KIMBERLY PAPPAS


Address: 100 N Church St, Unit C, Bloomfield, NM 87413-5754
Phone: 5053337429

KIMBERLY PAPPAS (NPI# 1609326123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 100 N CHURCH ST
UNIT C
City BLOOMFIELD
State NM
Zip Code 87413-5754

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City BLOOMFIELD
Zip Code 87413

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Dataset Information

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.

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