KIM WILLICIA JONES (NPI# 1477020816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477020816 |
| Entity Type | Individual |
| Full Name | KIM WILLICIA JONES |
| Practice Address |
30951 Lake Shore Blvd Willowick OH 44095-3616 |
| Practice Telephone | 2163100794 |
| Mailing Telephone | 2163100794 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 00667 | OH | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043850373 | Kim Jones | Social Worker | 307 Chatteris Rd, Irmo, SC 29063-2425 | 2020-01-15 |
| 1134573918 | Kim Jones | Case Manager/Care Coordinator | 5667 Shady Rest Rd, Havana, FL 32333-4933 | 2016-04-19 |
| 1114386471 | Kim Jones | Home Health | 10175 County Road 229, Oxford, FL 34484-3955 | 2016-02-15 |
| 1639447493 | Kim Kristine Jones | Physical Therapy Assistant | N6260 County Rd S, Plymouth, WI 53073-3800 | 2011-12-08 |
| 1679869226 | Kim Jones | Local Education Agency (LEA) | 1007 Mt Hope Ave, Oneida, NY 13421-7035 | 2011-06-22 |
| 1609059682 | Kim Schrone Jones | Counselor | 933 Peach Ave Apt 19, El Cajon, CA 92021-5784 | 2007-12-12 |
| 1326171455 | Kim Jones | Respiratory Therapist, Registered | 7808b Saint Andrews Church Rd, Louisville, KY 40214-3853 | 2007-03-14 |
| 1245318781 | Kim Jones | Social Worker | 4301 W Markham St # 825, Little Rock, AR 72205-7101 | 2006-11-01 |
| 1720620982 | Kim Jones | Nurse Practitioner | 9633 Bitter Melon Dr, Angier, NC 27501-5917 | 2019-10-09 |
| 1609380674 | Kim Malveo Jones | Counselor | 222 N Mountain Ave Ste 110b, Upland, CA 91786-5714 | 2017-11-28 |
| Street Address |
30951 LAKE SHORE BLVD |
| City | WILLOWICK |
| State | OH |
| Zip Code | 44095-3616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669939567 | Betsy Rivera | Counselor | 39500 Euclid Ave Willougbhy Ohio 44095, 35900 Euclid Ave Willoughby Ohio 44095, Willoughby, OH 44095 | 2019-02-27 |
| 1114409554 | Beverly Ann Croyle | Nursing Care | 145 Christine Ct., Eastlake, OH 44095 | 2018-09-01 |
| 1487105540 | Emily Stupica | Psychologist | 34050 Glen Drive, Eastlake, OH 44095 | 2016-10-24 |
| 1346542255 | Rita Alvina Mitchell | Licensed Practical Nurse | 497 E305th, Willowick, OH 44095 | 2010-11-29 |
| 1669784021 | Alyssa M Kowalski | Dentist | 250 E. 312th St., Willowick, OH 44095 | 2010-07-13 |
| 1033374160 | Ruth Anne Rotkovecz | Licensed Practical Nurse | 33201 Vine St Apt., 126b, Eastlake, OH 44095 | 2008-07-29 |
| 1497926877 | Catherine Look | Registered Nurse | 278 St Lawrence Boulevard, Eastlake, OH 44095 | 2008-03-13 |
| 1457563363 | Sherry A Carlson | Home Health Aide | 779 E 305 St, Willowick, OH 44095 | 2007-05-04 |
| 1265659346 | Erica Michelle Wazney | Dentist | 32001 Vine Street, Willowick, OH 44095 | 2007-04-19 |
| 1609952464 | Donald Charles Thaler | Dentist | 34586 Lakeshore Blvd., Eastlake, OH 44095 | 2006-10-27 |
| Find all providers in zip 44095 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
| 1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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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.