MRS. KIMBERLY M MATTHEWS (NPI# 1912243361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912243361 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY M MATTHEWS |
| Practice Address |
2434 S Eason Blvd Tupelo MS 38804-6942 |
| Practice Telephone | 6628429217 |
| Practice Fax Number | 6626806416 |
| Mailing Telephone | 6628429217 |
| Mailing Fax Number | 6626806416 |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2012-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861959314 | Kimberly Ann Matthews | Licensed Practical Nurse | 2812 N Highway 261, Hardinsburg, KY 40143-4983 | 2019-02-20 |
| 1215363189 | Kimberly Ann Matthews | Psychologist | 21240 Ficus Dr # 73-204, Santa Clarita, CA 91321-4423 | 2013-09-23 |
| 1669775177 | Kimberly Matthews | Dietitian, Registered | 20345 Nashua Rd, Sonora, CA 95370-9046 | 2010-12-06 |
| 1003374430 | Kimberly Evett Matthews | Case Manager/Care Coordinator | 645 Highway 80 E, Monroe, LA 71203-8527 | 2019-03-05 |
| 1295112712 | Kimberly Matthews | Pediatrics | 11706 225th St, Cambria Heights, NY 11411-1706 | 2015-05-05 |
| 1497153324 | Kimberly Matthews | Technician, Other | 322 Nuway Cir, Lenoir, NC 28645-3656 | 2014-12-09 |
| 1164856746 | Kimberly D Matthews | Counselor | 3041 Getwell Rd Ste 101, Memphis, TN 38118-3737 | 2013-08-30 |
| 1801138359 | Kimberly A Matthews | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2013-03-22 |
| 1326312869 | Kimberly Matthews | Counselor | 215 Revere Dr, Suite A, Northbrook, IL 60062-1556 | 2012-03-01 |
| 1003065731 | Kimberly Noelle Matthews | Nurse Practitioner | 820 W Esplanade Ave, Kenner, LA 70065-2757 | 2008-09-18 |
| Street Address |
2434 S EASON BLVD |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-6942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508893074 | Ross E Collins Jr. | Psychiatry & Neurology | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2006-06-28 |
| 1245831551 | Lisa Roberts | Registered Nurse | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-11-03 |
| 1295336519 | Kyra Neal | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-11-03 |
| 1124635354 | Kecia Williams | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-10-01 |
| 1144837675 | Daniele Nolan | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-29 |
| 1639786163 | Reagan Bartley | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-29 |
| 1033725056 | Moesha Banks | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-16 |
| 1891301719 | Makinley Neighbors | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-16 |
| 1073129094 | Stephanie Johnson | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-16 |
| 1275149197 | Hallie Goodson | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356757678 | Mae Grace Arrington | Counselor | 4428 S Eason Blvd Ste B, Tupelo, MS 38801-6506 | 2014-07-08 |
| 1871684167 | Deborah Ann Lankford | Counselor | Region IIi Mental Health Center-cds, 920 Boone Street, Tupelo, MS 38804 | 2006-09-28 |
| 1902997281 | Amelia T Ladreyt | Counselor | Region IIi Mental Health-chemical Depency Services, 920 Boone Street, Tupelo, MS 38804 | 2006-09-28 |
| 1619068996 | Danny B Mcbrayer | Counselor | Region IIi Mental Health-chemical Dependency Services, 920 Boone Street, Tupelo, MS 38804 | 2006-09-28 |
| 1730280397 | Vernard R Jones | Counselor | 920 Boone St, Tupelo, MS 38804-5908 | 2006-09-26 |
| 1114554912 | Micheal Byles | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-03-24 |
| 1588203798 | Christy Lindsey | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-01-06 |
| 1447775879 | Clint Crawford | Counselor | 920 Boone St, Tupelo, MS 38804-5908 | 2017-08-07 |
| 1225444573 | Patricia Baggett | Counselor | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2014-07-08 |
| 1659797819 | Porter Mckee | Counselor | 341 E Main St, A-1, Tupelo, MS 38804-4025 | 2014-03-12 |
| Find all providers in TUPELO | ||||
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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.