KIMBERLY JOYCE NELSON (NPI# 1598863037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598863037 |
| Entity Type | Individual |
| Full Name | KIMBERLY JOYCE NELSON |
| Other Name | KIMBERLY JOYCE JACOB |
| Credential | NP |
| Practice Address |
3001 Saint Lynda Dr Mansfield TX 76063-4857 |
| Practice Telephone | 8174730546 |
| Mailing Telephone | 8174730546 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
632193 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 168683401 | 05 | |
| TX | 168683406 | 05 | |
| TX | BCBS | 8N7755 | 01 |
| TX | 168683405 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182669 | Kimberly Joan Nelson | Occupational Therapist | 23 Red Gate Ln, Franklin, MA 02038-1365 | 2020-10-21 |
| 1962058362 | Kimberly Diane Nelson | Nurse Practitioner | 35 Congress St Ste 225, Salem, MA 01970-5529 | 2019-08-13 |
| 1477036234 | Kimberly Paige Nelson | Licensed Practical Nurse | 218 Indian Creek Rd, Jacksboro, TN 37757-3018 | 2018-09-07 |
| 1760835565 | Kimberly Nelson | Massage Therapist | 202 Desoto Dr, Nashville, TN 37210-5108 | 2016-07-16 |
| 1689084766 | Kimberly Nelson | Chiropractor | 5301 Longley Ln Ste 43, Reno, NV 89511-1807 | 2014-04-29 |
| 1275838773 | Kimberly Anne Nelson | Physical Therapy Assistant | 5800 Sun Perch Dr, Newalla, OK 74857-6432 | 2011-01-14 |
| 1033308424 | Kimberly Nelson | Occupational Therapist | 3609 146th Ave Ne, Ham Lake, MN 55304-6415 | 2007-10-22 |
| 1558554477 | Kimberly R Nelson | Developmental Therapist | 3037 Coral Strip Pkwy, Gulf Breeze, FL 32563-2773 | 2007-08-23 |
| 1518157924 | Kimberly Suezanne Nelson | Mechanotherapist | 4220 Shasta Way, Klamath Falls, OR 97603-4842 | 2007-07-31 |
| 1356497325 | Kimberly Lane Nelson | Counselor | 140 Kimel Park Dr Ste 101, Winston Salem, NC 27103-6185 | 2007-01-25 |
| Street Address |
3001 SAINT LYNDA DR |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-4857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295369387 | Teandra Darden | Nurse Practitioner | 3001 Saint Lynda Dr, Mansfield, TX 76063-4857 | 2020-02-27 |
| 1164925574 | Ashley Lowe | Nurse Practitioner | 3001 Saint Lynda Dr, Mansfield, TX 76063-4857 | 2018-03-12 |
| 1982024766 | Clinical Bridges Pllc | Nurse Practitioner | 3001 Saint Lynda Dr, Mansfield, TX 76063-4857 | 2014-04-21 |
| 1972847838 | Dashauna Jordan Franklin | Nurse Practitioner | 3001 Saint Lynda Dr, Mansfield, TX 76063-4857 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679055636 | Naphtali Sappy | Nurse Practitioner | 316 Dover Heights Trl, Mansfield, TX 76063-7584 | 2018-09-05 |
| 1114118767 | Laura Leigh Britt | Nurse Practitioner | 1025 S Trimble Rd, Mansfield, OH 44906-3427 | 2007-08-08 |
| 1083691851 | Christina E Stout | Nurse Practitioner | 600 West Third Street, Mansfield, OH 44906-2633 | 2005-12-22 |
| 1073974564 | Linda Macfarlane | Nurse Practitioner | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2016-03-11 |
| 1417313164 | James Ritchie | Nurse Practitioner | 661 S Trimble Rd, Mansfield, OH 44906-3437 | 2016-01-11 |
| 1982024766 | Clinical Bridges Pllc | Nurse Practitioner | 3001 Saint Lynda Dr, Mansfield, TX 76063-4857 | 2014-04-21 |
| 1972847838 | Dashauna Jordan Franklin | Nurse Practitioner | 3001 Saint Lynda Dr, Mansfield, TX 76063-4857 | 2012-11-15 |
| 1922342849 | Barbara Annette Wickham | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2012-11-15 |
| 1164793246 | Amy Renee Lewis | Nurse Practitioner | 2800 E Broad St, Suite 504, Mansfield, TX 76063-6409 | 2012-01-20 |
| 1033407523 | Shannon Arlene Trzcinski | Nurse Practitioner | 661 S Trimble Rd, Mansfield, OH 44906-3437 | 2011-07-18 |
| Find all providers in MANSFIELD | ||||
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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.