MRS. KIMBERLY ANN TATE (NPI# 1639651771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639651771 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY ANN TATE |
| Credential | CRNA |
| Practice Address |
1 Medical Center Blvd Winston Salem NC 27157-0001 |
| Mailing Address |
6706 W Friendly Ave Unit 1l Greensboro NC 27410-4049 |
| Practice Telephone | 3367166719 |
| Mailing Telephone | 3365085766 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 124098 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1154418903 | Kimberly Shaffer Tate | Psychologist | 35 Iron Gate Park Dr., Centerville, OH 45459-0000 | 2006-10-05 |
| 1811215734 | Kimberly A Tate | Nurse Practitioner | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2010-05-17 |
| 1750408423 | Kimberly Freeman Tate | Pharmacist | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2007-03-26 |
| Street Address |
1 MEDICAL CENTER BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27157-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495387 | Gillian Grace Winter | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-10-26 |
| 1679188122 | Nicholas Alexander Perri | Nurse Anesthetist, Certified Registered | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-09-11 |
| 1760096069 | Taylor Victoria Ellen Mcghee | Pharmacist | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-09-03 |
| 1083223655 | Ruth Barber | Registered Nurse | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-07-29 |
| 1619594777 | Elizabeth Grace St. Amand | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-07-06 |
| 1932725116 | Maxwell Joseph Brenner | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-06-23 |
| 1184249393 | Adaku Anike | Nurse Practitioner | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-06-12 |
| 1659996445 | Christie Alexa Smesko | Physician Assistant | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-06-08 |
| 1093337081 | Geoffrey Alexander Reid Jones | Physician Assistant | 1 Medical Center Blvd, Winston Salem, NC 27157-6769 | 2020-05-12 |
| 1306468608 | Emmaline Katherine Stilp | Physician Assistant | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
| 1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
| Find all providers in zip 27157 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359905 | Andrea Nicole Magri | Nurse Anesthetist, Certified Registered | 1924 W Academy St, Winston Salem, NC 27103-3779 | 2019-07-29 |
| 1659820025 | Emma Kelsey Ketner Brown | Nurse Anesthetist, Certified Registered | Medical Cetner Blvd, Winston Salem, NC 27157-0001 | 2016-09-27 |
| 1104250968 | Holly Warren Davis | Nurse Anesthetist, Certified Registered | Medial Center Blvd, Winston Salem, NC 27157-0001 | 2013-08-29 |
| 1275882987 | Marie Jackson Dunn | Nurse Anesthetist, Certified Registered | 2120 Queen St, Winston Salem, NC 27103-2505 | 2012-09-10 |
| 1225311525 | Kathryn Weldon Phares | Nurse Anesthetist, Certified Registered | Brenner Childrens Hospital, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2011-09-22 |
| 1225324890 | Robert Adam Leonard | Nurse Anesthetist, Certified Registered | 1401 Thornhill Ln, Winston Salem, NC 27106-4770 | 2011-06-22 |
| 1285821827 | Cary Tierney Hodshon | Nurse Anesthetist, Certified Registered | 2448 Maplewood Ave, Winston Salem, NC 27103-3535 | 2007-09-27 |
| 1497730543 | William Christian Walton | Nurse Anesthetist, Certified Registered | Wfubmc, Medical Center Boulevard/ambulatory Anesthesia, Winston Salem, NC 27157-0001 | 2005-12-13 |
| 1700860830 | Jeffrey Sorelle Palmer | Nurse Anesthetist, Certified Registered | Medical Center Blvd., Winston Salem, NC 27157-0001 | 2005-12-02 |
| 1841274719 | Pamela Kaye Emerson | Nurse Anesthetist, Certified Registered | Wake Forest University Baptist Medical Ctr, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-12-02 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27157 |
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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.