SHARILYN SUE KIMBALL (NPI# 1801174164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801174164 |
Entity Type | Individual |
Full Name | SHARILYN SUE KIMBALL |
Credential | NP |
Practice Address |
680 E Main St Premier Family Medical Lehi UT 84043-2241 |
Mailing Address |
226 N 1100 E Suite A American Fork UT 84003-2054 |
Practice Telephone | 8017681699 |
Practice Fax Number | 8018553854 |
Mailing Telephone | 8018553843 |
Mailing Fax Number | 8018553854 |
Enumeration Date | 2011-08-03 |
Last Update Date | 2017-04-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
281140-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
680 E MAIN ST PREMIER FAMILY MEDICAL |
City | LEHI |
State | UT |
Zip Code | 84043-2241 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073017927 | Amy Hawkins | Registered Nurse | 680 E Main St, Lehi, UT 84043 | 2018-03-23 |
1811442890 | Leslie Jane Huggins | Nurse Practitioner | 680 E Main St, Lehi, UT 84043-2241 | 2016-08-19 |
1861823635 | Jason Charl Evans | Physician Assistant | 680 E Main St, Suite 201, Lehi, UT 84043-2241 | 2013-12-04 |
1457789752 | Michael D Marion Md PC | Clinic/Center | 680 E Main St, Suite 202, Lehi, UT 84043-2241 | 2013-10-23 |
1073959714 | Wasatch Sports, Spine & Pain Treatment Center Pllc | Pain Medicine | 680 E Main St, 202, Lehi, UT 84043-2241 | 2013-05-21 |
1568806545 | Premier Family Medical | Family Medicine | 680 E Main St, Lehi, UT 84043 | 2013-04-22 |
1922368927 | Utah Valley Dermatology PC | Dermatology | 680 E Main St, Suite 201, Lehi, UT 84043-2241 | 2012-05-23 |
1588814479 | The Clinic, PC | Family Medicine | 680 E Main St, Lehi, UT 84043-2241 | 2008-09-26 |
1376707323 | Shawn Patrick Mcmanus | Family Medicine | 680 E Main St, Lehi, UT 84043-2241 | 2008-07-17 |
1942402433 | Michael Dean Marion | Plastic Surgery | 680 E Main St, Suite 202, Lehi, UT 84043-2241 | 2007-06-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285264358 | Sojo Dental Lehi | Dentist | 3397 N. 1200 E., Ste #102, Lehi, UT 84043 | 2020-01-17 |
1932754165 | Mckenzie Ward | Speech-Language Pathologist | 2750 N Digital Dr Lehi, Lehi, UT 84043 | 2019-08-05 |
1780248336 | Kimberly Ann Henne | Nurse Practitioner | 3750 Digital Drive, Lehi, UT 84043 | 2019-04-30 |
1962961086 | Corporate Concierge | Optometrist | 4415 N Deer Ridge Trail, Lehi, UT 84043 | 2019-03-18 |
1518435692 | Brindie Allan Bishop | Midwife | 1202 W. 800 S., Lehi, UT 84043 | 2018-11-07 |
1841766821 | Dry Creek Pediatric Dentistry | Dentist | 3300 N Running Creek Way F101, Lehi, UT 84043 | 2018-10-17 |
1437634219 | Banyan Consulting | Assisted Living Facility | 301 N 1200 E, Lehi, UT 84043 | 2018-09-27 |
1174005508 | Cameron Ronald John | Psychologist | 3375 W. Mayflower Way, Suite A, Lehi, UT 84043 | 2018-09-01 |
1114415130 | Covington Senior Living of Lehi | Assisted Living Facility | 301 N. 1200 E., Lehi, UT 84043 | 2018-04-25 |
1669978060 | Mark Alleman | Physical Therapy Assistant | 2750 N Digital Dr., Lehi, UT 84043 | 2018-04-04 |
Find all providers in zip 84043 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780248336 | Kimberly Ann Henne | Nurse Practitioner | 3750 Digital Drive, Lehi, UT 84043 | 2019-04-30 |
1790275816 | Tamila Hansen | Nurse Practitioner | 2019 W 450 N, Lehi, UT 84043-4831 | 2018-05-14 |
1467962290 | Elizabeth Harding | Nurse Practitioner | 2183 W Main St Ste A107, Lehi, UT 84043-6761 | 2017-10-06 |
1265981906 | Sheila Vaniece Russon | Nurse Practitioner | 2233 N 600 W, Lehi, UT 84043-2854 | 2016-09-22 |
1891163010 | Nathan Sorenson | Nurse Practitioner | 2418 N Carter Dr, Lehi, UT 84043-4334 | 2015-09-03 |
1306252366 | Melanie Morgan | Nurse Practitioner | 3000 N Triumph Blvd Ste 320, Lehi, UT 84043-4999 | 2014-07-10 |
1891136479 | Tara Haight | Nurse Practitioner | 3502 W Great Plains Way, Lehi, UT 84043-6672 | 2013-07-11 |
1861630832 | Sarah Ruth Leeper | Nurse Practitioner | 127 E Main St Ste E, Lehi, UT 84043-2289 | 2009-01-29 |
1912094624 | Janica W Johnson | Nurse Practitioner | 1550 E 3400 N, Hoffman Construction, Lehi, UT 84043-9692 | 2006-10-06 |
1982661039 | Laura Croft Maw | Nurse Practitioner | 2874 W Parkside Dr, Lehi, UT 84043-4753 | 2006-05-01 |
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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.