KIMBERLY CORDERO (NPI# 1558817981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558817981 |
| Entity Type | Individual |
| Full Name | KIMBERLY CORDERO |
| Practice Address |
5700 E Franklin Rd Ste 250 Nampa ID 83687-7902 |
| Mailing Address |
12765 N 11th Ave Boise ID 83714-9334 |
| Practice Telephone | 2086392301 |
| Mailing Telephone | 2082497014 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LMSW-28608 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1902225436 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285118745 | Kimberly Cordero | Licensed Vocational Nurse | 2802 Alma Dr Unit A, Killeen, TX 76549-3184 | 2018-09-20 |
| Street Address |
5700 E FRANKLIN RD STE 250 |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-7902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083983514 | Jeffrey Ryan Moreno | Social Worker | 5700 E Franklin Rd Ste 250, Nampa, ID 83687-7902 | 2011-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704204 | Rising Hope Counseling Services, LLC | Social Worker | 104 9th Ave S # 5a, Nampa, ID 83651-3809 | 2020-09-12 |
| 1104437995 | Erika Lynn Rivera | Social Worker | 1224 1st St S Ste 307, Nampa, ID 83651-3963 | 2020-08-14 |
| 1942825054 | Jasmine E Melendez | Social Worker | 5640 E Franklin Rd # 180, Nampa, ID 83687-8402 | 2020-06-15 |
| 1487277455 | Nicole Anne Bodenstab Lee | Social Worker | 158 Mcclure Ave, Nampa, ID 83651-2025 | 2020-05-25 |
| 1518588375 | Heather Mosqueda Crist | Social Worker | 270 W Georgia Ave, Nampa, ID 83686-2835 | 2020-05-04 |
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1891340857 | Christal Wallace | Social Worker | 1913 Lexis Ln Apt 104, Nampa, ID 83686-6529 | 2019-08-07 |
| 1518510775 | Anna Crane | Social Worker | 1310 N 63rd St, Nampa, ID 83687-8528 | 2019-07-17 |
| 1093208803 | Andrea H Drake | Social Worker | 1019 W Sanetta St, Nampa, ID 83651-5047 | 2018-06-07 |
| 1255867156 | Gabriel M Hofkins | Social Worker | 1504 3rd St N, Nampa, ID 83687-4035 | 2017-05-11 |
| Find all providers in NAMPA | ||||
Please comment or provide details below to improve the information on KIMBERLY CORDERO.
| 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.