KIMBERLY PAPPAS (NPI# 1609326123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609326123 |
Entity Type | Individual |
Full Name | KIMBERLY PAPPAS |
Credential | CNP |
Practice Address |
100 N Church St Unit C Bloomfield NM 87413-5754 |
Mailing Address |
3013 W 2nd Ave Durango CO 81301-4209 |
Practice Telephone | 5053337429 |
Mailing Telephone | 9707492384 |
Enumeration Date | 2016-10-07 |
Last Update Date | 2016-10-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0992580-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
CNP03079 | NM | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
100 N CHURCH ST UNIT C |
City | BLOOMFIELD |
State | NM |
Zip Code | 87413-5754 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457802340 | Genesis Physician Associates LLC | Internal Medicine | 100 N Church St, Unit C, Bloomfield, NM 87413-5754 | 2016-10-17 |
1417982679 | Frank Wendell Arnold | Family Medicine | 100 N Church St, Suite C, Bloomfield, NM 87413-5754 | 2006-07-12 |
1215906003 | Tracy Reavis | Physician Assistant | 100 N Church St, Ste C, Bloomfield, NM 87413-5754 | 2006-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891396057 | Heather Smith | Behavior Technician | 25a Cr 5060, Bloomfield, NM 87413 | 2020-11-04 |
1104292325 | Michelle Childers-beck | Social Worker | 235 N Bergin Lane, Bloomfield, NM 87413 | 2015-08-12 |
1427364090 | Marichu Lazo | Occupational Therapy Assistant | 803 Hacienda Lane, Bloomfield, NM 87413 | 2010-08-20 |
1023344181 | Sundance Dental Care of Bloomfield, LLC. | Dentist | 100 South First Street, Bloomfield, NM 87413 | 2009-10-26 |
1972838266 | Chris Dwight Richardson | Physical Therapy Assistant | #6 Cty Rd 5149, Bloomfield, NM 87413 | 2009-10-05 |
1710025028 | Roy Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413 | 2007-02-01 |
1760427587 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | 6 Road 7586, Bloomfield, NM 87413 | 2006-06-17 |
1568500833 | Connie Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413-2430 | 2007-02-01 |
1841453636 | James Bellah | Family Medicine | 6 County Road 7586, Bloomfield, NM 87413-4934 | 2008-07-02 |
1598751778 | David Lynn Doss | Optometrist | 6 Road 7586, Bloomfield, NM 87413-4934 | 2005-09-23 |
Find all providers in zip 87413 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750814190 | Christine Hyuna Chung | Nurse Practitioner | 590 Bloomfield Ave, Suite 127, Bloomfield, NJ 07003-2510 | 2017-04-04 |
1386078558 | Yrlande Simon | Nurse Practitioner | 68 Willow St, Bloomfield, NJ 07003-3216 | 2013-08-24 |
1174571335 | June Mayer | Nurse Practitioner | 255 Broad St, Bloomfield, NJ 07003-2724 | 2006-05-04 |
1760948178 | Mallory Katelyn Benkert | Nurse Practitioner | 533 Cottage Grove Rd, Bloomfield, CT 06002-3155 | 2019-02-11 |
1457833006 | Melissa Eve Mckay | Nurse Practitioner | 382 W Passaic Ave, Bloomfield, NJ 07003-5552 | 2018-08-30 |
1902254725 | Natalie M Cooper | Nurse Practitioner | 421 Cottage Grove Rd, Bloomfield, CT 06002-3170 | 2016-06-02 |
1851766364 | Raena Kidangan | Nurse Practitioner | 34 Woodland Rd, 1st Floor, Bloomfield, NJ 07003-5212 | 2015-12-09 |
1962812602 | Sherlaine Baas | Nurse Practitioner | 194 Broad St, Bloomfield, NJ 07003-2606 | 2014-05-03 |
1164848297 | Savita Doobay | Nurse Practitioner | 194 Broad St, Bloomfield, NJ 07003-2606 | 2014-03-13 |
1760768477 | Gail Loihle Baglione | Nurse Practitioner | 30 State St, Bloomfield, NJ 07003-2529 | 2011-10-26 |
Find all providers in BLOOMFIELD |
City | BLOOMFIELD |
Zip Code | 87413 |
Please comment or provide details below to improve the information on KIMBERLY PAPPAS.
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.