MRS. KIMBERLEY DENISE CRISS (NPI# 1578850905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578850905 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLEY DENISE CRISS |
| Credential | FNP-BC |
| Practice Address |
5031 N Illinois St Fairview Heights IL 62208-3453 |
| Mailing Address |
711 Kaskaskia St Menard IL 62259-1000 |
| Practice Telephone | 6182126800 |
| Mailing Telephone | 6188265071 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2012-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209006842 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5031 N ILLINOIS ST |
| City | FAIRVIEW HEIGHTS |
| State | IL |
| Zip Code | 62208-3453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184685174 | Lawrence J. Barnes | Physician Assistant | 5031 N Illinois St, Fairview Heights, IL 62208-3453 | 2006-03-29 |
| 1689000713 | Elizabeth A Randolph | Physician Assistant | 5031 N Illinois St, Fairview Heights, IL 62208-3453 | 2013-09-20 |
| 1104126671 | Matthew Michael Germann | Physician Assistant | 5031 N Illinois St, Fairview Heights, IL 62208-3453 | 2010-10-29 |
| 1801102215 | Express Medical Care, LLC | Clinic/Center | 5031 N Illinois St, Fairview Heights, IL 62208-3453 | 2010-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829647 | Stephanie Lynn Arzavala-reed | Counselor | 8.5 Canty Lane, Fairview Heights, IL 62208 | 2019-12-26 |
| 1649822156 | Preferred Behavioral Health | Community/Behavioral Health | 141 Market Place Drive, Suite 100, Fairview Heights, IL 62208 | 2019-07-15 |
| 1164929055 | Itic Support Services Inc | Psychiatry & Neurology | 141 Market Pl Ste 100, Fairview Heights, IL 62208 | 2018-04-09 |
| 1023525102 | Karen E. Reinacher | Speech-Language Pathologist | 21 Circle Dr., Fairview Heights, IL 62208 | 2018-01-10 |
| 1316465297 | Rachel Moser | Behavioral Analyst | 9510 St. Clair Ave, Fairview Heights, IL 62208 | 2017-08-31 |
| 1952826471 | Tomika Eiland | Social Worker | 413 David Dr, Fairview Heights, IL 62208 | 2017-08-05 |
| 1194113852 | Rachel Logan | Social Worker | 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 | 2015-01-05 |
| 1255746715 | Center for Advanced Medicine LLC | Internal Medicine | 5036 N Illinois St, Suite 1, Fairview Heights, IL 62208 | 2014-06-24 |
| 1033463393 | Katherine Johnson I | Physical Therapy Assistant | 320 N Ruby Ln, Fairview Heights, IL 62208 | 2012-11-07 |
| 1508118779 | Nicole Kovacic | Physical Therapy Assistant | 5501 Perrin Drive, Fairview Heights, IL 62208 | 2012-10-11 |
| Find all providers in zip 62208 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699274001 | Cayla Denise Wester | Nurse Practitioner | 4 E Beacon Hill Rd, Fairview Heights, IL 62208-1711 | 2018-02-12 |
| 1912414434 | Moshood A Yinusa | Nurse Practitioner | 33 Northbrook Cir Apt 24, Fairview Heights, IL 62208-2693 | 2018-01-05 |
| 1891211553 | Matrecha Ann Yates | Nurse Practitioner | 8 Executive Dr Ste 150, Fairview Heights, IL 62208-1349 | 2017-08-15 |
| 1073147237 | Alexis Wernsman | Nurse Practitioner | 5023 N Illinois St, Fairview Heights, IL 62208-3453 | 2020-02-26 |
| 1407380900 | Ali Albers | Nurse Practitioner | 5036 N Illinois St, Fairview Heights, IL 62208-3417 | 2017-04-12 |
| 1780834747 | Erica P Criss | Nurse Practitioner | 5 Lugwig Drive, Fairview Heights, IL 62208 | 2008-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | FAIRVIEW HEIGHTS |
| Zip Code | 62208 |
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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.