KIMBERLY DIANE NELSON (NPI# 1467927319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467927319 |
| Entity Type | Individual |
| Full Name | KIMBERLY DIANE NELSON |
| Practice Address |
209 S Lockard St Blytheville AR 72315-2541 |
| Mailing Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8707632139 |
| Practice Fax Number | 8707635056 |
| Mailing Telephone | 8709724939 |
| Mailing Fax Number | 8709724911 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182669 | Kimberly Joan Nelson | Occupational Therapist | 23 Red Gate Ln, Franklin, MA 02038-1365 | 2020-10-21 |
| 1962058362 | Kimberly Diane Nelson | Nurse Practitioner | 35 Congress St Ste 225, Salem, MA 01970-5529 | 2019-08-13 |
| 1477036234 | Kimberly Paige Nelson | Licensed Practical Nurse | 218 Indian Creek Rd, Jacksboro, TN 37757-3018 | 2018-09-07 |
| 1760835565 | Kimberly Nelson | Massage Therapist | 202 Desoto Dr, Nashville, TN 37210-5108 | 2016-07-16 |
| 1689084766 | Kimberly Nelson | Chiropractor | 5301 Longley Ln Ste 43, Reno, NV 89511-1807 | 2014-04-29 |
| 1275838773 | Kimberly Anne Nelson | Physical Therapy Assistant | 5800 Sun Perch Dr, Newalla, OK 74857-6432 | 2011-01-14 |
| 1033308424 | Kimberly Nelson | Occupational Therapist | 3609 146th Ave Ne, Ham Lake, MN 55304-6415 | 2007-10-22 |
| 1558554477 | Kimberly R Nelson | Developmental Therapist | 3037 Coral Strip Pkwy, Gulf Breeze, FL 32563-2773 | 2007-08-23 |
| 1518157924 | Kimberly Suezanne Nelson | Mechanotherapist | 4220 Shasta Way, Klamath Falls, OR 97603-4842 | 2007-07-31 |
| 1356497325 | Kimberly Lane Nelson | Counselor | 140 Kimel Park Dr Ste 101, Winston Salem, NC 27103-6185 | 2007-01-25 |
| Street Address |
209 S LOCKARD ST |
| City | BLYTHEVILLE |
| State | AR |
| Zip Code | 72315-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850266 | Margaret R. Singleton | Psychiatry & Neurology | 209 S Lockard St, Blytheville, AR 72315-2541 | 2005-06-09 |
| 1720606254 | Donna R Brown | Case Manager/Care Coordinator | 209 S Lockard St, Blytheville, AR 72315-2541 | 2020-07-10 |
| 1578114419 | Tiffany Danielle Cooper | Case Manager/Care Coordinator | 209 S Lockard St, Blytheville, AR 72315-2541 | 2019-09-23 |
| 1144872078 | Stephanie Rochelle Williams | Case Manager/Care Coordinator | 209 S Lockard St, Blytheville, AR 72315-2541 | 2019-07-11 |
| 1720645906 | Theron Winona Mccallum | Social Worker | 209 S Lockard St, Blytheville, AR 72315-2541 | 2019-05-23 |
| 1699236554 | Syreeta Delphene Dawkins | Counselor | 209 S Lockard St, Blytheville, AR 72315-2541 | 2019-03-25 |
| 1376041855 | Amber Sade Slater | Licensed Practical Nurse | 209 S Lockard St, Blytheville, AR 72315-2541 | 2018-01-30 |
| 1861905713 | Shamana Brook Hill | Case Manager/Care Coordinator | 209 S Lockard St, Blytheville, AR 72315-2541 | 2017-11-14 |
| 1205365046 | Audra Pierce | Social Worker | 209 S Lockard St, Blytheville, AR 72315-2541 | 2017-06-06 |
| 1689920696 | Leighanna M Collins | Case Manager/Care Coordinator | 209 S Lockard St, Blytheville, AR 72315-2541 | 2012-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770055923 | Gosnell Drugs Inc. | Pharmacy | 134 Bevill Ave, Gosnell, AR 72315 | 2018-12-28 |
| 1770938441 | Kay Chan Powell | Optometrist | 527 N6th St, Ste A, Blythevile, AR 72315 | 2016-04-29 |
| 1124417142 | Victoria Jacoby | Nurse Practitioner | 1521 N. 10th Street, Suite A, Blytheville, AR 72315 | 2015-01-14 |
| 1154736635 | Hanna Kirk | Case Manager/Care Coordinator | 829 East Main St, Blytheville, AR 72315 | 2014-06-24 |
| 1700207909 | Hannah Browning | Speech-Language Pathologist | 4555 North State Highway 137, Blytheville, AR 72315 | 2013-12-16 |
| 1164859286 | Valarie Ranae Oldham | Physical Therapist | 827 E Main, Suite B, Blytheville, AR 72315 | 2013-10-03 |
| 1013350339 | Air Evac Ems Inc. | Ambulance | 1021 Highland Street, Blytheville, AR 72315 | 2013-04-17 |
| 1962707158 | Diffine Family Practice Pllc | Family Medicine | 1100 Medical Plaza Drive South, Suite C, Blytheville, AR 72315 | 2011-01-19 |
| 1447451984 | Diabetes Institute Inc | Durable Medical Equipment & Medical Supplies | 623 W Moultrie, Blytheville, AR 72315 | 2007-05-31 |
| 1043426109 | Connie Bromley | Social Worker | 514 Chickasawba, Blytheville, AR 72315 | 2007-05-15 |
| Find all providers in zip 72315 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236554 | Syreeta Delphene Dawkins | Counselor | 209 S Lockard St, Blytheville, AR 72315-2541 | 2019-03-25 |
| 1568639094 | Derrick Singleton | Counselor | 514 Chickasawba St, Blytheville, AR 72315-2722 | 2008-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502305 | Gaye L Jones-washington | Counselor | 18411 Fawn Tree Dr, Little Rock, AR 72210-7131 | 2020-09-10 |
| 1811500606 | Amy Ballard Therapy, Pllc | Counselor | 2003 N Arthur St, Little Rock, AR 72207-3409 | 2020-08-31 |
| 1184236408 | Heather Rogero | Counselor | 990 Northpointe Dr, Mountain Home, AR 72653-8126 | 2020-08-18 |
| 1538779764 | Overcoming: A Private Therapy Practice, LLC | Counselor | 922 E Craighead Forest Rd Apt N, Jonesboro, AR 72404-8307 | 2020-08-03 |
| 1104442565 | Deandriea Bass-carrigan | Counselor | 1570 Rachel Dr, Conway, AR 72032-8619 | 2020-06-22 |
| 1134742133 | William Todd Institute for Family Wellness | Counselor | 1374 Highway 62 W, Pocahontas, AR 72455-3790 | 2020-05-26 |
| 1841810231 | Prosperity Hands Ministry | Counselor | 710 Sw Sterling Pl, Bentonville, AR 72712-7773 | 2020-04-26 |
| 1144860321 | Erica Ashton Sturgeon | Counselor | 411 W Poplar St, Rogers, AR 72756-4560 | 2020-01-15 |
| 1386280527 | Tiffany Williams | Counselor | 9914 I-30 Frontage, Little Rock, AR 72209 | 2019-11-22 |
| 1396381927 | Eva Michelle Wood | Counselor | 19 N 5th St, Fort Smith, AR 72901-2137 | 2019-11-19 |
| Find all providers with the same taxonomy | ||||
| City | BLYTHEVILLE |
| Zip Code | 72315 |
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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.