KIMBERELY ANNE CONTRERAZ (NPI# 1669770855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669770855 |
| Entity Type | Individual |
| Full Name | KIMBERELY ANNE CONTRERAZ |
| Credential | FNP |
| Practice Address |
2015 Jackson St Anderson IN 46016-4337 |
| Mailing Address |
8840 Commerce Park Pl Ste E Indianapolis IN 46268-3129 |
| Practice Telephone | 7656468179 |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2016-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71003566A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000705866 | 01 |
| IN | 201014480 | 05 |
| Street Address |
2015 JACKSON ST |
| City | ANDERSON |
| State | IN |
| Zip Code | 46016-4337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578850 | St. Vincent Anderson Regional Hospital, Inc. | Emergency Medicine | 2015 Jackson St, Anderson, IN 46016-4337 | 2005-06-15 |
| 1790329621 | Nikita Patel | Nurse Anesthetist, Certified Registered | 2015 Jackson St, Anderson, IN 46016-4337 | 2019-11-04 |
| 1164063962 | Tiffany N Godfrey | Nurse Practitioner | 2015 Jackson St, Anderson, IN 46016-4337 | 2019-10-02 |
| 1780246819 | Joel Brian Denis | Nurse Anesthetist, Certified Registered | 2015 Jackson St, Anderson, IN 46016-4337 | 2019-06-28 |
| 1609433606 | Carrie Anne Rainey | Dietitian, Registered | 2015 Jackson St, Anderson, IN 46016-4337 | 2019-05-24 |
| 1982260733 | Asuman Yavuzoglu-luchs | Dietitian, Registered | 2015 Jackson St, Anderson, IN 46016-4337 | 2019-05-17 |
| 1821653304 | Alexandria Farrar | Dietitian, Registered | 2015 Jackson St, Anderson, IN 46016-4337 | 2019-05-09 |
| 1275028128 | Alex Clayton Irwin | Nurse Practitioner | 2015 Jackson St, Anderson, IN 46016-4337 | 2018-06-23 |
| 1144717927 | Jennifer Erin Scarberry | Nurse Practitioner | 2015 Jackson St, Anderson, IN 46016-4337 | 2018-04-17 |
| 1477069508 | Brittney Leigh Schiller | Nurse Anesthetist, Certified Registered | 2015 Jackson St, Anderson, IN 46016-4337 | 2017-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639737356 | Alicia Borer | Optometrist | Macha Family Eye Care, 1537 S. Scatterfield Rd. Suite B, Anderson, IN 46016 | 2019-05-29 |
| 1740681469 | Melissa Dotson | Counselor | 2003 W 12th St, Anderson, IN 46016 | 2014-09-12 |
| 1811164239 | Vicky Lea Lawson | Technician/Technologist | 1503 Rev Jt Menifee Street, Anderson, IN 46016 | 2008-05-14 |
| 1023130812 | Robert L Loudermilk | Dentist | 226 West Historic Eighth Street, Anderson, IN 46016 | 2007-04-04 |
| 1215089297 | Chiropractic Works of Indiana Inc. | Chiropractor | 1541 S Scatterfield Rd, Suite A, Anderson, IN 46016 | 2007-01-18 |
| 1790851509 | Robert W Anderson | Internal Medicine | 2101 Jackson Street, Suite 111, Anderson, IN 46016 | 2006-11-27 |
| 1770668030 | Madison County Community Health Centers Inc | Family Medicine | 1547 Ohio Avenue, Anderson, IN 46016 | 2006-10-26 |
| 1437178035 | Teri L Schulz | Pediatrics | 2020 Meridian St Ste 320, Anderson, IN 46016 | 2006-07-18 |
| 1750331195 | Steven C. Kim | Urology | 141 W. 22nd St., Suite 203, Anderson, IN 46016 | 2006-05-10 |
| 1215905773 | Hazim Rimawi | Internal Medicine | 2020 Meridian St Ste 110, Anderson, IN 46016 | 2006-03-10 |
| Find all providers in zip 46016 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462773 | Ashley Nicole Jones | Nurse Practitioner | 5226 Fletcher St, Anderson, IN 46013-4819 | 2020-09-21 |
| 1689285538 | Austin Darbyshire | Nurse Practitioner | 215 Fox Trl, Anderson, SC 29621-4417 | 2020-08-13 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1558871681 | His Solutions Specialty Care Corp. | Nurse Practitioner | 33 W 10th St #621, Anderson, IN 46016-1493 | 2017-10-03 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1316318454 | Donna Gibson Marcengill | Nurse Practitioner | 2000 E Greenville St Ste 2000, Anderson, SC 29621-1720 | 2015-10-15 |
| 1750763405 | Holly D. Rogers | Nurse Practitioner | 800 N Fant St., Anderson, SC 29621 | 2015-06-18 |
| 1093019952 | Susan Lee Sanders | Nurse Practitioner | 2017 Norwood Dr, Anderson, IN 46012-1832 | 2011-01-06 |
| 1184931081 | Tracey Glen Schofield Jr. | Nurse Practitioner | 2000 E Greenville St Ste 2800, Anderson, SC 29621-1722 | 2010-09-13 |
| 1073755658 | Jenile J Abell | Nurse Practitioner | 1210 Medical Arts Blvd Ste 206, Anderson, IN 46011-3437 | 2009-03-30 |
| Find all providers in ANDERSON | ||||
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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.