | 16342 N Il Hwy 37, Mount Vernon, IL 62864 | 2009-04-10 |
| 1427070218 | Charles D Burns | Counselor | 16342 N Il Hwy 37, Mount Vernon, IL 62864 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947867 | Ruth Okwaji | Licensed Practical Nurse | 624 Hanover Pl, Mount Vernon, NY 10552-3807 | 2020-09-18 |
| 1861007205 | Michelle M Robinson | Licensed Practical Nurse | 151 E Prospect Ave Apt 3f, Mount Vernon, NY 10550-2232 | 2020-09-12 |
| 1891303707 | Kahlia Hylton | Licensed Practical Nurse | 120 W Kingsbridge Rd, Mount Vernon, NY 10550-4817 | 2020-07-16 |
| 1487274809 | Suzette P Forbes | Licensed Practical Nurse | 300 E Prospect Ave Apt 2b, Mount Vernon, NY 10553-1025 | 2020-04-27 |
| 1235761388 | Anika Nelson | Licensed Practical Nurse | 420 S 9th Ave, Mount Vernon, NY 10550-4302 | 2020-02-06 |
| 1467099713 | Lemar Anthony Gordon | Licensed Practical Nurse | 41 S Bleeker St Apt 1, Mount Vernon, NY 10550-2629 | 2019-12-05 |
| 1295389807 | Chanell Toni Smith | Licensed Practical Nurse | 64 Sycamore Ave, Mount Vernon, NY 10553-1216 | 2019-07-31 |
| 1528610219 | Montrice Pitter | Licensed Practical Nurse | 2 S Macquesten Pkwy, Mount Vernon, NY 10550-1731 | 2019-07-12 |
| 1881257335 | Shanya Bennett | Licensed Practical Nurse | 205 S Columbus Ave Apt C4, Mount Vernon, NY 10553-1531 | 2019-04-19 |
| 1285191098 | Kimberlin Hunt | Licensed Practical Nurse | 431 Homestead Ave Fl 2, Mount Vernon, NY 10553-1912 | 2019-02-28 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on KIMBERLY LISA JOAN PERRY.
| 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.