MISS KIMBERLY LAVONNE TILLMAN (NPI# 1831612407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831612407 |
| Entity Type | Individual |
| Full Name | MISS KIMBERLY LAVONNE TILLMAN |
| Practice Address |
982 Mission St San Francisco CA 94103-2911 |
| Practice Telephone | 4156243689 |
| Mailing Telephone | 4156243689 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6601-R | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073872602 | Kimberly Tillman | Speech-Language Pathologist | 443 Stonehouse Dr, Napa, CA 94558-3701 | 2012-05-16 |
| 1679989172 | Kimberly Tillman | Licensed Practical Nurse | 11410 Ashbury Ave, Cleveland, OH 44106 | 2014-07-03 |
| Street Address |
982 MISSION ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94103-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356361885 | Ari U. Etheridge | Psychiatry & Neurology | 982 Mission St, San Francisco, CA 94103-2911 | 2006-07-20 |
| 1487266185 | Andrew William Jacob Hockman | Student in an Organized Health Care Education/Training Program | 982 Mission St, San Francisco, CA 94103-2911 | 2020-08-24 |
| 1700497625 | Celeste Balaban | Counselor | 982 Mission St, San Francisco, CA 94103-2911 | 2020-08-13 |
| 1477170827 | Janisha Wade | Counselor | 982 Mission St, San Francisco, CA 94103-2911 | 2020-07-01 |
| 1437774494 | Linda M Martinez | Counselor | 982 Mission St, San Francisco, CA 94103-2911 | 2020-06-15 |
| 1376166322 | Citywide Ucsf | Clinic/Center | 982 Mission St, San Francisco, CA 94103-2911 | 2020-05-26 |
| 1003454406 | Louie Resnick | Specialist | 982 Mission St, San Francisco, CA 94103-2911 | 2019-12-16 |
| 1063050664 | Dania Herrera | Counselor | 982 Mission St, San Francisco, CA 94103-2911 | 2019-12-13 |
| 1568004919 | Karina Isabel Lopez | Counselor | 982 Mission St, San Francisco, CA 94103-2911 | 2019-10-16 |
| 1760023196 | Kyra Sabella Simpson | Counselor | 982 Mission St, San Francisco, CA 94103-2911 | 2019-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669015665 | Cheng Chi Chang | Student in an Organized Health Care Education/Training Program | 987 Mission Street, San Francisco, CA 94103 | 2019-10-22 |
| 1366925604 | Sharon Farrell | Specialist | Citywide Forensics, 982 Mission Street, San Francisco, CA 94103 | 2018-09-12 |
| 1548748759 | Muvr Labs, Inc | Clinic/Center | 724 Bannan Street, San Francisco, CA 94103 | 2018-07-31 |
| 1245727585 | Marco Alejandro Regalado Chacon | Counselor | 1035 Market St Ste 100, San Francisco, CA 94103 | 2018-04-20 |
| 1679091854 | Maia Elizabeth Anello | Counselor | 42 Mclea Ct., San Francisco, CA 94103 | 2017-09-07 |
| 1710405584 | Wendy Siuping Leung | Specialist | 1380 Howard Street, Second Floor, 201b, San Francisco, CA 94103 | 2017-08-31 |
| 1740707397 | Leslie My Ngoc Lam | Specialist | 1380 Howard Street., 3rd Floor, San Francisco, CA 94103 | 2017-08-24 |
| 1598281990 | Raymundo Macias | Counselor | 1563 Mission Street, San Francisco, CA 94103 | 2017-08-17 |
| 1720502461 | Kathie Isabel Cordova | Specialist | 1380 Howard Streeet, San Francisco, CA 94103 | 2017-08-02 |
| 1154850428 | Elizabeth Osterwald | Counselor | 150 9th Street, San Francisco, CA 94103 | 2017-06-08 |
| Find all providers in zip 94103 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869266 | Yama Totakhail | Counselor | 915 Bryant St # 94103, San Francisco, CA 94103-4514 | 2020-10-23 |
| 1619581956 | Jamie Marion Brown | Counselor | 1233 Noriega St Apt 4, San Francisco, CA 94122-4455 | 2020-09-03 |
| 1154931970 | Dagmawit Aberham Negash I | Counselor | 1735 Mission St. San Francisco, Ca, San Francisco, CA 94103-2417 | 2020-08-06 |
| 1710503420 | Seville Christian | Counselor | 75 Dore St Apt 107, San Francisco, CA 94103-3892 | 2020-06-18 |
| 1326673773 | Jeffrey Douglas Washington | Counselor | 1040 Sutter St Apt 56, San Francisco, CA 94109-5833 | 2020-03-05 |
| 1801429253 | Domenique Marie Stern | Counselor | 1049 Market St Apt 603, San Francisco, CA 94103-1635 | 2020-02-13 |
| 1487123436 | Judith St Louis-schmidt | Counselor | 735 Taylor St # 208, San Francisco, CA 94108-3807 | 2018-11-20 |
| 1114405495 | Angela Christina Thomas | Counselor | 1633 Newcomb Ave, San Francisco, CA 94124-2318 | 2018-07-30 |
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1265923353 | Benjamin Adam Schaeffer | Counselor | 440 Potrero Ave Fl 2, San Francisco, CA 94110-1430 | 2018-05-23 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94103 |
Please comment or provide details below to improve the information on MISS KIMBERLY LAVONNE TILLMAN.
| 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.