KIMBERLY D HAFEMAN (NPI# 1841527215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841527215 |
| Entity Type | Individual |
| Full Name | KIMBERLY D HAFEMAN |
| Credential | PA-C |
| Practice Address |
3011 Avenue B Scottsbluff NE 69361-4372 |
| Practice Telephone | 3086322215 |
| Mailing Telephone | 3086322215 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1475 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | STATE LICENSE | 1475 | 01 |
| NE | 10025664300 | 05 |
| Street Address |
3011 AVENUE B |
| City | SCOTTSBLUFF |
| State | NE |
| Zip Code | 69361-4372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972597466 | Joseph D Blankenship | Physician Assistant | 3011 Avenue B, Scottsbluff, NE 69361-4372 | 2005-09-09 |
| 1679045108 | Deanna L Schrotberger | Registered Nurse | 3011 Avenue B, Scottsbluff, NE 69361-4320 | 2018-12-21 |
| 1639567944 | Joshua Garza | Physician Assistant | 3011 Avenue B, Scottsbluff, NE 69361-4372 | 2015-01-08 |
| 1053616300 | Ronald Strachan | Registered Nurse | 3011 Avenue B, Scottsbluff, NE 69361-4372 | 2011-01-18 |
| 1386950517 | Linda Marie Bull | Nurse Practitioner | 3011 Avenue B, Scottsbluff, NE 69361-4372 | 2010-08-25 |
| 1902908569 | Richard Dan Clark | Family Medicine | 3011 Avenue B, Scottsbluff, NE 69361-4372 | 2006-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592803 | Sara Lynn Luehrs | Counselor | Westmoor Elementary, Scottsbluff Public Schools, 1722 Avenue K, Scottsbluff, NE 69361 | 2020-09-15 |
| 1467924076 | Kelly Jean Betts | Nurse Practitioner | 1601 W. 27th St., Wncc Harms Building, Scottsbluff, NE 69361 | 2018-12-20 |
| 1952824716 | Ellen Otto | Nurse Practitioner | 3210 Ave B, Suite B Quick Care, Scottsbluff, NE 69361 | 2017-07-24 |
| 1518379593 | Suzanne Poynter | Counselor | 14 West 27th, Suite 26, Scottsbluff, NE 69361 | 2014-05-27 |
| 1770834970 | Gabrielle K Mickelson | Dental Hygienist | 204 W 36th St, Scottsbluff, NE 69361 | 2012-09-27 |
| 1225393390 | Brittany R Eirich | Internal Medicine | 3911 Ave B Ste #1100, Scottsbluff, NE 69361 | 2012-07-05 |
| 1548560584 | Western Plains Psychology P.C. | Psychologist | 3911 Ave B, Suite 3400, South Plaza, Scottsbluff, NE 69361 | 2010-10-25 |
| 1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
| 1598972994 | Panhandle Mental Health Center | Case Management | 410 South Beltline, Suite 3, Scottsbluff, NE 69361 | 2007-05-16 |
| 1821201294 | Kay C. Gamet | Social Worker | 4410 Ave D, Scottsbluff, NE 69361 | 2007-05-08 |
| Find all providers in zip 69361 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114096831 | Vance V Siedenburg | Physician Assistant | 3911 Avenue B Ste G100, Scottsbluff, NE 69361-4617 | 2006-11-07 |
| 1649287939 | Michelle K Hunter | Physician Assistant | 3901 Ave B, Scottsbluff, NE 69361 | 2006-08-01 |
| 1013439710 | Michaela Katz | Physician Assistant | 2 W 42nd St Ste 3100, Scottsbluff, NE 69361-0612 | 2017-07-13 |
| 1043695125 | Nebraska Em-i Medical Services PC | Physician Assistant | 4021 Avenue B, Scottsbluff, NE 69361-4602 | 2015-07-30 |
| 1639567944 | Joshua Garza | Physician Assistant | 3011 Avenue B, Scottsbluff, NE 69361-4372 | 2015-01-08 |
| 1558667113 | Katie Metz | Physician Assistant | 2 W 42nd St, Suite 3100, Scottsbluff, NE 69361-0617 | 2011-01-31 |
| 1972837185 | Johnna L Pierson | Physician Assistant | 3210 Avenue B, Scottsbluff, NE 69361-4303 | 2009-09-22 |
| 1790840791 | Abbie Kaye Cross | Physician Assistant | 2 W 42nd St, Suite 120, Scottsbluff, NE 69361-4669 | 2006-12-27 |
| 1841391851 | Kathleen Melloh | Physician Assistant | 2 W 42nd St, Suite 120, Scottsbluff, NE 69361-0617 | 2006-09-25 |
| 1588611966 | Susan J Deal | Physician Assistant | 3911 Avenue B, Suite 2250, Scottsbluff, NE 69361-4617 | 2006-05-30 |
| Find all providers in SCOTTSBLUFF | ||||
| City | SCOTTSBLUFF |
| Zip Code | 69361 |
Please comment or provide details below to improve the information on KIMBERLY D HAFEMAN.
| 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.