TIMOTHY KIMUYU (NPI# 1790203016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790203016 |
| Entity Type | Individual |
| Full Name | TIMOTHY KIMUYU |
| Credential | APRN |
| Practice Address |
1024 E Broad St Ste 207 Mansfield TX 76063-7702 |
| Mailing Address |
1345 River Bend Dr Dallas TX 75247-6943 |
| Practice Telephone | 6825183333 |
| Practice Fax Number | 6825183323 |
| Mailing Telephone | 2147431272 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2019-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP134997 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1024 E BROAD ST STE 207 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-7702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982707311 | John Edward Bauer | Dentist | 1024 E Broad St, Mansfield, TX 76063 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483468 | Knd Behavioural Health Clinic | Nurse Practitioner | 103 Herrington Dr, Mansfield, TX 76063-7615 | 2020-10-06 |
| 1447878863 | Florence Ndali Nwokoye | Nurse Practitioner | 1000 Foxtail Dr, Mansfield, TX 76063-2322 | 2020-07-13 |
| 1235753690 | Benard Choi | Nurse Practitioner | 403 Bellflower Ct, Mansfield, TX 76063-6803 | 2020-06-02 |
| 1568085074 | Olivier Bertrand Djoumessi | Nurse Practitioner | 4402 Longbourn Dr, Mansfield, TX 76063-2252 | 2020-05-19 |
| 1205467537 | Samuel Olatundun Iranloye | Nurse Practitioner | 204 Captains Ct, Mansfield, TX 76063-6838 | 2020-01-27 |
| 1841836624 | Folashade Abebi Sobande-amon | Nurse Practitioner | 1205 Manchester Dr, Mansfield, TX 76063-7581 | 2019-11-27 |
| 1356984728 | Abimbola Ololade Adeboye | Nurse Practitioner | 4505 Ann Ct, Mansfield, TX 76063-8671 | 2019-10-18 |
| 1295394450 | Olanrewaju Peter Olayemi | Nurse Practitioner | 706 Minecreek Ct, Mansfield, TX 76063-2274 | 2019-06-11 |
| 1891266128 | Wellness Point Psychiatry Consultants, Pllc | Nurse Practitioner | 1024 E Broad St Ste 207, Mansfield, TX 76063-7702 | 2018-12-16 |
| 1770085714 | Michelle Renee Moritz | Nurse Practitioner | 1600 Galaxy Dr, Mansfield, OH 44903-8525 | 2018-03-06 |
| Find all providers in MANSFIELD | ||||
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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.