KIM M. TUMMINELLO (NPI# 1649548892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649548892 |
| Entity Type | Individual |
| Full Name | KIM M. TUMMINELLO |
| Credential | APRN |
| Practice Address |
4253 Denny Avenue Pascagoula MS 39581 |
| Practice Telephone | 2289380109 |
| Practice Fax Number | 2289380555 |
| Mailing Telephone | 2289380109 |
| Mailing Fax Number | 2289380555 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2016-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AP06674 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R858093 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP06674 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03072365 | 05 |
| Street Address |
4253 DENNY AVENUE |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| 1437253515 | John Thomas Pessoney | Preventive Medicine | 5912 Old Mobile Highway, Suite 1, Pascagoula, MS 39581 | 2006-09-11 |
| Find all providers in zip 39581 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326040940 | Donna Jean Bevier | Nurse Practitioner | 2210 Denny Ave, Pascagoula Urgent Care, Pascagoula, MS 39567-3416 | 2005-08-12 |
| 1639171234 | Wanda Jane Dedeaux | Nurse Practitioner | 1820 Old Mobile Ave, Pascagoula, MS 39567-4412 | 2005-08-12 |
| 1811502628 | Hillary Paige Weaver | Nurse Practitioner | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2020-09-09 |
| 1508404831 | Darrah Amanda Norsworthy | Nurse Practitioner | 4211 Hospital St, Pascagoula, MS 39581-5320 | 2019-12-17 |
| 1427605161 | Charisse Lashaune Johnson | Nurse Practitioner | 4105 Hospital St, Pascagoula, MS 39581-5312 | 2019-08-19 |
| 1295382828 | Lashaunda Whitley | Nurse Practitioner | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2019-08-19 |
| 1124586086 | Anganatte Nicole Williams | Nurse Practitioner | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2019-03-08 |
| 1952870974 | Chutney Walley | Nurse Practitioner | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2018-11-20 |
| 1265918445 | Shekina T Dillon | Nurse Practitioner | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2018-07-11 |
| 1366989253 | Anna Kahlmus | Nurse Practitioner | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2017-01-30 |
| Find all providers in PASCAGOULA | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
Please comment or provide details below to improve the information on KIM M. TUMMINELLO.
| 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.