MRS. KISSA LYNN DIBBLE (NPI# 1851909519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851909519 |
| Entity Type | Individual |
| Full Name | MRS. KISSA LYNN DIBBLE |
| Credential | APRN |
| Practice Address |
1000 S 12th St Murray KY 42071-9303 |
| Practice Telephone | 2707599200 |
| Mailing Telephone | 2702276340 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
56914 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1000 S 12TH ST |
| City | MURRAY |
| State | KY |
| Zip Code | 42071-9303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942208517 | Ralph D Millsaps | Internal Medicine | 1000 S 12th St, Murray, KY 42071-9303 | 2005-07-08 |
| 1952916827 | Kaitlyn Brooks Renard | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2020-09-08 |
| 1255897625 | Primary Care Medical Center | Physician Assistant | 1000 S 12th St, Murray, KY 42071-9303 | 2019-02-11 |
| 1831674654 | Vmd Primary Providers Central Kentucky | Family Medicine | 1000 S 12th St, Murray, KY 42071-9303 | 2018-09-27 |
| 1285117978 | Janna L French | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2018-09-10 |
| 1770090052 | Misty D Sanderson | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2018-01-08 |
| 1104348622 | Villagemd Kentucky, Psc | Internal Medicine | 1000 S 12th St, Murray, KY 42071 | 2017-07-17 |
| 1982124491 | Gina C Owens | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071 | 2017-06-26 |
| 1821538745 | Sharlotte Ashley Wilson | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2017-02-24 |
| 1033589973 | Mariah L Hamby | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2015-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989347 | Roy Berry Mckendree | Pharmacist | 208 N 12th, Murray, KY 42071 | 2019-12-20 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1205335346 | Elevation Dentistry Pllc | Dentist | 1710 Hwy 121 N. Byp. Ste A, Murray, KY 42071 | 2018-02-05 |
| 1114431715 | Devin Cassity | Specialist/Technologist | Roy Stewart Stadium Gibert Graves Drive, Murray, KY 42071 | 2017-11-20 |
| 1881146033 | Alliance Health Care, LLC | General Practice | 1710 D State Route 121 North, Murray, KY 42071 | 2016-11-03 |
| 1780039529 | Kelli Bathon | Developmental Therapist | 1988 Rowlett Trl, Murray, KY 42071 | 2016-04-29 |
| 1184060287 | William D Dewees | Veterinarian | Carman Pavilion/100 Aht Center/college Farm Road, Murray State University, Murray, KY 42071 | 2013-05-15 |
| 1467719674 | Anna Jayjock | Dentist | 700 Whitnell Avenue, Murray, KY 42071 | 2012-04-12 |
| 1629380704 | Michael James Bordieri | Psychologist | 401c Wells Hall, Murray State University, Murray, KY 42071 | 2010-07-06 |
| 1760706501 | Patrick William Thornton | Chiropractor | 408 South 12th Street, Murray, KY 42071 | 2010-03-23 |
| Find all providers in zip 42071 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076230 | Laken Nicole Darnell | Nurse Practitioner | 1601 Highway 121 Byp N Ste B, Murray, KY 42071-8759 | 2020-09-01 |
| 1851940282 | Shawna Niles | Nurse Practitioner | 201 E 5900 S Ste 100, Murray, UT 84107-5429 | 2019-09-09 |
| 1780156661 | Shane Jaimez | Nurse Practitioner | 166 E 5900 S Ste B109, Murray, UT 84107-7293 | 2018-12-17 |
| 1205304581 | Kristina Dantzel Crane | Nurse Practitioner | 5781 S Meadowcrest Dr, Murray, UT 84107-6501 | 2018-11-05 |
| 1649759069 | James C Taylor | Nurse Practitioner | 5848 S Fashion Blvd # 300e, Murray, UT 84107-6170 | 2018-08-07 |
| 1891291316 | Zackery Ross Wilkes | Nurse Practitioner | 5169 S Cottonwood St # 510, Murray, UT 84107-6767 | 2018-04-03 |
| 1396266177 | Rita Rutland | Nurse Practitioner | 308 E 4500 S Ste 280, Murray, UT 84107-3975 | 2017-06-30 |
| 1164951737 | Joanie Marie Limb | Nurse Practitioner | 835 E 4800 S Ste 230, Murray, UT 84107-5535 | 2017-06-07 |
| 1689113334 | Carolyn Winchester | Nurse Practitioner | 506 Lynnwood Ct, Murray, KY 42071-2218 | 2017-02-14 |
| 1053757492 | Shannon Velaine Shepherd | Nurse Practitioner | 1106 E 6600 S # 100, Murray, UT 84121-2446 | 2013-05-13 |
| Find all providers in MURRAY | ||||
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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.