MS. KIM WENONA WHITE


Address: 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201-1129
Phone: 6184826959

MS. KIM WENONA WHITE (NPI# 1427470368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427470368
Entity Type Individual
Full Name MS. KIM WENONA WHITE
Other Name MS. KIM WENONA MELCENHEIMER
Credential CNS-BC
Practice Address 601 James R Thompson Blvd
Building D, Suite 2015
East Saint Louis
IL 62201-1129
Practice Telephone 6184826959
Practice Fax Number 6184828311
Mailing Telephone 6184826959
Mailing Fax Number 6184828311
Enumeration Date 2014-01-13
Last Update Date 2014-01-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364S00000X Clinical Nurse Specialist 209011109 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers KIM WHITE

NPI Name Taxonomy Address Enumeration
1710505292 Kim Maria White Registered Nurse 529 Forest Ave, Jackson, MS 39206-3303 2020-07-10
1053612127 Kim Arnita White Registered Nurse 2179 Strang Ave, Bronx, NY 10466-2347 2010-11-05
1902193121 Kim White Pharmacist 4300 W 7th St, Little Rock, AR 72205-5446 2011-07-08
1457549388 Kim Ann White Nurse's Aide 4600 Broadway Ste 1300, Sacramento, CA 95820-1527 2007-10-04
1538219266 Kim Ford White Physical Therapist 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 2007-01-12
1669402301 Kim White Nurse Practitioner 2001 Anderson Ferry Rd, Cincinnati, OH 45238-3325 2006-07-04
1891738340 Kim White Nurse Anesthetist, Certified Registered 311 N Clyde Morris Blvd, Daytona Beach, FL 32114-2781 2006-06-13

Office Location

Street Address 601 JAMES R THOMPSON BLVD
BUILDING D, SUITE 2015
City EAST SAINT LOUIS
State IL
Zip Code 62201-1129

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831291830 Linda Washington Omondi Nurse Practitioner 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201-1129 2006-09-01
1649622622 Chontay L Mckay Nurse Practitioner 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201-1129 2016-07-01
1992153639 Megan Degroot Counselor 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201-1129 2016-06-02
1104230168 Board of Trustees of Southern Illinois University Clinic/Center 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201-1129 2014-06-18
1467753459 Janet C Whitworth Nurse Practitioner 601 James R Thompson Blvd, Bldg D 2015, East Saint Louis, IL 62201-1129 2010-11-08
1518140326 Southern Illinois University Edwardsville Clinic/Center 601 James R Thompson Blvd, Building D 2015, East Saint Louis, IL 62201-1129 2007-12-14
1215078928 Theresa M Benassi-powles Nurse Practitioner 601 James R Thompson Blvd, Building D 2015, East Saint Louis, IL 62201-1129 2007-02-08
1205976636 Virginia L Behrhorst Nurse Practitioner 601 James R Thompson Blvd, Building D 2015, East Saint Louis, IL 62201-1129 2007-02-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417593724 Brighter Hope Inc Clinic/Center 1400 E. Broadway, East St Louis, IL 62201 2019-11-21
1659759918 Olde Tyme Optical Technician/Technologist 100 N. 8th St E., Suite 264, E. St. Louis, IL 62201 2015-05-07
1689890006 Carrie Ann Settlemoir Chiropractor 699 Rte. 203, Suite 101, E.st.louis, IL 62201 2007-04-17
1659417582 Brett Irvin Dentist 1511 East Broadway, St Louis, IL 62201 2007-01-29
1386700771 Laura A. Collier Registered Nurse 540 North 6th Street, East Saint Louis, IL 62201 2006-12-29
1366508053 Yetzenia Aramis Arauz Registered Nurse 2568 North 41st Street, Fairmont City, IL 62201 2006-12-28
1255426466 Hee Man Song Specialist 100 North 8th Street, Suite 232, East St Louis, IL 62201 2006-10-04
1821109737 Richard Joseph Fleming Physical Therapist 144 Lincoln Place Ct, Suite 1, Belleville, IL 62201 2006-08-31
1942510508 Southern Illinois Health Care Foundation, Inc. Family Medicine 505 S 8th St, East Saint Louis, IL 62201 2010-10-18
1104157437 United We Trust Home Care Case Management 327 Missouri Ave, Suite 300, East Saint Louis, IL 62201 2010-01-27
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Taxonomy Information

Taxonomy Code 364S00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist

Taxonomy Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932728169 Amy Lynn Katsikas Clinical Nurse Specialist 1405 North Green Mount Road, Suite 511, O'fallon, IL 62269-3494 2020-04-08
1407349343 Tina Marie Bauman Clinical Nurse Specialist 1555 Barrington Rd Ste 1400, Hoffman Estates, IL 60169-5038 2018-06-13
1639547417 Virginia Ann Baker Clinical Nurse Specialist 5758 S Maryland Ave # Mc9024, Chicago, IL 60637-1426 2015-09-09
1861860058 Jennifer Michelle Kelsey Clinical Nurse Specialist 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 2015-09-04
1821474388 Deborah Ann Lawrence Clinical Nurse Specialist 17800 Kedzie Ave Fl 4, Hazel Crest, IL 60429-2029 2015-08-07
1245615947 Gabriel Oluwakotanmi Clinical Nurse Specialist 8056 S Harper Ave, Chicago, IL 60619-4637 2015-07-23
1013398718 Associated Physicians Group Ltd Clinical Nurse Specialist 4414 W Center Dr, Alton, IL 62002-5932 2015-06-18
1396148391 Elizabeth Moon Clinical Nurse Specialist 252 Thrush Cir, Lindenhurst, IL 60046-7948 2014-10-03
1831435189 Rena Thompson Clinical Nurse Specialist 7537 N Bell Ave, Suite 1, Chicago, IL 60645-2484 2012-12-13
1144564188 Melanie Ann Reeves Clinical Nurse Specialist 530 Ne Glen Oak Ave Po Box G13, Peoria, IL 61637-0001 2012-11-15
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Competitor

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City EAST SAINT LOUIS
Zip Code 62201

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Dataset Information

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.

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