KIMBERLY WALLER (NPI# 1528675386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528675386 |
| Entity Type | Individual |
| Full Name | KIMBERLY WALLER |
| Credential | APRN |
| Practice Address |
4000 Richards Rd Ste 4000 North Little Rock AR 72117-2650 |
| Practice Telephone | 5017585133 |
| Practice Fax Number | 5017585173 |
| Mailing Telephone | 5017585133 |
| Mailing Fax Number | 5017585173 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | R082821 | AR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407298698 | Kimberly Michelle Waller | Licensed Practical Nurse | 4707 N Malden St, Apt 303, Chicago, IL 60640-6917 | 2013-07-29 |
| 1417233073 | Kimberly B Waller | Counselor | 107 Sunnybrook Rd, Wake Brook Building, Raleigh, NC 27610-1827 | 2011-10-27 |
| 1093782914 | Kimberly L Waller | Physician Assistant | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2006-03-01 |
| Street Address |
4000 RICHARDS RD STE 4000 |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72117-2650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1306475470 | Amir Amidi | Student in an Organized Health Care Education/Training Program | Baptist Health Family Medicine Residency Clinic, 3201 Springhill Dr., Suite 300, North Little Rock, AR 72117 | 2020-04-02 |
| 1699238147 | Achmed Munir Turay | Student in an Organized Health Care Education/Training Program | Baptist Health Medical Center- North Little Rock, 3333 Springhill Drive, Little Rock, AR 72117 | 2019-04-11 |
| 1548712227 | Arkansas Outpatient Surgery Center, LLC | Clinic/Center | 4331 W. 43rd, North Little Rock, AR 72117 | 2016-10-28 |
| 1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
| 1558764159 | Premier Pharmacy Care LLC | Pharmacy | 760 Michaela Dr., North Little Rock, AR 72117 | 2014-09-27 |
| 1225458813 | Jennifer Lynn Duroy | Obstetrics & Gynecology | 3343 Springhill Dr Ste 3010, North Little Rock, AR 72117 | 2014-04-22 |
| 1285053686 | Jonathan Nicholas Chang | Obstetrics & Gynecology | 3343 Springhill Dr Ste 1005, North Little Rock, AR 72117 | 2014-04-14 |
| 1760820575 | Stefan Ceru Hemmings | Internal Medicine | 3401 Springhill Dr Ste 325, North Little Rock, AR 72117 | 2013-06-13 |
| 1104260629 | Pain & Ortho Products, LLC | Durable Medical Equipment & Medical Supplies | 4628 East 43rd, N Little Rock, AR 72117 | 2013-04-26 |
| Find all providers in zip 72117 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104347814 | Shasta Dockery | Registered Nurse | 15020 Wade Blvd., North Little Rock, AR 72113 | 2017-07-03 |
| 1174057376 | Hannah Baugh | Registered Nurse | 505 W Pershing Blvd # 3, North Little Rock, AR 72114-2147 | 2017-04-13 |
| 1659623775 | Tekima Richaun Pitts | Registered Nurse | 105 Wisteria Dr, North Little Rock, AR 72118-3559 | 2012-10-12 |
| 1295905883 | Alesia C. Duffy | Registered Nurse | 4410 Ridge Rd, North Little Rock, AR 72116-8154 | 2008-03-10 |
| 1083894653 | Shirley Gail Kelley | Registered Nurse | 3000 W Scenic Dr, North Little Rock, AR 72118-3347 | 2007-11-12 |
| 1669024105 | Tyree Shirray Mathenia | Registered Nurse | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-07-15 |
| 1386209534 | Amanda Michelle Sellers | Registered Nurse | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2019-05-03 |
| 1114432408 | Casey B Camp | Registered Nurse | 4107 Richards Rd, North Little Rock, AR 72117-2653 | 2017-12-07 |
| 1578073193 | Betty Pettus | Registered Nurse | 4107 Richards Rd, North Little Rock, AR 72117-2653 | 2017-10-10 |
| 1275061657 | Blake Towell | Registered Nurse | 2504 Mccain Blvd Ste 101, North Little Rock, AR 72116 | 2017-05-30 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72117 |
Please comment or provide details below to improve the information on KIMBERLY WALLER.
| 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.