LINDA L KIMMONS (NPI# 1821329210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821329210 |
| Entity Type | Individual |
| Full Name | LINDA L KIMMONS |
| Credential | RN |
| Practice Address |
6233 Bankers Rd Suite 10 Racine WI 53403-9700 |
| Mailing Address |
2422 N Grandview Blvd Waukesha WI 53188-6105 |
| Practice Telephone | 2625496600 |
| Practice Fax Number | 2625496698 |
| Mailing Telephone | 2625496600 |
| Mailing Fax Number | 2625496698 |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
119946030 | WI | Nursing Service Providers |
| Street Address |
6233 BANKERS RD SUITE 10 |
| City | RACINE |
| State | WI |
| Zip Code | 53403-9700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588995971 | Tara C Nelson | Licensed Practical Nurse | 6233 Bankers Rd, Suite 10, Racine, WI 53403-9700 | 2010-01-25 |
| 1750612255 | Christopher Fancher | Counselor | 6233 Bankers Rd, Suite 10, Racine, WI 53403-9700 | 2010-01-22 |
| 1144551870 | Kala C Barker | Licensed Practical Nurse | 6233 Bankers Rd, Suite 10, Racine, WI 53403-9700 | 2010-01-20 |
| 1528393881 | Eva M Aiello-larrabee | Registered Nurse | 6233 Bankers Rd, Number 10, Racine, WI 53403-9700 | 2009-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676259 | Quality Care LLC | Clinic/Center | 2051 Mead St, Racine, WI 53403 | 2019-09-02 |
| 1073999355 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 6150 Taylor Avenue, Racine, WI 53403 | 2015-08-10 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1811278054 | Michelle Gloria Parisot | Psychologist | 1320 Wisconsin Ave., Racine, WI 53403 | 2011-09-01 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1043431570 | Rita S Harris | Physical Therapy Assistant | Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 | 2007-05-01 |
| 1336281336 | Linda J Hockensmith | Occupational Therapist | 4214 Sheridan Road, Racine, WI 53403 | 2007-02-13 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| 1689760332 | Lester Leslie Higgenbottom | Counselor | 1820 Arlington Ave, Racine, WI 53403 | 2006-10-04 |
| 1114942315 | Access Medical Center, LLC | Clinic/Center | 4216 Old Green Bay Rd, Racine, WI 53403 | 2006-07-12 |
| Find all providers in zip 53403 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437422359 | Bonnie M Cohen | Registered Nurse | 5735 Durand Ave, Suite, Racine, WI 53406-5011 | 2012-02-23 |
| 1528393881 | Eva M Aiello-larrabee | Registered Nurse | 6233 Bankers Rd, Number 10, Racine, WI 53403-9700 | 2009-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1801402755 | Marnie Meisner | Registered Nurse | 4004 Lake St, Burlington, WI 53105-9449 | 2020-09-16 |
| 1942772827 | Stacy Sprewell | Registered Nurse | 888 N Edge Trl, Verona, WI 53593-1947 | 2018-12-17 |
| 1093299455 | Mariela Ruiz | Registered Nurse | 151 E Badger Rd Unit A, Madison, WI 53713-2708 | 2018-09-21 |
| 1396222923 | Jessica Rouse-edmonds | Registered Nurse | 2240 Prairie Ave Ste 10, Beloit, WI 53511-2648 | 2018-07-26 |
| 1790271203 | Sarah M Veloskey | Registered Nurse | 4800 S 10th St # 310, Milwaukee, WI 53221-2412 | 2018-07-09 |
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1518342385 | Deanna Heller | Registered Nurse | 5808 Cedar Ct, Mc Farland, WI 53558-8909 | 2015-07-22 |
| 1871916890 | Mary Kathleen Ransom | Registered Nurse | 151 E Badger Rd Ste A, Madison, WI 53713-2708 | 2014-01-27 |
| Find all providers with the same taxonomy | ||||
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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.