KIMBRA THOMAS (NPI# 1790189884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790189884 |
| Entity Type | Individual |
| Full Name | KIMBRA THOMAS |
| Practice Address |
418 Cloverleaf Rd Elizabethtown PA 17022-9320 |
| Practice Telephone | 7176531467 |
| Practice Fax Number | 7176531001 |
| Mailing Telephone | 7176531467 |
| Mailing Fax Number | 7176531001 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2016-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP014190 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
418 CLOVERLEAF RD |
| City | ELIZABETHTOWN |
| State | PA |
| Zip Code | 17022-9320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982603791 | James P Navalkowsky | Family Medicine | 418 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2005-07-14 |
| 1548878010 | Alexander David Miller | Physician Assistant | 418 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2020-07-21 |
| 1710362504 | Samuel Jared Feinstein | Physician Assistant | 418 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2015-07-22 |
| 1578975298 | John Hoover | Family Medicine | 418 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2014-05-29 |
| 1821418443 | Caitlin Amanda Basile | Family Medicine | 418 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2014-04-22 |
| 1568886711 | Hannah M Wilson | Physician Assistant | 418 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2014-02-08 |
| 1144518028 | Meghann Wenger | Physician Assistant | 418 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2011-07-13 |
| 1992006696 | Robin Selig | Social Worker | 418 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2010-11-11 |
| 1982832846 | Alyne May Hall | Social Worker | 418 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2009-06-30 |
| 1447486014 | Jennifer Nguyen | Internal Medicine | 418 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2009-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669967162 | William Joseph Borowski | Dentist | 100 Continental Drive, Elizabethtown, PA 17022 | 2018-06-27 |
| 1477042422 | Sarah Marie Altman-kopko | Speech-Language Pathologist | 928 Hedgewyck Ln, Elizabethtown, PA 17022 | 2018-05-05 |
| 1013421676 | Michele Marie Heffner | Counselor | 222 S. Market Street, Suite 104, Elizabethtown, PA 17022 | 2017-11-18 |
| 1003325184 | Caroline Elizabeth Weisser | Physician Assistant | 432 Cloverleaf Road, Elizathebtown, PA 17022 | 2017-09-21 |
| 1710359146 | Carissa Ressler LLC | Massage Therapist | 8 East High Street, Elizabethtown, PA 17022 | 2015-10-26 |
| 1386013092 | Matthew Jacob Hoover | Physical Therapist | 19 Silver Drive, Elizabethtown, PA 17022 | 2015-09-23 |
| 1275913584 | White Family Dental - Masonic Village Pllc | Dentist | 83 North Freemason Dr, Elizabethtown, PA 17022 | 2015-06-02 |
| 1851781801 | Central Pa Therapy Connections, LLC | Speech-Language Pathologist | 36 Creekside Dr., Elizabethtown, PA 17022 | 2015-01-29 |
| 1053719120 | Corrine Mcgrail | Occupational Therapist | 138 Raven Place, Elizabethtown, PA 17022 | 2014-12-05 |
| 1639506843 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 600 Free Mason Drive, Elizabethtown, PA 17022 | 2013-10-02 |
| Find all providers in zip 17022 | ||||
| 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 |
|---|---|---|---|---|
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1285045682 | Tanisha Monique Williams | Nurse Practitioner | 790 North Dixie Avenue, Elizabethtown, KY 42701 | 2014-05-20 |
| 1699039248 | Latisha Faye Markins | Nurse Practitioner | 1690 Ring Rd Ste 230, Elizabethtown, KY 42701-4411 | 2012-06-28 |
| 1881974160 | Healthway Internal Medicine & Pediatrics Pllc | Nurse Practitioner | 1009 N Dixie Ave, Elizabethtown, KY 42701 | 2011-08-18 |
| 1548441165 | Michelle B Savage | Nurse Practitioner | 914 N Dixie Ave Ste 307, Elizabethtown, KY 42701-2537 | 2007-11-26 |
| 1326117151 | Heartland Orthopaedic Associates | Nurse Practitioner | 1113 Woodland Drive, Elizabethtown, KY 42701 | 2006-11-07 |
| 1205917531 | Christina Martin | Nurse Practitioner | 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701 | 2006-10-17 |
| 1285672451 | Patricia K Williams | Nurse Practitioner | 5900 N Dixie Hwy, Elizabethtown, KY 42701-8881 | 2006-06-02 |
| 1528062460 | Nephrology Associates of Central Kentucky LLC | Nurse Practitioner | 105 Financial Pl, Suit 105, Elizabethtown, KY 42701 | 2005-06-09 |
| 1891269031 | Jodie Michelle Thomas | Nurse Practitioner | 2413 Ring Rd Ste 100, Elizabethtown, KY 42701-5924 | 2019-01-21 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 17022 |
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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.