KIMBERLY WAHL (NPI# 1700267994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700267994 |
| Entity Type | Individual |
| Full Name | KIMBERLY WAHL |
| Practice Address |
200 S Houston Lake Rd Warner Robins GA 31088-9006 |
| Practice Telephone | 4789536727 |
| Mailing Telephone | 4789551592 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN208988 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | CERTIFICATION NUMBER (AMERICAN ACADEMY NURSE PRACTITIONERS) | F0515490 | 01 |
| GA | GA STATE NURSE PRACTITIONER LICENSURE | RN208988 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790295921 | Kimberly Ann Wahl | Speech-Language Pathologist | 1301 Springdale Cir, Naperville, IL 60564-8729 | 2017-10-02 |
| 1194295063 | Kimberly Wahl | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2018-12-04 |
| 1366730921 | Kimberly Rae Wahl | Pharmacist | 5283 Old Brownsville Rd, Corpus Christi, TX 78405-3908 | 2011-07-18 |
| Street Address |
200 S HOUSTON LAKE RD |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-9006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164475075 | Pain Relief Specialists, Inc | Anesthesiology | 200 S Houston Lake Rd, Suite A, Warner Robins, GA 31088-9006 | 2006-05-19 |
| 1609228410 | Crystal D. Roberts | Nurse Practitioner | 200 S Houston Lake Rd, Warner Robins, GA 31088-9006 | 2016-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| 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 |
|---|---|---|---|---|
| 1134691512 | Tausha Marie Rhoades | Nurse Practitioner | 623 S Houston Lake Rd Ste 500, Warner Robins, GA 31088-9094 | 2018-12-22 |
| 1649766155 | Mathew Chad Davis | Nurse Practitioner | 1719 Russell Pkwy, Warner Robins, Warner Robins, GA 31088-3108 | 2018-07-09 |
| 1760903785 | Sara Whitney Reyes | Nurse Practitioner | 101 Mount Pilot Court, Warner Robins, GA 31088 | 2017-06-29 |
| 1053770669 | Tamika L Chester | Nurse Practitioner | 212 Hospital Dr Ste H, Warner Robins, GA 31088-4289 | 2016-02-11 |
| 1982239836 | Kristen Nicole Selph | Nurse Practitioner | 130 Hospital Dr, Warner Robins, GA 31088-4204 | 2020-03-10 |
| 1023576170 | Brandi Jean Newman | Nurse Practitioner | 1601 Watson Blvd, Warner Robins, GA 31093-3452 | 2019-03-07 |
| 1932665643 | Christopher Wells | Nurse Practitioner | 1601 Watson Blvd, Warner Robins, GA 31093-3431 | 2019-02-18 |
| 1396233268 | Aimee Halim Rieker | Nurse Practitioner | 2054 Watson Blvd, Warner Robins, GA 31093-3634 | 2018-04-26 |
| 1356854202 | Macey Diana Elks | Nurse Practitioner | 3051 Watson Blvd Ste 525, Warner Robins, GA 31093 | 2017-11-14 |
| 1598206294 | Tamika Martin | Nurse Practitioner | 2054 Watson Blvd, Warner Robins, GA 31093-3634 | 2017-03-14 |
| Find all providers in WARNER ROBINS | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
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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.