KIMBERLEY DAWN JODREY (NPI# 1619316056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619316056 |
| Entity Type | Individual |
| Full Name | KIMBERLEY DAWN JODREY |
| Credential | CNP |
| Practice Address |
17862 State Route 247 Seaman OH 45679 |
| Practice Telephone | 9376950748 |
| Practice Fax Number | 9376951260 |
| Mailing Telephone | 9376950748 |
| Mailing Fax Number | 9376951260 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2015-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.14613-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0086090 | 05 | |
| KY | 7100339380 | 05 |
| Street Address |
17862 STATE ROUTE 247 |
| City | SEAMAN |
| State | OH |
| Zip Code | 45679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619991452 | Tyler J Campbell | Family Medicine | 17862 State Route 247, Seaman, OH 45679-8002 | 2006-07-26 |
| 1437631462 | Sarah M Mason | Nurse Practitioner | 17862 State Route 247, Seaman, OH 45679-9646 | 2018-09-06 |
| 1841543840 | Adams County Hospital | Clinic/Center | 17862 State Route 247, Pob 387, Seaman, OH 45679-0387 | 2012-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760963326 | Fitzgerald Seaman Pharmacy | Pharmacy | 17860 St Rt 247, Seaman, OH 45679 | 2018-08-22 |
| 1033309463 | Hajjar Medical Group, Inc. | Clinic/Center | 17862 St Rt 247, Seaman, OH 45679 | 2007-08-01 |
| 1861695603 | Hajjar Medical Group, Inc. | Family Medicine | 17862 Sr 247, Seaman, OH 45679 | 2007-06-08 |
| 1548307887 | Seaman Life Squad | Ambulance | 17955 St Rte 247, Seaman, OH 45679 | 2007-01-30 |
| 1205929882 | Fitzgerald Seaman Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 17860-a St Rt 247, Seaman, OH 45679 | 2006-10-02 |
| 1912218959 | Allison S.b Shartzer | Dentist | 218 Stern Drive, Seaman, OH 45679 | 2010-06-24 |
| 1972143311 | T&c Transportation LLC | Non-emergency Medical Transport (VAN) | 65 W 4th St, Seaman, OH 45679-7513 | 2020-01-14 |
| 1346302452 | Hillside Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 299 Commerce Dr, Seaman, OH 45679-7516 | 2006-12-14 |
| 1063957645 | Monarch Meadows Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 299 Commerce Dr, Seaman, OH 45679-7516 | 2017-01-05 |
| 1780031286 | Monarch Meadows Nursing and Rehabilitation, LLC | Assisted Living Facility | 299 Commerce Dr, Seaman, OH 45679-7516 | 2016-05-16 |
| Find all providers in zip 45679 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447408430 | Robin Michelle Havens | Nurse Practitioner | 218 Stern Drive, Seaman, OH 45679-9607 | 2008-09-03 |
| 1427609759 | Lori Sue Wallace | Nurse Practitioner | 230 Medical Center Dr, Seaman, OH 45679-8002 | 2019-09-27 |
| 1437631462 | Sarah M Mason | Nurse Practitioner | 17862 State Route 247, Seaman, OH 45679-9646 | 2018-09-06 |
| 1588183255 | Toni Ann Martin | Nurse Practitioner | 230 Medical Center Dr, Seaman, OH 45679-8002 | 2017-09-14 |
| 1811426042 | Andrea M Reeder | Nurse Practitioner | 230 Medical Center Dr, Seaman, OH 45679-8002 | 2017-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184681 | Madison Baxter | Nurse Practitioner | 2730 Hyde Park Ave, Cincinnati, OH 45209-2004 | 2020-11-06 |
| 1932700937 | Caroline V Murrey | Nurse Practitioner | 109 Ratcliff Ln, Plain City, OH 43064-8662 | 2020-11-05 |
| 1134720154 | Anthonia Ndali Chukwudelunzu | Nurse Practitioner | 20 Rocky Top Ct, Maple Heights, OH 44137-4760 | 2020-11-05 |
| 1275134801 | Abram James Basinger | Nurse Practitioner | 3956 Sparkhill Dr, Enon, OH 45323-1436 | 2020-11-02 |
| 1780284091 | Tana Darniece Williams | Nurse Practitioner | 513 Harris Rd, Richmond Heights, OH 44143-2539 | 2020-10-27 |
| 1174123335 | Heidi Archer | Nurse Practitioner | 52003 Peck Wadsworth Rd, Wellington, OH 44090-9725 | 2020-10-27 |
| 1114526662 | Angelina Fiszlewicz | Nurse Practitioner | 69 Bayberry Ln, Monroe, OH 45050-2521 | 2020-10-25 |
| 1851990600 | Brandy Baker | Nurse Practitioner | 494 Yorkshire Dr, Newark, OH 43055-1522 | 2020-10-22 |
| 1538768445 | Ashley Nicole Morgan | Nurse Practitioner | 15099 State Route 170, East Liverpool, OH 43920-9598 | 2020-10-21 |
| 1881293082 | Sommer Saddler | Nurse Practitioner | 2120 Hampstead Rd, Cleveland Heights, OH 44118-2509 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIMBERLEY DAWN JODREY.
| 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.