KIMBERLY SHRODE (NPI# 1902349202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902349202 |
| Entity Type | Individual |
| Full Name | KIMBERLY SHRODE |
| Practice Address |
1405 Eastland Dr Bloomington IL 61701-3514 |
| Practice Telephone | 3096612400 |
| Practice Fax Number | 3096616226 |
| Mailing Telephone | 3096612400 |
| Mailing Fax Number | 3096616226 |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209014464 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1405 EASTLAND DR |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396789210 | Kimberly Nord | Nurse Practitioner | 1405 Eastland Dr, Bloomington, IL 61701-3514 | 2006-06-15 |
| 1386951085 | Jessica M Sullivan | Nurse Practitioner | 1405 Eastland Dr, Bloomington, IL 61701-3514 | 2010-09-02 |
| 1619189859 | Lacie Shanks | Family Medicine | 1405 Eastland Dr, Bloomington, IL 61701-3514 | 2007-05-03 |
| 1710070057 | Tom Kenney | Family Medicine | 1405 Eastland Dr, Bloomington, IL 61701-3514 | 2006-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615485 | Denise Michelle Alexander | Nurse Practitioner | 815 West 2nd Street, Bloomington, IN 47403-2212 | 2020-06-30 |
| 1578198420 | Jessica Ashley Wargo | Nurse Practitioner | 1319 N Veterans Pkwy Ste 3b, Bloomington, IL 61704-6428 | 2020-03-10 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1275084170 | Christina Lisowski | Nurse Practitioner | 2412 E Washington St Ste 4b, Bloomington, IL 61704-1613 | 2016-10-17 |
| 1528479771 | Cura Medical Group, LLC | Nurse Practitioner | 13 Red Stone Ct, Bloomington, IL 61704-8403 | 2014-05-09 |
| 1790118586 | Anastasia Kovalaske | Nurse Practitioner | 1401 Eastland Dr Suite B, Bloomington, IL 61761-3514 | 2013-08-15 |
| 1528342730 | Theresa Rose Woodard | Nurse Practitioner | 3209 W Fullerton Pike Ste E, Bloomington, IN 47403-4060 | 2011-10-06 |
| 1205160975 | Stacey Kaye England | Nurse Practitioner | 123 S Franklin Rd, Bloomington, IN 47404-5296 | 2009-09-28 |
| 1700065505 | Joan Marie Goodman | Nurse Practitioner | 383 S. Park Ridge Rd., Ste 102, Bloomington, IN 47401-8574 | 2007-10-29 |
| 1376638262 | Rose M Seguin | Nurse Practitioner | 421 S College Ave, Bloomington, IN 47403-1514 | 2006-10-04 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
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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.