KRISTIN E NIMBLEY (NPI# 1588845366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588845366 |
Entity Type | Individual |
Full Name | KRISTIN E NIMBLEY |
Credential | P.A.-C |
Practice Address |
7900 N Milwaukee Ave Suite 17 Niles IL 60714-3159 |
Practice Telephone | 8474700297 |
Practice Fax Number | 8474700302 |
Mailing Telephone | 8474700297 |
Mailing Fax Number | 8474700302 |
Enumeration Date | 2007-11-20 |
Last Update Date | 2011-05-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085002814 | IL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BCBS OF ILLINOIS | 001619727 | 01 |
Street Address |
7900 N MILWAUKEE AVE SUITE 17 |
City | NILES |
State | IL |
Zip Code | 60714-3159 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760481220 | Michael Alan Fisher | Family Medicine | 7900 N Milwaukee Ave, 234, Niles, IL 60714-3159 | 2005-07-18 |
1861015448 | Renata Maria Jankowska | Internal Medicine | 7900 N Milwaukee Ave, Niles, IL 60714-3159 | 2020-05-18 |
1053886481 | Physician Management Services of Northern Illinois, LLC | Family Medicine | 7900 N Milwaukee Ave, Niles, IL 60714-3159 | 2018-10-12 |
1912435017 | Kara Ross | Pharmacist | 7900 N Milwaukee Ave, Niles, IL 60714-3159 | 2017-06-01 |
1801335906 | Terri Mchugh | Social Worker | 7900 N Milwaukee Ave, 20b, Niles, IL 60714-3159 | 2017-02-22 |
1639618085 | Hillary Slingo | Physician Assistant | 7900 N Milwaukee Ave, Niles, IL 60714-3159 | 2017-02-17 |
1205372612 | Sara H. Zike | Nurse Practitioner | 7900 N Milwaukee Ave, Ste 17, Niles, IL 60714-3159 | 2017-01-09 |
1598114209 | Donna Dziengiel | Pharmacist | 7900 N Milwaukee Ave, Niles, IL 60714-3159 | 2016-06-03 |
1184072761 | Melody Steffen | Pharmacist | 7900 N Milwaukee Ave, Niles, IL 60714-3159 | 2016-05-24 |
1578910113 | Monika Walaszek | Pharmacist | 7900 N Milwaukee Ave, Niles, IL 60714-3159 | 2016-05-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992277347 | Superior Nursing Services LLC | Registered Nurse | 8852 N. Milwaukee Ave, Niles, IL 60714 | 2018-12-26 |
1669904124 | Ralph N. Robbins D.d.s., Ltd. | Dentist | 241 Golf Mill Prof. Bldg. Suite 905, Niles, IL 60714 | 2017-04-03 |
1962947010 | The Thresholds | Community/Behavioral Health | 8842 Prospect Ave, Niles, IL 60714 | 2016-12-28 |
1548632367 | Kristine Pallarca | Pharmacist | 9000 W. Golf Rd, Niles, IL 60714 | 2015-10-21 |
1326421082 | Zuber Koya | Optometrist | 5762 W Touhy Ave, Niles, IL 60714 | 2015-06-30 |
1881074193 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 7954 Oakton Avenue, Niles, IL 60714 | 2015-06-02 |
1184039430 | Care Plus Outpatient Therapy Inc. | Occupational Therapy Assistant | 8118 N Milwaukee Ave Ste 107, Niles, IL 60714 | 2014-06-25 |
1750704888 | Daniel Charles Smith | Social Worker | 241golf Mill Center Suite 708, Niles, IL 60714 | 2014-01-24 |
1285062356 | Benjamin Trukman | Physical Therapist | 8269 West Golf Rd, Niles, IL 60714 | 2013-10-28 |
1750643698 | Matthew James Howard | Pediatrics | 6450 W Touhy Ave, Niles, IL 60714 | 2012-06-15 |
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Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679789580 | Eugene Donchev Donchev | Physician Assistant | 8209 N Oleander Ave, Niles, IL 60714-2549 | 2007-05-15 |
1265067326 | Ervy Marie Montoya | Physician Assistant | 7157 W Howard St, Niles, IL 60714-3757 | 2020-03-10 |
1003459850 | Jasmine E Gillett | Physician Assistant | 42 N Saint Joseph Ave Ste 300, Niles, MI 49120-2203 | 2019-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
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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.