KIMBERLEY BEASLEY SORRELL (NPI# 1780183228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780183228 |
| Entity Type | Individual |
| Full Name | KIMBERLEY BEASLEY SORRELL |
| Credential | NP-C |
| Practice Address |
15 S Gateway Dr Ste 101 Fredericksburg VA 22406-1231 |
| Mailing Address |
10141 Fairview Rd Partlow VA 22534-9615 |
| Practice Telephone | 5403685607 |
| Mailing Telephone | 8044483453 |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024175859 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326382813 | Kimberley Ann Sorrell | Nurse Practitioner | 128 Ray Brook Road, Ray Brook, NY 12977-0300 | 2012-11-21 |
| Street Address |
15 S GATEWAY DR STE 101 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22406-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386090561 | Mukul Mallick | Physician Assistant | 15 S Gateway Dr Ste 101, Fredericksburg, VA 22406-1231 | 2016-05-06 |
| 1497263362 | Rene Gennette Sanders | Nurse Practitioner | 15 S Gateway Dr Ste 101, Fredericksburg, VA 22406-1231 | 2018-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964599 | Mary Washington Healthcare Clinical Services Inc | Clinic/Center | 10 Stafford Lakes Pkwy, Suite 100, Fredericksburg, VA 22406 | 2020-02-14 |
| 1003446402 | Mwhc Urgent Care LLC | Clinic/Center | 10 Stafford Lakes Parkway, Stafford, VA 22406 | 2020-01-24 |
| 1033629142 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 127 Litchfield Blvd, Fredericksburg, VA 22406 | 2017-10-03 |
| 1689110090 | Billiejo Yeater | Occupational Therapy Assistant | 60 Brimley Drive, Fredericksburg, VA 22406 | 2017-01-09 |
| 1285010090 | Dana Hitt | Behavioral Analyst | 492 Cropp Rd., Fredericksburg, VA 22406 | 2015-08-04 |
| 1669774147 | Jason Todd Derting | Physical Therapy Assistant | 140 Brimley Road, Fredericksburg, VA 22406 | 2010-12-03 |
| 1891019733 | Stafford Healthcare Group, Inc. | Skilled Nursing Facility | 140 Brimley Drive, Fredericksburg, VA 22406 | 2010-03-22 |
| 1689900623 | Joseph Glenn Hoe | Radiologic Technologist | 754 Warrenton Road, Suite 113, Fredericksburg, VA 22406 | 2009-10-27 |
| 1801080932 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 53 Stanstead Rd, Fredericksburg, VA 22406 | 2007-08-31 |
| 1285763193 | Leslie Elaine White | Pharmacist | 1095 International Parkway, Rite Aid Pharmacy, Fredericksburg, VA 22406 | 2007-03-05 |
| Find all providers in zip 22406 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614049 | Christina Jolene Macfarlane | Nurse Practitioner | 6313 Forest Grove Dr, Fredericksburg, VA 22407-6343 | 2020-09-23 |
| 1912548876 | Carina Leite | Nurse Practitioner | 2306 Plank Rd Ste 100, Fredericksburg, VA 22401-4902 | 2019-10-02 |
| 1821643081 | Emily Torres | Nurse Practitioner | 621 Jefferson Davis Hwy Ste 201, Fredericksburg, VA 22401-4567 | 2019-08-05 |
| 1316468465 | Samantha Martin | Nurse Practitioner | 1975 Jefferson Davis Hwy, Fredericksburg, VA 22401-5298 | 2017-06-29 |
| 1568904399 | Michele Lyn Lattimer | Nurse Practitioner | 2601 Fall Hill Avenue, Fredericksburg, VA 22401 | 2016-11-10 |
| 1457757460 | Karen Julia Gardella | Nurse Practitioner | 3038 Patriot Ln, Fredericksburg, VA 22408-1728 | 2014-11-18 |
| 1144629734 | Amy Taylor | Nurse Practitioner | 1020 Hwy 16, Fredericksburg, TX 78624 | 2014-08-19 |
| 1801200357 | Brooke Renae Sparks | Nurse Practitioner | 10718 Ballantraye Dr., Fredericksburg, VA 22407 | 2014-06-12 |
| 1487096731 | Carol Elizabeth Drever | Nurse Practitioner | 1301 Sam Perry Boulevard (moss Free Clinic), Suite 100, Fredericksburg, VA 22401 | 2013-07-26 |
| 1649529025 | Carlene Gordon | Nurse Practitioner | 125 Olde Greenwich Drive, Suite 220, Fredericksburg, VA 22408-4010 | 2012-08-31 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22406 |
Please comment or provide details below to improve the information on KIMBERLEY BEASLEY SORRELL.
| 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.