KIMBERLY BAILEY NOONAN (NPI# 1720035397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720035397 |
| Entity Type | Individual |
| Full Name | KIMBERLY BAILEY NOONAN |
| Credential | FNP |
| Practice Address |
10620 Park Rd Suite 128 Charlotte NC 28210-8472 |
| Practice Telephone | 7045426111 |
| Practice Fax Number | 7045421239 |
| Mailing Telephone | 7045426111 |
| Mailing Fax Number | 7045421239 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201414 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326147372 | Kimberly A. Noonan | Nurse Practitioner | 44 Binney St, Boston, MA 02115-6013 | 2006-09-22 |
| Street Address |
10620 PARK RD SUITE 128 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-8472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869835 | Larry F. Berman | Internal Medicine | 10620 Park Rd, Ste 128, Charlotte, NC 28210-8472 | 2005-05-31 |
| 1154872315 | Rdmg Associates Pa | Physician Assistant | 10620 Park Rd, Ste 128, Charlotte, NC 28210-8472 | 2016-10-21 |
| 1831649854 | Marianne Katerina Gross | Physical Therapist | 10620 Park Rd, #200, Charlotte, NC 28210-8472 | 2016-10-13 |
| 1902264435 | Raleigh Durham Medical Group, Pa | Physician Assistant | 10620 Park Rd, Suite 128, Charlotte, NC 28210-8472 | 2016-01-28 |
| 1336538511 | Amy Elizabeth Lukacs | Speech-Language Pathologist | 10620 Park Rd, #200, Charlotte, NC 28210-8472 | 2015-01-12 |
| 1740688506 | Katherine Dillinger | Physical Therapist | 10620 Park Rd, Charlotte, NC 28210-8472 | 2014-12-10 |
| 1962809160 | Amanda Penegar | Physician Assistant | 10620 Park Rd, Suite 102, Charlotte, NC 28210-8472 | 2014-12-03 |
| 1922347806 | Carolinas Physicians Network Inc | Family Medicine | 10620 Park Rd, Building 400, Charlotte, NC 28210-8472 | 2013-02-12 |
| 1154654549 | Lynda S Greene | Physical Therapist | 10620 Park Rd, Charlotte, NC 28210-8472 | 2009-09-16 |
| 1407095631 | Athena Markella Kortesis | Nurse Practitioner | 10620 Park Rd, Suite 128, Charlotte, NC 28210-0106 | 2009-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
| 1992312433 | Jean L. Caroline Clippard | Nurse Practitioner | 7149 Wessynton Dr, Charlotte, NC 28226-7548 | 2020-09-29 |
| 1790393676 | Alana Weldon | Nurse Practitioner | 10042 Park Cedar Dr, Charlotte, NC 28210-8916 | 2020-07-16 |
| 1114541455 | Kendra Jackson | Nurse Practitioner | 2809 Coltsgate Rd Ste 100, Charlotte, NC 28211-5583 | 2020-06-02 |
| 1740809599 | Nina Cherry Arnold | Nurse Practitioner | 8914 Cotton Press Rd, Charlotte, NC 28277-6676 | 2020-04-13 |
| 1619509197 | Clinica San Antonio Pllc | Nurse Practitioner | 416 Mccullough Dr Ste 110, Charlotte, NC 28262-4387 | 2020-02-12 |
| 1720626773 | Grace Barrosa Genetiano | Nurse Practitioner | 2503 Roswell Ave Unit 507, Charlotte, NC 28209-1685 | 2019-12-19 |
| 1376181081 | Crystal Delgado Calayag Frantilla | Nurse Practitioner | 4206 Craig Ave, Charlotte, NC 28211-3110 | 2019-12-12 |
| 1962059428 | Jerome Virgil Whitlow II | Nurse Practitioner | 6523 Dillard Ridge Dr, Charlotte, NC 28216-8845 | 2019-08-20 |
| 1053978213 | Katie Lynn Sass | Nurse Practitioner | 7004 Smith Corners Blvd Ste A, Charlotte, NC 28269-3827 | 2019-05-23 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on KIMBERLY BAILEY NOONAN.
| 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.