DR. KIMBERLY ANN GENKOV (NPI# 1487184065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487184065 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY ANN GENKOV |
| Credential | DNP, PMH-BC |
| Practice Address |
Madigan Army Medical Center 9040 Jackson Ave Tacoma WA 98431-0001 |
| Mailing Address |
800 Roe St Steilacoom WA 98388-4006 |
| Practice Telephone | 2489097531 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2019-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704265649 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396740254 | Dennis Huang | Podiatrist | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2005-06-16 |
| 1891395851 | Juliana Dumayas | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0002 | 2020-10-29 |
| 1922658491 | Fatima Hossay Safi | Social Worker | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-09-17 |
| 1134778095 | Vinzuella Boddie | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-09-04 |
| 1588219059 | Susan Marie Lopez | Dietitian, Registered | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-08-01 |
| 1174177109 | Bradley Scott Miller | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2019-07-29 |
| 1437703568 | Alex Alberto Hernandez Vargas | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-07-26 |
| 1427619733 | Dana Michelle Sanchez-terry | Nurse Practitioner | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 | 2019-06-26 |
| 1255998076 | Scott Michael Brown | Military Health Care Provider | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-5650 | 2019-05-28 |
| 1861059081 | Nathaniel Alan Castonguay | Licensed Practical Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2019-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699286336 | Annabelle T Vo | Nurse Practitioner | 3716 Pacific Ave Ste E, Tacoma, WA 98418-7836 | 2017-10-20 |
| 1114454667 | Uchenna Akukalia | Nurse Practitioner | 9040 Jackson Avenue Tacoma Wa 98431, Tacoma, WA 98431-0001 | 2017-05-15 |
| 1023569381 | Marisa Bell | Nurse Practitioner | 401 Broadway Ste 100, Tacoma, WA 98402-3900 | 2016-10-20 |
| 1225440019 | Understand Balance Mental Health Care | Nurse Practitioner | 720 6th Ave Apt 101, Tacoma, WA 98405-4661 | 2014-05-28 |
| 1053746867 | Robert Kopec | Nurse Practitioner | 5702 N 26th St Ste 1a, Tacoma, WA 98407-2406 | 2013-09-11 |
| 1093834350 | Viridian Associates, LLC | Nurse Practitioner | 707 Pacific Ave, Tacoma, WA 98402-5207 | 2007-03-28 |
| 1790831055 | Christine Karczewski | Nurse Practitioner | 9 St Helens Ave, Level B, Tacoma, WA 98402-2600 | 2007-01-26 |
| 1689725376 | Nancy Corley-wheeler | Nurse Practitioner | 608 S G Street, Tacoma, WA 98405-4625 | 2007-01-16 |
| 1366459489 | Tanya Laplant | Nurse Practitioner | 5410 N 44th St, Tacoma, WA 98407-3715 | 2006-08-02 |
| 1710505029 | Amity Tucker | Nurse Practitioner | 5702 N 26th St Ste A, Tacoma, WA 98407-2406 | 2020-07-13 |
| Find all providers in TACOMA | ||||
Please comment or provide details below to improve the information on DR. KIMBERLY ANN GENKOV.
| 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.