KIMBERLY UNDERWOOD (NPI# 1790140127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790140127 |
| Entity Type | Individual |
| Full Name | KIMBERLY UNDERWOOD |
| Practice Address |
105 Magnolia Gardens Walk Mcdonough GA 30253-6076 |
| Practice Telephone | 3359355633 |
| Mailing Telephone | 3359355633 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679763940 | Kimberly Underwood | Marriage & Family Therapist | 615 13th St Ste B, Modesto, CA 95354-2456 | 2007-08-01 |
| 1235507989 | Kimberly M Underwood | Physical Therapist | 7855 Argyle Forest Blvd, 504, Jacksonville, FL 32244-5596 | 2015-09-11 |
| 1033455571 | Kimberly Ann Underwood | Physical Therapy Assistant | 1550 Raydale Dr, Louisville, KY 40219-5031 | 2013-01-02 |
| 1891829560 | Kimberly Lynn Underwood | Physician Assistant | 1934 Niles Cortland Rd Ne Ste B, Warren, OH 44484-1055 | 2007-03-15 |
| Street Address |
105 MAGNOLIA GARDENS WALK |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-6076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1750908307 | Positive Social System | Counselor | 744 Winbrook Dr, Mcdonough, GA 30253-8037 | 2020-06-30 |
| 1447870423 | Samantha O Samuels | Counselor | 313 Waterford Lndg, Mcdonough, GA 30253-7709 | 2020-04-20 |
| 1487273041 | Bettina J Sellers | Counselor | 908b Pavilion Ct, Mcdonough, GA 30253-6665 | 2020-04-14 |
| 1144877713 | Cathy Gittens | Counselor | 1016 Arbor Way, Mcdonough, GA 30253-8716 | 2019-08-19 |
| 1194294058 | Lakitta Daniels | Counselor | 292 Hawken Trl, Mcdonough, GA 30253-1915 | 2018-11-20 |
| 1194294371 | Natasha Riley | Counselor | 332 Chandler Rdg, Mcdonough, GA 30253-8275 | 2018-11-17 |
| 1245721448 | Jennifer Bryant | Counselor | 226 Shellbark Dr, Mcdonough, GA 30252-1624 | 2018-05-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1043759665 | Hannah Antley | Counselor | 1561 Highway 42 N, Mcdonough, GA 30253-4721 | 2017-02-15 |
| Find all providers in MCDONOUGH | ||||
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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.