KIMBER MARIE SANDERSON (NPI# 1710519004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710519004 |
Entity Type | Individual |
Full Name | KIMBER MARIE SANDERSON |
Credential | REGISTERED NURSE |
Practice Address |
300 West 9th Street Weleetka OK 74880 |
Mailing Address |
Po Box 703 Weleetka OK 74880-0703 |
Practice Telephone | 4057862244 |
Mailing Telephone | 4055841071 |
Mailing Fax Number | 4057862589 |
Enumeration Date | 2020-02-05 |
Last Update Date | 2020-02-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WG0600X |
Registered Nurse Specialization: Gerontology |
R0111358 | OK | Nursing Service Providers |
Street Address |
300 WEST 9TH STREET |
City | WELEETKA |
State | OK |
Zip Code | 74880 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396367546 | Vester Joe Williams II | Emergency Medical Technician, Paramedic | 101 E 9th, Weleetka, OK 74880 | 2020-05-11 |
1720124472 | Janet Y Parker | Physician Assistant | 315 W. 9th, Weleetka, OK 74880 | 2007-01-29 |
1588767867 | Guy W Sheneman | Pharmacist | 311 West 9th Street, Weleetka, OK 74880 | 2006-09-05 |
1629005137 | Williamson Care Centers,inc. | Nursing Facility/Intermediate Care Facility | 300 W 9, Weleetka, OK 74880 | 2006-06-28 |
1790321339 | Robin Kay Woods | Nursing Care | 302 E. 6th Street, Weleetka, OK 74880 | 2019-11-19 |
1952966939 | Patrick W Parker | Physician Assistant | 315 W. 9th, Weleetka, OK 74880 | 2019-05-06 |
1518441096 | Adrianne Elizabeth Collett | Community Health Worker | 302 E 6th Street, Weleetka, OK 74880 | 2018-09-20 |
1740764422 | Amber Lynn Doerr | Community Health Worker | 302 E. 6th Street, Weleetka, OK 74880 | 2018-09-19 |
1477066918 | Julie Kay Shearon | Community Health Worker | 302 E. 6th Street, Weleetka, OK 74880 | 2017-11-07 |
1124574496 | Kristin Sheneman | Pharmacist | 309 W. 9th Street, Weleetka, OK 74880 | 2016-08-28 |
Find all providers in zip 74880 |
Taxonomy Code | 163WG0600X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831242890 | Barbara Searle Henthorn | Registered Nurse | 3504 Meadow Ln, Edmond, OK 73013-5423 | 2007-01-20 |
1386270312 | Kellie J Ward | Registered Nurse | 225 Sw 35th St, Oklahoma City, OK 73109-6807 | 2020-03-22 |
1437506680 | Imelda Garner | Registered Nurse | 4400 N Lincoln Blvd, Oklahoma City, OK 73105 | 2016-05-18 |
1538539374 | Sheila Diane Miller | Registered Nurse | 1015 S Commerce St, Ardmore, OK 73401-5018 | 2015-10-06 |
1104044296 | Chiquita Marie Denney | Registered Nurse | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2007-04-23 |
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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.