KIMBERLIE POOLE (NPI# 1922022839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922022839 |
| Entity Type | Individual |
| Full Name | KIMBERLIE POOLE |
| Credential | NP |
| Practice Address |
23 Central St Moravia NY 13118-3427 |
| Mailing Address |
17 Main St Suite 302 Cortland NY 13045-6606 |
| Practice Telephone | 3154979066 |
| Practice Fax Number | 3154973836 |
| Mailing Telephone | 6077533797 |
| Mailing Fax Number | 6077536677 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F333065-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02639201 | 05 |
| Street Address |
23 CENTRAL ST |
| City | MORAVIA |
| State | NY |
| Zip Code | 13118-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973575 | Daniel F Karn | Physician Assistant | 23 Central St, Moravia, NY 13118-3427 | 2005-06-24 |
| 1538443114 | Jenny Ellen Ross | Nurse Practitioner | 23 Central St, Moravia, NY 13118-3427 | 2011-09-30 |
| 1992086698 | Family Health Network Dental Office | Clinic/Center | 23 Central St, Moravia, NY 13118-3427 | 2011-09-08 |
| 1588895197 | Family Health Network of Central New York, Inc | Clinic/Center | 23 Central St, Moravia, NY 13118-3427 | 2009-07-30 |
| 1831379783 | Catherine Impastato Keating | Family Medicine | 23 Central St, Moravia, NY 13118-3427 | 2007-11-08 |
| 1356409817 | Ashley Yonsook Ki | Dentist | 23 Central St, Moravia, NY 13118-7709 | 2006-12-05 |
| 1427013622 | Shannon Denise Presley-dickens | Dentist | 23 Central St, Moravia, NY 13118-3427 | 2006-04-19 |
| 1689652174 | Nita J. Stormann | Nurse Practitioner | 23 Central St, Moravia, NY 13118-3427 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144508581 | Susanne Mary Jayne | Licensed Practical Nurse | 3410 White Road, Moravia, NY 13118 | 2011-08-03 |
| 1710094990 | Kph Healthcare Services, Inc. | Pharmacy | 130 Main Street, Moravia, NY 13118 | 2006-08-24 |
| 1700210648 | Heather Cameron | Licensed Practical Nurse | 108 Main Street, Apt 1, Moravia, NY 13118 | 2013-08-28 |
| 1316269178 | Janet H Wilde | Pharmacist | 130 Main Street, Moravia, NY 13118 | 2010-02-22 |
| 1467690750 | Patricia W. Shenk | Nursing Home Administrator | 8 South Main Street, Moravia, NY 13118 | 2009-01-26 |
| 1720262975 | Bonnie Steger | Pharmacist | 130 Main Street, Moravia, NY 13118 | 2007-12-24 |
| 1649424607 | Kristy Riel Powers | Licensed Practical Nurse | 5305 Dresserville Road, Moravia, NY 13118-0405 | 2008-11-04 |
| 1134526205 | Tammie S Bush | Licensed Practical Nurse | 5437 Sayles Corners Rd, Moravia, NY 13118-2259 | 2014-12-04 |
| 1679635726 | Susan Lipinoga | Physical Therapist | 8 Van Pelt Ln, Moravia, NY 13118-2306 | 2006-12-15 |
| 1710173455 | Amanda S Worden | Speech-Language Pathologist | 24 S Main St, Moravia, NY 13118-2307 | 2007-09-17 |
| Find all providers in zip 13118 | ||||
| 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. |
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| 1841807799 | Raquel Shivanna Sookram | Nurse Practitioner | 5505 Myrtle Ave, Ridgewood, NY 11385-3550 | 2020-09-24 |
| 1154938264 | Haessal Kim | Nurse Practitioner | 14425 33rd Ave Apt 4l, Flushing, NY 11354-3103 | 2020-09-23 |
| 1235745282 | April Lynne Mott | Nurse Practitioner | 600 Ivy St Ste 108, Elmira, NY 14905-1627 | 2020-09-16 |
| 1407461676 | Kim Marie Neenan-reilly | Nurse Practitioner | 7200 Douglaston Pkwy, Main Floor, Douglaston, NY 11362-1941 | 2020-09-14 |
| 1336753680 | Alexandra Lynn Picard | Nurse Practitioner | Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 | 2020-09-03 |
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1992316996 | Cassandra Dionne Saint-furcy | Nurse Practitioner | 6 Provenzano St, Inwood, NY 11096-1410 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
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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.