MRS. KIM DAVIS (NPI# 1649235318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649235318 |
Entity Type | Individual |
Full Name | MRS. KIM DAVIS |
Other Name | MRS. KIM KRUEGER |
Credential | RNC NNP |
Practice Address |
13031 N 65th Dr Glendale AZ 85304-1009 |
Practice Telephone | 6234864025 |
Mailing Telephone | 6234864025 |
Enumeration Date | 2006-04-18 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
RN058632 | AZ | Nursing Service Providers |
X | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
123 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740537596 | Kim C Davis | Speech-Language Pathologist | 2300 W Alameda St Apt A5, Santa Fe, NM 87507-9655 | 2012-08-11 |
1366697203 | Kim Suzanne Davis | Psychologist | 3724 Jefferson St Ste 207, Austin, TX 78731-6221 | 2008-11-19 |
1386760387 | Kim Davis | Counselor | 16055 Ventura Blvd Ste 1033, Encino, CA 91436 | 2007-03-21 |
1487670329 | Kim T Davis | Midwife | 8540 S Sepulveda Blvd Ste 1002, Los Angeles, CA 90045-3808 | 2006-07-14 |
1588624381 | Kim Genelle Davis | Nurse Practitioner | 118 W. 4th, Lebo, KS 66856 | 2006-03-24 |
1699226399 | Kim F Davis | Nurse Practitioner | 1080 River Oaks Dr, Suite B103, Flowood, MS 39232-9779 | 2016-10-18 |
1346654779 | Kim Marie Davis | Counselor | 60 South Last Chance Gulch, Helena, MT 59624-1153 | 2014-06-13 |
1306995634 | Kim W Davis | Social Worker | 110 Roach St, Georgetown, KY 40324-9393 | 2007-01-09 |
1124042908 | Kim Stokes Davis | Registered Nurse | 1544 Sheldon St, Saint Paul, MN 55108-2331 | 2006-07-26 |
1447297734 | Kim M Davis | Social Worker | 925 N 4th St, Wilmington, NC 28401-3450 | 2006-06-02 |
Street Address |
13031 N 65TH DR |
City | GLENDALE |
State | AZ |
Zip Code | 85304-1009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
Find all providers in zip 85304 |
Taxonomy Code | 163WN0002X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Neonatal Intensive Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154791408 | Leeann Mansker | Registered Nurse | 6581 N Bethmaur Ln, Glendale, WI 53209-3363 | 2015-09-29 |
1134746597 | Samantha Borbely | Registered Nurse | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2020-07-01 |
1720552490 | Jane Fox | Registered Nurse | 18701 N 67th Ave, Glendale, AZ 85308-7100 | 2019-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104067958 | Linda Susan Reimers | Registered Nurse | 6200 N Lacholla Blvd, Tucson, AZ 85741 | 2009-03-07 |
1154472264 | Wendy Olivia Teneza | Registered Nurse | 2800 N 44th St, Phoenix, AZ 85008-1500 | 2007-01-15 |
1942818398 | Regan Rowson | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-07-21 |
1700403185 | Janae Marie Herrera | Registered Nurse | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-07-01 |
1710546239 | Abigail Stutz | Registered Nurse | 645 E Missouri Ave, Phoenix, AZ 85012-1369 | 2019-06-08 |
1013354489 | Nicholas Niemyer | Registered Nurse | 37000 N Gantzel Rd, Queen Creek, AZ 85140 | 2013-05-26 |
1669702775 | Carol Hope Berning | Registered Nurse | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2010-01-12 |
1003067836 | Sara Julander | Registered Nurse | 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 | 2008-10-10 |
1013175298 | Maria Jaeger Thillet | Registered Nurse | 10250 N 92nd St Ste 118, Scottsdale, AZ 85258-4518 | 2008-05-24 |
1508035551 | Cheryl A Wieweck | Registered Nurse | 300 West Clarendon Ave, Suite 375, Phoenix, AZ 85013-3498 | 2008-02-25 |
Find all providers with the same taxonomy |
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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.