DR. KERIOMI N TIMPSON-BEY (NPI# 1821304411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821304411 |
| Entity Type | Individual |
| Full Name | DR. KERIOMI N TIMPSON-BEY |
| Credential | PH.D., MSW, OM |
| Practice Address |
15414 Spotted Stallion Trl Jacksonville FL 32234-2398 |
| Practice Telephone | 9049003677 |
| Mailing Telephone | 9049003677 |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2013-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | 12323 | MD | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
15414 SPOTTED STALLION TRL |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32234-2398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026748 | Sandra Nicole Frye | Massage Therapist | 5894 Long Branch Rd, Jacksonville, FL 32234 | 2020-09-01 |
| 1467923946 | Shopjveon LLC | In Home Supportive Care | 15402 Hidden Foal Drive, Jacksonville, FL 32234 | 2018-12-10 |
| 1699107342 | Bradley Kent Cammack | Dentist | Moved 534 Keily Street, Bureau of Medicine &, Surgery Centralized Credential & Privileging, Jacksonville, FL 32234 | 2013-08-05 |
| 1033276878 | Adoracion Poblete Sotomayor | Family Medicine | 365 West Oliver Street, Baldwin, FL 32234-0608 | 2007-01-02 |
| 1033660121 | Tatiana Burrough | Specialist/Technologist | 291 Mill St W, Jacksonville, FL 32234-1307 | 2016-10-24 |
| 1851835565 | Mark Seymore | Licensed Practical Nurse | 860 Us Highway 90 E, Baldwin, FL 32234-1727 | 2016-12-14 |
| 1437761830 | Johanna I Gates | Homemaker | 15379 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2020-08-18 |
| 1851851554 | Veronica H Bartley | Nurse Practitioner | 15319 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2019-03-20 |
| 1942813233 | Authentic Healthcare, LLC | Homemaker | 15379 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2020-08-26 |
| 1801438486 | Twyla D Carley | Nurse Practitioner | 15181 Bareback Dr, Jacksonville, FL 32234-2431 | 2019-10-15 |
| Find all providers in zip 32234 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366089641 | Prophetic Healing Deliverance Ministry of Mysteries, Inc | Counselor | 8550-2 Lone Star Road, Jacksonville, FL 32211 | 2019-12-05 |
| 1073078754 | Sean Alexander | Counselor | 8433 Southside Blvd Apt 911, Jacksonville, FL 32256-8473 | 2019-02-06 |
| 1598232258 | Heart Touch Change Lives (htcl) Ministry, Inc. | Counselor | 5455 Verna Blvd Unit 61446, Jacksonville, FL 32205-4762 | 2018-10-30 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1114467834 | Louis R. Lothman | Counselor | 3734 San Viscaya Dr., Jacksonville, FL 32217 | 2017-02-28 |
| 1457788069 | Bridge Builders Mediation and Family Services | Counselor | 1460 Cassat Ave Ste B, Jacksonville, FL 32205-7202 | 2013-09-27 |
| 1013244433 | Michele A Fleming | Counselor | 2843 Sweetholly Dr, Jacksonville, FL 32223-0798 | 2009-11-05 |
| 1346336690 | James B. Williams Jr. | Counselor | 2700 Fire Fighter Memorial Dr, Jacksonville, FL 32246-9539 | 2006-10-05 |
| 1669939286 | Anthony Fisher | Counselor | 193 Bradford Lake Cir, Jacksonville, FL 32218-0103 | 2019-03-01 |
| 1487740759 | Crisis & Christian Counseling, Inc | Counselor | 2700 Fire Fighter Memorial Dr, Jacksonville, FL 32246-9539 | 2006-10-05 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32234 |
Please comment or provide details below to improve the information on DR. KERIOMI N TIMPSON-BEY.
| 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.