MR. JAIMIE C DIRKS (NPI# 1629575345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629575345 |
| Entity Type | Individual |
| Full Name | MR. JAIMIE C DIRKS |
| Credential | FNP-C |
| Practice Address |
505 S Burg St Kimball NE 69145-1313 |
| Practice Telephone | 3082351966 |
| Mailing Telephone | 3082351951 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2020-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
37741.1750 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
112453 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0993371-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
505 S BURG ST |
| City | KIMBALL |
| State | NE |
| Zip Code | 69145-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720067556 | Gayle L Perkins | Physician Assistant | 505 S Burg St, Kimball, NE 69145 | 2006-01-11 |
| 1528699113 | Poudre Valley Medical Group, LLC | Internal Medicine | 505 S Burg St, Kimball, NE 69145-1313 | 2020-02-01 |
| 1578038063 | Kirk Alan Evertson | Physical Therapist | 505 S Burg St, Kimball, NE 69145-1313 | 2018-10-10 |
| 1871889865 | Elizabeth Ann Kenyon | Dietitian, Registered | 505 S Burg St, Kimball, NE 69145-1313 | 2011-06-28 |
| 1588893317 | Holly Faye Dobrinski | Nurse Practitioner | 505 S Burg St, Kimball, NE 69145-1313 | 2009-07-14 |
| 1386846525 | Lisa M Smith-schohl | Physician Assistant | 505 S Burg St, Kimball, NE 69145 | 2007-06-01 |
| 1942380431 | Trevor Wright Bush | Family Medicine | 505 S Burg St, Kimball, NE 69145-1313 | 2006-10-17 |
| 1235237975 | James Floid Broomfield | Family Medicine | 505 S Burg St, Kimball, NE 69145-1313 | 2006-09-20 |
| 1184728537 | William Joseph Wyatt | Plastic Surgery | 505 S Burg St, Kimball, NE 69145-1313 | 2006-09-07 |
| 1669447223 | Kimball County Hospital | General Acute Care Hospital | 505 S Burg St, Kimball, NE 69145-1313 | 2006-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164843504 | Christine Ellen Douglas | Dietitian, Registered | 505 S. Burg Street, Kimball Health Services At, Kimball, NE 69145 | 2014-01-03 |
| 1720004674 | Bemis Drug LLC | Durable Medical Equipment & Medical Supplies | 129 S. Chestnut Street, Kimball, NE 69145 | 2006-07-14 |
| 1295169050 | Jordan A Autrey | Pharmacist | 129 S. Chestnut Street, Kimball, NE 69145 | 2013-08-29 |
| 1891246914 | Highpoint Family Medicine LLC | Family Medicine | 111 E 2nd St, Kimball, NE 69145-1208 | 2016-10-24 |
| 1639413941 | Highpoint Spine and Joint Center, P.C. | Chiropractor | 111 E 2nd St, Kimball, NE 69145-1208 | 2012-11-27 |
| 1669709879 | Ryan Michael Behrend | Chiropractor | 111 E 2nd St, Kimball, NE 69145-1208 | 2009-11-09 |
| 1417339821 | Panhandle Mental Health Center | Community/Behavioral Health | 414 W 2nd St, Kimball, NE 69145-1247 | 2015-06-22 |
| 1245440528 | Kimball Family Dentistry P.C. | Dentist | 416 W 2nd St, Kimball, NE 69145-1247 | 2007-05-23 |
| 1780932897 | Adrian Lee Fuss | Dentist | 416 W 2nd St, Kimball, NE 69145-1247 | 2012-08-21 |
| 1932238714 | Walker Pharmacy Inc | Pharmacy | 129 S Chestnut St, Kimball, NE 69145-1256 | 2007-03-05 |
| Find all providers in zip 69145 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417311291 | Renee Jankowski | Nurse Practitioner | 400 Deer Crk, Kimball, MI 48074-3615 | 2016-04-07 |
| 1962051482 | Gina Fusco Smith | Nurse Practitioner | 5312 Lapeer Rd, Kimball, MI 48074-1424 | 2019-09-06 |
| 1881133643 | Silke Hoosier | Nurse Practitioner | 24 Mountain View Dr, Suite A, Kimball, TN 37347-5477 | 2017-02-13 |
| 1619246873 | Deborah Wyatt Gaddis | Nurse Practitioner | 24 Mountain View Dr, Suite A, Kimball, TN 37347-5477 | 2011-12-16 |
| 1831417658 | Gary Newton Elledge | Nurse Practitioner | 1511 Main St, Kimball, TN 37347-5551 | 2010-05-05 |
| 1588893317 | Holly Faye Dobrinski | Nurse Practitioner | 505 S Burg St, Kimball, NE 69145-1313 | 2009-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508465048 | Lisa J Lehr | Nurse Practitioner | 6336 John J Pershing Dr Fl Lozier2, Omaha, NE 68110-1100 | 2020-10-24 |
| 1154929230 | Chelsea Lynae Jones | Nurse Practitioner | 75 Highway 77, Winnebago, NE 68071-5001 | 2020-10-12 |
| 1144837899 | Kristine Ellen Follett | Nurse Practitioner | 5900 Spruce St, Lincoln, NE 68516-1425 | 2020-09-27 |
| 1629683719 | Jessica Leigh Queen | Nurse Practitioner | 6818 N 102nd Avenue Cir, Omaha, NE 68122-3009 | 2020-09-15 |
| 1023623451 | Kayla Hallock | Nurse Practitioner | 3740 N 27th St Ste 1, Lincoln, NE 68521-4162 | 2020-09-11 |
| 1598379844 | Austin Keith Gydesen | Nurse Practitioner | 1022 Pacific St, Cambridge, NE 69022-3517 | 2020-09-03 |
| 1255944930 | Taylor Marjorie Feilmeier | Nurse Practitioner | 56338 881 Rd, Hartington, NE 68739-4021 | 2020-08-24 |
| 1639780414 | Nicolette R Lovitt | Nurse Practitioner | 14721 Stone Ave, Omaha, NE 68116-4323 | 2020-08-13 |
| 1376153197 | Matilda R Beaudette | Nurse Practitioner | 11108 Hilltop Ave, Omaha, NE 68164-2273 | 2020-08-06 |
| 1508476847 | Deann Marie Mcclellan | Nurse Practitioner | 22625 130th Rd, Riverdale, NE 68870-7105 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. JAIMIE C DIRKS.
| 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.