CHARLENE KIMBALL (NPI# 1578701355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578701355 |
| Entity Type | Individual |
| Full Name | CHARLENE KIMBALL |
| Other Name | CHARLENE KIMBALL |
| Credential | LMP |
| Practice Address |
9501 State Ave Marysville WA 98270-2235 |
| Mailing Address |
29007 2nd Ave Nw Arlington WA 98223-9135 |
| Practice Telephone | 4253082933 |
| Mailing Telephone | 4253082933 |
| Enumeration Date | 2009-02-01 |
| Last Update Date | 2009-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | MA00009115 | WA | Other Service Providers |
| Street Address |
9501 STATE AVE |
| City | MARYSVILLE |
| State | WA |
| Zip Code | 98270-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336575398 | Daryle Sullivan | Massage Therapist | 9501 State Ave, Suite A, Marysville, WA 98270-2235 | 2013-09-23 |
| 1780801829 | Lennie Warhank | Licensed Practical Nurse | 9501 State Ave, Ste A, Marysville, WA 98270-2235 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706631 | Amy Jean Tuengel | Massage Therapist | 4731 61st Ne, Marysville, WA 98270 | 2020-06-26 |
| 1821569534 | Andrew M Reid | Physical Therapist | Marysville Physical Therapy, 919 State Avenue Suite 101, Marysville, WA 98270 | 2018-12-07 |
| 1861989162 | Jenna Celine Schmidt | Student in an Organized Health Care Education/Training Program | Seamar Marysville Family Medicine Residency Program, 9710 State Ave, Marysville, WA 98270 | 2018-04-23 |
| 1497103162 | Kyoung Craddock | Registered Nurse | 5722 65th St Ne, Marysville, WA 98270 | 2016-06-02 |
| 1235553348 | Marysville School District | Speech-Language Pathologist | 4220 80th Street Ne, Marysville School District, Marysville, WA 98270 | 2014-02-10 |
| 1386085694 | Malgorzata Cassidy | Counselor | 4308 76th. St. Ne, Marysville, WA 98270 | 2013-07-15 |
| 1972852374 | Suzanne Leboeuf | Counselor | 1227 2nd St., Marysville, WA 98270 | 2012-08-31 |
| 1508121161 | Tricia Nicole Davis | Pharmacy Technician | 6602 74th St Ne, Marysville, WA 98270 | 2012-07-10 |
| 1962774216 | Lynae Marie Swinheart | Community/Behavioral Health | 6418 66th Pl Ne, Marysville, WA 98270 | 2012-02-02 |
| 1598042459 | Jamie Rae Isaacson | Speech-Language Pathologist | 1820 Grove St., Marysville, WA 98270 | 2011-11-07 |
| Find all providers in zip 98270 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922407212 | Kimberlee Bowshier-bruce | Contractor | 525 Ash St, Marysville, OH 43040-1506 | 2014-08-22 |
| 1316271562 | Ruth Ellen Scribner | Contractor | 5315 95th Pl Ne, Marysville, WA 98270-5218 | 2009-09-21 |
| 1558560037 | Aimee'lee Busch | Contractor | Avalon Wellness Center, 8821 51st Ave Ne, Marysville, WA 98270 | 2007-07-13 |
| 1942417944 | The Salvation Army | Contractor | 408 J St, Marysville, CA 95901-5629 | 2007-05-17 |
| 1811961006 | William D. Fiorini | Contractor | 14210 Scottslawn Rd., Marysville, OH 43041-0001 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158410 | Luan Kim Do | Contractor | 1832 Pointe Woodworth Dr Ne, Tacoma, WA 98422-3466 | 2020-09-15 |
| 1023635026 | Vanessa L Mendez | Contractor | 4306 Vermilion Ln, Pasco, WA 99301-1321 | 2020-06-25 |
| 1144844150 | Michele Burtner | Contractor | 36 Salvaggi Ln, Elma, WA 98541-9063 | 2020-06-04 |
| 1760017495 | Estefani Perete Gomez | Contractor | 606 Lilly Rd Ne Apt 324, Olympia, WA 98506-5169 | 2020-03-03 |
| 1073144424 | Strom Holdings LLC | Contractor | 3335 Paine Ave, Everett, WA 98201-5301 | 2020-02-03 |
| 1528602182 | Deborah Harris | Contractor | 1284 Mt Baker Ave, Camano Island, WA 98282-8439 | 2019-11-06 |
| 1205486826 | Hattie Marie Stigum | Contractor | 2406 Ne 139th St Apt 298, Vancouver, WA 98686-2314 | 2019-09-16 |
| 1134774425 | Amanda Rene Collins | Contractor | 11905 N Guinevere Dr, Spokane, WA 99218-1715 | 2019-08-05 |
| 1720566755 | American Integrated Health | Contractor | 14121 Tukla Intl Blvd, Tukwila, WA 98168-4122 | 2018-08-01 |
| 1093202053 | Wilson Pershing Stevenson IIi | Contractor | 3250 Port of Benton Blvd Ste D, Richland, WA 99354-1670 | 2018-04-16 |
| Find all providers with the same taxonomy | ||||
| City | MARYSVILLE |
| Zip Code | 98270 |
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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.