MRS. KIMBERLY RENEE KILPATRICK (NPI# 1881146306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881146306 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY RENEE KILPATRICK |
| Credential | CFNP |
| Practice Address |
1907 Mission 66 Vicksburg MS 39180-3711 |
| Practice Telephone | 6016361173 |
| Mailing Telephone | 6016361173 |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
901794 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740450410 | Kimberly Rachelle Kilpatrick | Dietitian, Registered | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2008-03-09 |
| Street Address |
1907 MISSION 66 |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39180-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184669798 | George Abraham | Family Medicine | 1907 Mission 66, Vicksburg, MS 39180-3711 | 2006-06-18 |
| 1649624693 | Brandon Mizell | Emergency Medicine | 1907 Mission 66, Vicksburg, MS 39180-3711 | 2016-04-15 |
| 1225361702 | Dallas Michelle Thomason | Physician Assistant | 1907 Mission 66, Vicksburg, MS 39180-3711 | 2009-09-15 |
| 1528298122 | Vicksburg Clinic LLC | Clinic/Center | 1907 Mission 66, Vicksburg, MS 39180-3711 | 2009-07-17 |
| 1952332181 | Walter E Johnston | Family Medicine | 1907 Mission 66, Vicksburg, MS 39180-3711 | 2006-07-05 |
| 1790711158 | Vicksburg Clinic LLC | Radiology | 1907 Mission 66, Vicksburg, MS 39180-3711 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877346 | Elite Performance and Rehab, LLC | Clinic/Center | 1901 A Mission 66, Vicksburg, MS 39180 | 2017-01-12 |
| 1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
| 1245604941 | Warren County Assn.for Retarded Citizens, Inc. | Day Training, Developmentally Disabled Services | 100 Smokey Lane, Vicksburg, MS 39180 | 2015-11-18 |
| 1386012904 | Brian Oliver Snowden | Counselor | 3530 Manor Dr Ste 5a, Vicksburg, MS 39180 | 2015-09-14 |
| 1962802710 | Jordan P. Crocker, D.m.d., Pllc | Clinic/Center | 109 Monument Place, Vicksburg, MS 39180 | 2014-08-29 |
| 1821434259 | Trisha Addison | Physical Therapist | 2222 South Frontage Road, Suite D, Vicksburg, MS 39180 | 2013-05-13 |
| 1073862157 | Laura Jeanne Briggs | Physical Therapist | 1901-a Mission 66, Vicksburg, MS 39180 | 2012-09-05 |
| 1912175258 | Andrea T. Harris | Counselor | Warren-yazoo Mental Health Service, 3444 Wisconsin Ave., Vicksburg, MS 39180 | 2008-02-20 |
| 1922217314 | Austin Family Dentistry | Dentist | 3040 Indiana Ave, Vicksburg, MS 39180 | 2007-05-22 |
| 1063539138 | Ollie Hardaway Jr. | Dentist | 154 Cottonwood Street, Vicksburg, MS 39180 | 2007-03-23 |
| Find all providers in zip 39180 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831140 | Manivanh Prudhomme | Nurse Practitioner | 109 Airline Drive, Vicksburg, MS 39180-3918 | 2020-08-12 |
| 1225532450 | Tabitha Nicole Allen | Nurse Practitioner | 2080 S Frontage Rd Ste 106, Vicksburg, MS 39180-5882 | 2018-03-21 |
| 1164971131 | Janine Gibbs Larry | Nurse Practitioner | 139 Watkins Rd, Vicksburg, MS 39180-7291 | 2016-09-30 |
| 1326434564 | Elizabeth Hill | Nurse Practitioner | 4204 Clay St, Vicksburg, MS 39183-3438 | 2015-04-14 |
| 1033522073 | Aubri Bailey Hickman | Nurse Practitioner | 2050 Birdsong Rd, Vicksburg, MS 39183-9200 | 2014-06-07 |
| 1891894101 | Bonnie Lee Morehead | Nurse Practitioner | 204 Duval St, Vicksburg, MS 39183-8207 | 2006-09-22 |
| 1598230245 | Amanda Henson Gill | Nurse Practitioner | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180-5883 | 2018-10-09 |
| 1205343803 | Tonette Harris-haynes | Nurse Practitioner | 2850 Porters Chapel Rd, Vicksburg, MS 39180-1805 | 2018-01-04 |
| 1659739787 | Denesia Y Giffin Pllc | Nurse Practitioner | 1901 Mission 66, Vicksburg, MS 39180-3711 | 2016-02-03 |
| 1346607447 | Debra Klinger | Nurse Practitioner | 13320 N Boulevard St, Vicksburg, MI 49097-1514 | 2016-01-20 |
| Find all providers in VICKSBURG | ||||
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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.