KIM MARIA WHITE (NPI# 1710505292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710505292 |
| Entity Type | Individual |
| Full Name | KIM MARIA WHITE |
| Other Name | KIM MARIA BRADDY |
| Credential | RN |
| Practice Address |
529 Forest Ave Jackson MS 39206-3303 |
| Practice Telephone | 5593318603 |
| Mailing Telephone | 5593318603 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
884964 | MS | Nursing Service Providers |
| N | 163WA2000X |
Registered Nurse Specialization: Administrator |
884964 | MS | Nursing Service Providers |
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
884964 | MS | Nursing Service Providers |
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
884964 | MS | Nursing Service Providers |
| N | 163WC1600X |
Registered Nurse Specialization: Continuing Education/Staff Development |
884964 | MS | Nursing Service Providers |
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
MS | MS | Nursing Service Providers |
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
884964 | MS | Nursing Service Providers |
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
884964 | MS | Nursing Service Providers |
| N | 163WH1000X |
Registered Nurse Specialization: Hospice |
884964 | MS | Nursing Service Providers |
| N | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
884964 | MS | Nursing Service Providers |
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
884964 | MS | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
884964 | MS | Nursing Service Providers |
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
884964 | MS | Nursing Service Providers |
| N | 163WS0200X |
Registered Nurse Specialization: School |
884964 | MS | Nursing Service Providers |
| N | 163WX0200X |
Registered Nurse Specialization: Oncology |
884964 | MS | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053612127 | Kim Arnita White | Registered Nurse | 2179 Strang Ave, Bronx, NY 10466-2347 | 2010-11-05 |
| 1427470368 | Kim Wenona White | Clinical Nurse Specialist | 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201-1129 | 2014-01-13 |
| 1902193121 | Kim White | Pharmacist | 4300 W 7th St, Little Rock, AR 72205-5446 | 2011-07-08 |
| 1457549388 | Kim Ann White | Nurse's Aide | 4600 Broadway Ste 1300, Sacramento, CA 95820-1527 | 2007-10-04 |
| 1538219266 | Kim Ford White | Physical Therapist | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2007-01-12 |
| 1669402301 | Kim White | Nurse Practitioner | 2001 Anderson Ferry Rd, Cincinnati, OH 45238-3325 | 2006-07-04 |
| 1891738340 | Kim White | Nurse Anesthetist, Certified Registered | 311 N Clyde Morris Blvd, Daytona Beach, FL 32114-2781 | 2006-06-13 |
| Street Address |
529 FOREST AVE |
| City | JACKSON |
| State | MS |
| Zip Code | 39206-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023661824 | Latoya Lanette Trunell | Occupational Therapy Assistant | 787 East Northside Drive, Jackson, MS 39206 | 2019-07-20 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| 1679065916 | Savannah Lee Zachry | Physical Therapist | 5140 Galaxie Dr Ste 108, Jackson, MS 39206 | 2018-06-02 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1841719903 | Yolanda Yvette Bell | Nurse Practitioner | 6064 Whitestone Rd, Jackson, MS 39206 | 2017-09-10 |
| 1760907117 | Anthony Brown Jr. | Physical Therapist | 5411 I-55 North, Jackson, MS 39206 | 2017-08-07 |
| 1114457132 | Ambric N Williams | Occupational Therapy Assistant | 6017 Whitestone Rd, Jackson, MS 39206 | 2017-06-13 |
| 1952835613 | Peak Chiropractic Care, LLC | Chiropractor | 4915 I-55 North, Suite 201b, Jackson, MS 39206 | 2017-04-19 |
| 1447798293 | Peterkin and Associates of Mississippi Inc | Community/Behavioral Health | 5155 Galaxie Drive, Suite F, Jackson, MS 39206 | 2017-02-01 |
| 1952844219 | Jennifer Penick | Counselor | 460 Briarwood Drive, Suite 510, Jackson, MS 39206 | 2016-11-18 |
| Find all providers in zip 39206 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144780560 | Christine Houlton | Registered Nurse | 555 E Broadway Ave Ste 220, Jackson, WY 83001-8640 | 2019-03-21 |
| 1558876391 | Dondria Palmer | Registered Nurse | 109 Old Canton Hill Dr, Jackson, MS 39211-3337 | 2017-12-01 |
| 1710102579 | Joan Muriel Hardy | Registered Nurse | 295 Summar Dr, Jackson, TN 38301-3905 | 2007-04-16 |
| 1891863189 | Lisa S Twyman | Registered Nurse | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406531 | Jennifer Key Jernighan | Registered Nurse | 139 Belle Meade Dr, Saltillo, MS 38866-9396 | 2020-11-01 |
| 1225518749 | Nurse To Go, LLC. | Registered Nurse | 540 Parker Dr, Byram, MS 39272-4501 | 2018-08-14 |
| 1376952101 | Eva Johnson | Registered Nurse | 22 Millbranch Rd, Hattiesburg, MS 39402-1670 | 2014-08-06 |
| 1730362872 | Caryl Jean Moulder | Registered Nurse | 5503 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2007-12-12 |
Please comment or provide details below to improve the information on KIM MARIA WHITE.
| 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.