KIMBERLY MALLEY (NPI# 1417907668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417907668 |
| Entity Type | Individual |
| Full Name | KIMBERLY MALLEY |
| Credential | CRNA |
| Practice Address |
400 Sw 25th Ave Mineral Wells TX 76067-8246 |
| Practice Telephone | 9403257891 |
| Practice Fax Number | 9403286523 |
| Mailing Telephone | 9403257891 |
| Mailing Fax Number | 9403286523 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 533994 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 SW 25TH AVE |
| City | MINERAL WELLS |
| State | TX |
| Zip Code | 76067-8246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972590602 | Palo Pinto County Hospital District | General Acute Care Hospital | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 2005-09-27 |
| 1134779838 | Louis Graham | Nurse Practitioner | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 2019-09-14 |
| 1841746864 | Questcare Telespecialty Solutions, Pllc | Internal Medicine | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 2016-08-30 |
| 1962800961 | Yvonne G Hampton | Dietitian, Registered | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 2014-12-08 |
| 1932334638 | Janiel Lynn Werner | Dietitian, Registered | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 2009-05-25 |
| 1932359718 | Mary Kwaa Mens | Nurse Practitioner | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 2008-09-29 |
| 1548464134 | George Thomas | Internal Medicine | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 2007-06-14 |
| 1093928137 | Palo Pinto County Hospital District | Family Medicine | 400 Sw 25th Ave, Mineral Wells, TX 76067 | 2007-05-07 |
| 1518170646 | Palo Pinto County Hospital District | Clinic/Center | 400 Sw 25th Ave, Mineral Wells, TX 76067 | 2007-05-07 |
| 1265652267 | Palo Pinto County Hospital District | Clinic/Center | 400 Sw 25th Ave, Mineral Wells, TX 76067 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392810 | Jamie Lee Olsen | Registered Nurse | 2517 Highway 180 E Ste B, Mineral Wells, TX 76067 | 2017-08-18 |
| 1740663475 | Mineral Wells, Pllc | Dentist | 931 N Fm 1821, Suite C, Mineral Wells, TX 76067 | 2015-06-30 |
| 1710367305 | Karin Denise Boggs | Counselor | 4113a Highway 180 East, Suite C, Mineral Wells, TX 76067 | 2015-06-09 |
| 1275786576 | Debby Louise Polozeck | Registered Nurse | 202 Sw 25th Ave Ste 300, Mineral Wells, TX 76067 | 2008-10-30 |
| 1427252469 | Ryan Freemyer Md Pa | Surgery | 214 Southwest 26th Avenue, Suite A, Mineral Wells, TX 76067 | 2007-06-13 |
| 1467664078 | Graford Isd | Local Education Agency (LEA) | 906 S W Fifth Ave, Mineral Wells, TX 76067 | 2007-05-04 |
| 1447462056 | Mineral Wells Isd | Local Education Agency (LEA) | 906 S. W. Fifth Ave, Mineral Wells, TX 76067 | 2007-05-04 |
| 1407070758 | Mineral Wells Women's Pavilion, P.a. | Obstetrics & Gynecology | 220 Sw 26th Avenue, Mineral Wells, TX 76067 | 2007-04-11 |
| 1871643007 | Med Pavilion PC | Pediatrics | 220a Sw 26th Ave, Mineral Wells, TX 76067 | 2007-01-11 |
| 1003990615 | Tim R Tarkenton | Obstetrics & Gynecology | 220 Sw 26th Ave, Mineral Wells, TX 76067 | 2006-10-24 |
| Find all providers in zip 76067 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689612657 | Meng Seth | Nurse Anesthetist, Certified Registered | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 2006-06-03 |
| 1164475471 | Jeffery W Mckamey | Nurse Anesthetist, Certified Registered | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 2006-05-18 |
| 1841258076 | Palo Pinto County Hospital District | Nurse Anesthetist, Certified Registered | 400 Sw 25th Ave, Mineral Wells, TX 76067 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288524 | Pmr Crna Pllc | Nurse Anesthetist, Certified Registered | 5000 Alicia Dr, Fort Worth, TX 76133-7902 | 2020-09-08 |
| 1376155887 | Health Guard Anesthesia Services (hgas) | Nurse Anesthetist, Certified Registered | 7741 Tanglewilde St Ste 100, Houston, TX 77036-5565 | 2020-08-18 |
| 1477164440 | Royal Anesthesia Inc. | Nurse Anesthetist, Certified Registered | 1802 Moores Ln Ste 200, Texarkana, TX 75503-4609 | 2020-08-13 |
| 1952911661 | Anesthesia Providers of Houston Pllc | Nurse Anesthetist, Certified Registered | 1446 Campbell Rd Ste 290, Houston, TX 77055-4604 | 2020-08-06 |
| 1417575374 | Timothy Wade Farr | Nurse Anesthetist, Certified Registered | 11369 E Ranch Ct, El Paso, TX 79934-3217 | 2020-07-08 |
| 1922622919 | Devontee Delishuanee Rayford | Nurse Anesthetist, Certified Registered | 3925 Crenshaw Ave, Fort Worth, TX 76105-4115 | 2020-06-04 |
| 1790308500 | Advanced Practice Pain Management and Anesthesia Consulting Pllc | Nurse Anesthetist, Certified Registered | 317 Wilson St, Henderson, TX 75652-5957 | 2020-05-27 |
| 1598388365 | Lance Paul Good | Nurse Anesthetist, Certified Registered | 6225 State Hwy 161 Ste 200, Irving, TX 75038-2241 | 2020-05-27 |
| 1326669763 | Jared Lanham | Nurse Anesthetist, Certified Registered | 200 Woodrow Bean, El Pao, TX 79911 | 2020-04-27 |
| 1902425150 | Paige L Thibodeaux | Nurse Anesthetist, Certified Registered | 1201 W 38th St Ste 570, Austin, TX 78705-1006 | 2020-04-08 |
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| City | MINERAL WELLS |
| Zip Code | 76067 |
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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.