KIMBERLY TRUCKNER (NPI# 1538635842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538635842 |
| Entity Type | Individual |
| Full Name | KIMBERLY TRUCKNER |
| Credential | MSN, FNP-BC |
| Practice Address |
611 W Belle Ave Saint Charles MI 48655-1611 |
| Mailing Address |
Po Box 5352 Saginaw MI 48603-0352 |
| Practice Telephone | 9898659958 |
| Mailing Telephone | 9898600088 |
| Mailing Fax Number | 9897913859 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704289982 | MI | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F10180830 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1690 N Center Rd, Saginaw, MI 486385569 | 9897920962 | |
| 3020 Boardwalk Dr, Saginaw, MI 486032324 | 9897913888 | |
| 1525 W Caro Rd Ste A, Caro, MI 487239686 | 9898600088 | 9897913859 |
| 611 W Belle Ave, Saint Charles, MI 486551611 | 9898659958 |
| Street Address |
611 W BELLE AVE |
| City | SAINT CHARLES |
| State | MI |
| Zip Code | 48655-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114977725 | Renato Siazon Lee | Family Medicine | 611 W Belle Ave, Saint Charles, MI 48655-1611 | 2006-05-12 |
| 1265893432 | St. Charles Family Clinic Pllc | Internal Medicine | 611 W Belle Ave, Saint Charles, MI 48655-1611 | 2016-03-15 |
| 1205295573 | Jillian Rodney | Nurse Practitioner | 611 W Belle Ave, Saint Charles, MI 48655-1611 | 2016-02-16 |
| 1134431778 | St Charles Family Practice Plc LLC | Family Medicine | 611 W Belle Ave, Saint Charles, MI 48655-1611 | 2010-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669837993 | St. Charles Family Clinic Pllc | Family Medicine | 611 W Belle Avenue, Saint Charles, MI 48655 | 2015-12-31 |
| 1023412889 | Rachel Wells | Licensed Practical Nurse | 223 W Belle Ave, St. Charles, MI 48655 | 2014-10-22 |
| 1194140962 | Dcs Management | Assisted Living Facility | 302 Fulton Street, Saint Charles, MI 48655 | 2014-03-03 |
| 1245297415 | St Charles Pharmacy LLC | Pharmacy | 1008 N Saginaw St, St. Charles, MI 48655 | 2006-04-29 |
| 1912391418 | Pat Bashans | Registered Nurse | 10797 Carr Road, Saint Charles, MI 48655-0105 | 2015-03-23 |
| 1841274909 | Ronald Gonzales Jr. | Family Medicine | 1124 N Saginaw St, Saint Charles, MI 48655-1021 | 2005-12-02 |
| 1154368439 | Ronald L Gonzales Md Pllc | Family Medicine | 1124 N Saginaw St, Saint Charles, MI 48655-1021 | 2006-06-02 |
| 1710432836 | Carrie Wilson | Pharmacist | 1008 N Saginaw St, Saint Charles, MI 48655-1022 | 2016-08-18 |
| 1154388320 | Laura Snellenberger | Pharmacist | 1008 N Saginaw St, Saint Charles, MI 48655-1022 | 2006-04-29 |
| 1134512262 | Tricia Douglas | Specialist/Technologist | 881 W Walnut St, Saint Charles, MI 48655-1257 | 2015-03-13 |
| Find all providers in zip 48655 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164049698 | Amanda J Ben | Nurse Practitioner | 23 Terre Verte Ct, Saint Charles, MO 63304-1217 | 2020-06-30 |
| 1790306421 | Intentional Living Primary Health Care, LLC | Nurse Practitioner | 1550 Wall St Ste 223, Saint Charles, MO 63303-3548 | 2020-05-05 |
| 1073160818 | Denise Jacqueline Wagster | Nurse Practitioner | 51 Destin Ct, Saint Charles, MO 63303-7314 | 2019-08-26 |
| 1013560697 | Kim Locklear | Nurse Practitioner | 804 Pecan Hill Dr, Saint Charles, MO 63304-5053 | 2019-07-22 |
| 1740751387 | Kelsey Lauren Ring | Nurse Practitioner | 217 Kingdom Dr, Saint Charles, MO 63301-4586 | 2018-12-07 |
| 1255821302 | Melinda R Winfield | Nurse Practitioner | 1313 Park Ct, Saint Charles, MO 63303 | 2018-05-15 |
| 1952813958 | Angela Kristeen Mcdonnell | Nurse Practitioner | 330 1st Capitol Dr Ste 470, Saint Charles, MO 63301-2847 | 2017-10-30 |
| 1538699244 | Jeffrey Terry Vacek | Nurse Practitioner | 725 S 5th St, Saint Charles, MO 63301-2913 | 2017-06-14 |
| 1730627704 | Rachael Wichern | Nurse Practitioner | 711 Veterans Memorial Pkwy, Saint Charles, MO 63303-2106 | 2017-02-09 |
| 1134671845 | Pracedes Del Mundo Vergara | Nurse Practitioner | 5n170 Dover Hill Rd, Saint Charles, IL 60175-5109 | 2016-10-28 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 48655 |
Please comment or provide details below to improve the information on KIMBERLY TRUCKNER.
| 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.