KIMBERLY L HERTLEIN (NPI# 1730296591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730296591 |
| Entity Type | Individual |
| Full Name | KIMBERLY L HERTLEIN |
| Credential | ANP |
| Practice Address |
303 S 5th St Paris AR 72855-4501 |
| Mailing Address |
Po Box 3528 Fort Smith AR 72913-3528 |
| Practice Telephone | 4799632132 |
| Practice Fax Number | 4799632046 |
| Mailing Telephone | 4792742000 |
| Mailing Fax Number | 4792742194 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2015-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A01805 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 157386758 | 05 | |
| RR MEDICARE | 080017768 | 01 |
| Street Address |
303 S 5TH ST |
| City | PARIS |
| State | AR |
| Zip Code | 72855-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184650616 | Douglas A Buckley | Family Medicine | 303 S 5th St, Paris, AR 72855-4501 | 2006-06-25 |
| 1649737719 | Netlla Anne Cureton | Nurse Practitioner | 303 S 5th St, Paris, AR 72855-4501 | 2019-02-25 |
| 1881106243 | Mercy Hospital Paris | Clinic/Center | 303 S 5th St, Paris, AR 72855-4501 | 2017-10-25 |
| 1891908166 | Cooper Clinic P A | Family Medicine | 303 S 5th St, Paris, AR 72855-4501 | 2007-05-07 |
| 1790706497 | Cooper Clinic, Pa | Family Medicine | 303 S 5th St, Paris, AR 72855-4501 | 2006-07-21 |
| 1144255571 | Wayne P Enns | Family Medicine | 303 S 5th St, Paris, AR 72855-4501 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149791 | Jonathan James Larsen | Pharmacist | 1501 East Walnut, Paris, AR 72855 | 2020-09-21 |
| 1659753515 | Andrea Edgmon | Social Worker | 2007 East Walnut Street, Paris, AR 72855 | 2015-06-26 |
| 1942531280 | Anita Spradling | Case Manager/Care Coordinator | 2007 E Walnut, Paris, AR 72855 | 2010-01-27 |
| 1417107632 | Thomas M. Spivey, D.d.s., P.a. | Dentist | 20 East Short Mountain Street, Paris, AR 72855 | 2008-09-24 |
| 1285710103 | Nick W Dollar Dds Inc | Dentist | 15 West Main, Paris, AR 72855 | 2006-10-31 |
| 1831116334 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1501 East Walnut Street, Paris, AR 72855 | 2006-07-17 |
| 1619939832 | Kathleen H Chung | Optometrist | 25 E. Walnut, Paris, AR 72855 | 2006-04-04 |
| 1881677870 | Air Evac Ems Inc | Ambulance | 32 Airport Industrial Rd, Paris, AR 72855 | 2005-11-22 |
| 1003385360 | Cege Neissl | Case Manager/Care Coordinator | 2007 E Walnut, Paris, AR 72855 | 2018-11-16 |
| 1679078489 | Peggy Rosson | Nurse Practitioner | 500 E Academy St, Paris, AR 72855 | 2018-03-26 |
| Find all providers in zip 72855 | ||||
| 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 |
|---|---|---|---|---|
| 1447722335 | Suzanne B Mcfadden | Nurse Practitioner | 300 Tyson Ave, Paris, TN 38242-4576 | 2018-12-18 |
| 1679992085 | Kristian Michelle Hill Elliott | Nurse Practitioner | 300 Hospital Cir Ste 103, Paris, TN 38242-4597 | 2014-04-14 |
| 1851303960 | Jennifer Myers | Nurse Practitioner | 24 Clinic Dr Ste A, Paris, KY 40361-2166 | 2006-08-13 |
| 1386614766 | Paris Family Physicians,pa | Nurse Practitioner | 1128 Clarksville St, Ste. 100, Paris, TX 75460-6060 | 2006-01-26 |
| 1093349987 | Kelly Rene' Merritt | Nurse Practitioner | 3435 Ne Loop 286, Paris, TX 75460-5002 | 2020-02-28 |
| 1578124913 | Tabitha Wood | Nurse Practitioner | 727 E Court St, Paris, IL 61944-2460 | 2019-06-26 |
| 1962066688 | Tanganyika Lynn Dudley | Nurse Practitioner | 635 Stone Ave, Paris, TX 75460-9342 | 2019-04-29 |
| 1548749245 | Kelly Don Whaley | Nurse Practitioner | 5220 Se Loop 286, Paris, TX 75460 | 2018-08-13 |
| 1588164784 | Charlene Beth Moore | Nurse Practitioner | 1 Phipps Lane, Paris, IL 61944 | 2018-02-15 |
| 1477063006 | Diakhomba Diaby | Nurse Practitioner | 1800 Farm Road 195, Paris, TX 75462-2806 | 2017-10-10 |
| Find all providers in PARIS | ||||
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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.