KIMBERLY ANNE SMITH (NPI# 1689143778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689143778 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANNE SMITH |
| Credential | NP |
| Practice Address |
249 E Highland Ave San Bernardino CA 92404-3700 |
| Practice Telephone | 9098811683 |
| Practice Fax Number | 9098814215 |
| Mailing Telephone | 9098811683 |
| Mailing Fax Number | 9098814215 |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP95009893 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NURSE PRACTITIONERE | NP95009893 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496443 | Kimberly A Smith | Counselor | 2764 Teakwood Ln, Plano, TX 75075-9100 | 2020-10-30 |
| 1437703212 | Kimberly L Smith | Massage Therapist | 2707 Silesia Ln Apt C, Bellingham, WA 98226-3664 | 2019-07-30 |
| 1831651298 | Kimberly A Smith | Hearing Instrument Specialist | 954 E Main St, Chillicothe, OH 45601-2844 | 2019-04-04 |
| 1467916437 | Kimberly Alicia Smith | Family Medicine | 4000 Mitchellville Rd Ste A308, Bowie, MD 20716-3135 | 2019-01-24 |
| 1891296901 | Kimberly Diane Smith | Acupuncturist | 11110 Ohio Ave Ste 105, Los Angeles, CA 90025-6345 | 2018-02-23 |
| 1184140881 | Kimberly Denise Smith | Peer Specialist | 720 14th Ave Fl 2, Longview, WA 98632-2315 | 2017-08-15 |
| 1285164897 | Kimberly Smith | Contractor | 2607 Lakebriar St, San Antonio, TX 78222 | 2017-06-15 |
| 1912458092 | Kimberly Grace Smith | Speech-Language Pathologist | 220 Lincoln Pl, Apt 2f, Brooklyn, NY 11217-3761 | 2016-10-24 |
| 1922553171 | Kimberly Smith | Licensed Practical Nurse | 4432 Drexel St, Detroit, MI 48215-3346 | 2016-08-17 |
| 1144673476 | Kimberly B. Smith | Speech-Language Pathologist | 39341 Jason St, Prairieville, LA 70769-4614 | 2016-07-21 |
| Street Address |
249 E HIGHLAND AVE |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871553347 | Woman To Woman Ob Gyn Medical Grp | Obstetrics & Gynecology | 249 E Highland Ave, Patricia, San Bernardino, CA 92404-3707 | 2006-03-27 |
| 1750638037 | Beatrice Lynette Bailey | Licensed Practical Nurse | 249 E Highland Ave, San Bernardino, CA 92404-3707 | 2012-08-06 |
| 1134456379 | Carla Denise Bush | Nurse Practitioner | 249 E Highland Ave, San Bernardino, CA 92404-3707 | 2009-11-09 |
| 1689827404 | Annette Iola Hollingsworth-moore | Obstetrics & Gynecology | 249 E Highland Ave, San Bernardino, CA 92404-3707 | 2008-10-23 |
| 1083865158 | Elizabeth Felix-trunnelle | Obstetrics & Gynecology | 249 E Highland Ave, San Bernardino, CA 92404-3707 | 2008-10-07 |
| 1356541676 | Rita G. Sanders | Midwife | 249 E Highland Ave, San Bernardino, CA 92404-3707 | 2007-07-24 |
| 1538245071 | Betty S Daniels | Specialist | 249 E Highland Ave, San Bernardino, CA 92404-3707 | 2006-10-27 |
| 1417047960 | Irene Donley Kimble | Specialist | 249 E Highland Ave, San Bernardino, CA 92404-3707 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952946618 | Donna Mirote Siazon | Nurse Practitioner | 1800 Western Ave Ste 303, San Bernardino, CA 92411-1354 | 2019-11-16 |
| 1568850576 | Joel Ombao Inc. | Nurse Practitioner | 1121 Amberwood Ct, San Bernardino, CA 92407-4126 | 2014-12-26 |
| 1417210774 | Merlinda Macalintal Bathan | Nurse Practitioner | 2509 Shady Glen Ln, San Bernardino, CA 92408-4154 | 2012-06-21 |
| 1700948924 | Yvonne Carlo Medock | Nurse Practitioner | 190 E. Highland Ave, San Bernardino, CA 92404-3658 | 2006-12-14 |
| 1871543397 | Reina Anne Briganti | Nurse Practitioner | 4130 Hallmark Pkwy, Suite C, San Bernardino, CA 92407-1877 | 2006-05-12 |
| 1588218663 | Charlisa Brothers | Nurse Practitioner | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2019-07-28 |
| 1508323361 | Brenda Marie Felter | Nurse Practitioner | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2019-02-27 |
| 1740769157 | Julie Emma Swerdlow Wailes | Nurse Practitioner | 1906 Commercenter E Ste 100, San Bernardino, CA 92408-3423 | 2018-08-08 |
| 1760975825 | Ambika Ranabhat | Nurse Practitioner | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2018-06-12 |
| 1770074791 | Nomagugu Mafu | Nurse Practitioner | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2018-05-24 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
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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.