KIMBERLY CRIM (NPI# 1689958035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689958035 |
| Entity Type | Individual |
| Full Name | KIMBERLY CRIM |
| Credential | CRNP |
| Practice Address |
1132 Annapolis Rd Odenton MD 21113 |
| Mailing Address |
229 S Bouldin St Baltimore MD 21224 |
| Practice Telephone | 4108741400 |
| Mailing Telephone | 7165231936 |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R173926 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1132 ANNAPOLIS RD |
| City | ODENTON |
| State | MD |
| Zip Code | 21113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073591665 | Wanda Rivera | Internal Medicine | 1132 Annapolis Rd, Odenton, MD 21113 | 2006-01-04 |
| 1811497860 | Justin Marcus Luckadue | Pharmacist | 1132 Annapolis Rd, Odenton, MD 21113-1647 | 2018-02-16 |
| 1053835991 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1132 Annapolis Rd, Odenton, MD 21113-1602 | 2017-08-02 |
| 1588040554 | Michael Baly | Clinical Neuropsychologist | 1132 Annapolis Rd, Suite 200, Odenton, MD 21113-1647 | 2015-07-31 |
| 1588069041 | Sarah Foote | Nurse Practitioner | 1132 Annapolis Rd, Odenton, MD 21113 | 2014-10-27 |
| 1699176149 | Erin Christine Gonzalez | Nurse Practitioner | 1132 Annapolis Rd, Suite 201, Odenton, MD 21113-1647 | 2014-09-15 |
| 1760881494 | Physiotherapy Associates | Clinic/Center | 1132 Annapolis Rd, Suite 101, Odenton, MD 21113-1647 | 2014-08-19 |
| 1346678992 | Ashley Marie Zinalabedini | Nurse Practitioner | 1132 Annapolis Rd, Odenton, MD 21113-1647 | 2013-10-17 |
| 1548531767 | Naomi Rebecca Rios | Pediatrics | 1132 Annapolis Rd, Suite 201, Odenton, MD 21113-1647 | 2012-01-19 |
| 1740589100 | Susan Drum | Pharmacist | 1132 Annapolis Rd, Odenton, MD 21113-1647 | 2011-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938599 | Dmv Community Health Services LLC | Clinic/Center | 87778 Pine Orchard Parkway, Odenton, MD 21113 | 2018-07-11 |
| 1285125997 | Edward Lashawn Harvey | Specialist | 207 Ammunition Ave, Odenton, MD 21113 | 2018-05-29 |
| 1275041394 | Aimee Kathleen Olivera Sanchez | Social Worker | 2150 Colonel Way, Odenton, MD 21113 | 2018-01-11 |
| 1891214714 | Bincy Kuttiplackal Mathai | Dentist | 1135 Annapolis Road, Odenton, MD 21113 | 2017-09-12 |
| 1730601949 | Amanda Mary Jackiewicz | Physician Assistant | Greater Maryland Pain Management, 1130 Annapolis Rd Suite 100, Odenton, MD 21113 | 2017-07-10 |
| 1346771235 | Pattrena Reid | Respiratory Therapist, Registered | 115 Bragg Blvd, Odenton, MD 21113 | 2017-03-23 |
| 1225572233 | Pamela Denise Ponder | Internal Medicine | 2603 Portola Court, Odenton, MD 21113 | 2016-12-09 |
| 1285052803 | Diana Nicole Spell | Internal Medicine | Johns Hopkins Community Physicians - Odenton, 1106 Annapolis Road, Odenton, MD 21113 | 2014-04-01 |
| 1730431321 | Orthopedic Physicians of Annapolis LLC | Prosthetic/Orthotic Supplier | 1106 Annapolis Road, Suite 130, Odenton, MD 21113 | 2012-10-08 |
| 1275869463 | Olubukola Fakunle | Pharmacist | 2294 Blue Water Blvd, Weis Pharmacy, Odenton, MD 21113 | 2009-10-23 |
| Find all providers in zip 21113 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588069041 | Sarah Foote | Nurse Practitioner | 1132 Annapolis Rd, Odenton, MD 21113 | 2014-10-27 |
| 1699176149 | Erin Christine Gonzalez | Nurse Practitioner | 1132 Annapolis Rd, Suite 201, Odenton, MD 21113-1647 | 2014-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405574 | Kylie White | Nurse Practitioner | 29595 Millstream Dr, Salisbury, MD 21804-2006 | 2020-10-23 |
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1003420282 | Mary Claire Perry | Nurse Practitioner | 737 W Lombard St Ste 314, Baltimore, MD 21201-1009 | 2020-09-03 |
| 1063022853 | Lauren Ranieri | Nurse Practitioner | 5301 Westbard Cir Ste 3, Bethesda, MD 20816-1463 | 2020-08-06 |
| 1841847209 | Brittany Nichole Frankel | Nurse Practitioner | 5870 Old Washington Rd, Sykesville, MD 21784-8622 | 2019-08-21 |
| 1912553595 | Kelsey Lynn Peifer | Nurse Practitioner | 6131 Baldridge Ter, Frederick, MD 21701-5858 | 2019-08-10 |
| 1841845351 | Advanced Practice Wellness, LLC | Nurse Practitioner | Washingtonian Blvd Ste 550, Gaithersburg, MD 20878 | 2019-08-02 |
| 1851946305 | Monica Patel | Nurse Practitioner | 3450 Old Washington Rd Ste 100, Waldorf, MD 20602-3249 | 2019-08-01 |
| 1922651082 | Deborah A Weber | Nurse Practitioner | 480 Lake Dr, Lusby, MD 20657-3260 | 2019-07-18 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
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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.