KIMBERLEY ANNA BROWN (NPI# 1558384826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558384826 |
| Entity Type | Individual |
| Full Name | KIMBERLEY ANNA BROWN |
| Other Name | KIMBERLEY ANNA WRAGGE |
| Credential | PA C |
| Practice Address |
5500 Pine Lake Rd Lincoln NE 68516-3389 |
| Practice Telephone | 4024898888 |
| Practice Fax Number | 4024211945 |
| Mailing Telephone | 4024898888 |
| Mailing Fax Number | 4024211945 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1043 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 37314 | 01 | |
| UNITED HEALTH CARE | 1900420 | 01 | |
| MIDLANDS CHOICE | 238809 | 01 | |
| RR MEDICARE | 970028870 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417290263 | Kimberley Brown | Pathology | 1317 Brow Estates Dr, Signal Mountain, TN 37377-3267 | 2013-03-30 |
| 1720238264 | Kimberley Anne Brown | Social Worker | 419 S 2nd St Ste 2, Renton, WA 98057-2234 | 2008-09-21 |
| 1326545690 | Kimberley Brown | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Suite Msb 1.134, Houston, TX 77030-5389 | 2018-04-12 |
| 1255526414 | Kimberley Elaine Brown | Social Worker | 1801 Miccosukee Commons Dr, Tallahassee, FL 32308-5433 | 2007-09-11 |
| Street Address |
5500 PINE LAKE RD |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-3389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467490433 | Urology Surgical Center LLC | Clinic/Center | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2006-06-03 |
| 1104345495 | Ashley D Sealy | Dietitian, Registered | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2017-09-18 |
| 1669889200 | Thomas P Brush | Surgery | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2014-07-15 |
| 1558709832 | Simone Christine Vampola | Nurse Practitioner | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2013-06-10 |
| 1518227958 | Tara Michele Kirkpatrick | Urology | 5500 Pine Lake Rd, Lincoln, NE 68516 | 2012-05-19 |
| 1770886491 | Tiffany Ann Wood | Physician Assistant | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2010-12-20 |
| 1518120823 | Jonathan R Henning | Urology | 5500 Pine Lake Rd, Urology PC, Lincoln, NE 68516-3389 | 2008-07-07 |
| 1154442507 | Lance Wiebusch | Urology | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2007-04-03 |
| 1346312105 | Donna Colleen Johnson | Nurse Practitioner | 5500 Pine Lake Rd, Lincoln, NE 68516 | 2006-11-15 |
| 1467475731 | David Brian Wiltfong | Urology | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
| 1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
| 1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
| 1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
| 1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| Find all providers in zip 68516 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580156 | Alana M Oster | Physician Assistant | 129 Chapel St, Lincoln, RI 02865-2119 | 2020-08-25 |
| 1871143891 | Ashley Moreau | Physician Assistant | 4 Lauretta Ln, Lincoln, RI 02865-1338 | 2019-09-12 |
| 1013574862 | Erin Grace Dragoo | Physician Assistant | 2310 Wesley Dr, Lincoln, NE 68512-3704 | 2019-05-28 |
| 1629535521 | Jason Theodore | Physician Assistant | 4615 Meredeth St Apt 6, Lincoln, NE 68506-4973 | 2019-02-27 |
| 1144674276 | Austin Bryce Henslee | Physician Assistant | 575 S 70th St Ste 310, Lincoln, NE 68510 | 2016-04-14 |
| 1790163814 | Mary Elizabeth Tucker | Physician Assistant | 1500 S 48th St., Suite 800, Lincoln, NE 68506-1200 | 2015-05-08 |
| 1942542790 | Linda Denise Corr | Physician Assistant | 4451 N 26th St Ste 1000, Lincoln, NE 68521-4144 | 2013-03-20 |
| 1669734794 | Kimberly Kathryn Piening | Physician Assistant | 1101 S 70th St Ste 100, Lincoln, NE 68510-4293 | 2012-06-14 |
| 1548521933 | Terumi Degraw | Physician Assistant | 1715 S 26th St, Lincoln, NE 68502-3061 | 2012-06-02 |
| 1609103415 | Kristen Alyce Bruening | Physician Assistant | 8550 Cuthills Cir, Lincoln, NE 68526-9474 | 2009-11-16 |
| Find all providers in LINCOLN | ||||
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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.