MRS. KIMBERLEY SMITH (NPI# 1942612890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942612890 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLEY SMITH |
| Credential | NP |
| Practice Address |
2607 Medical Office Pl Goldsboro NC 27534-9437 |
| Practice Telephone | (919) 330-1940 |
| Mailing Telephone | 9193301940 |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2019-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | MIDG--2F7NCT | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 103 W Lockhaven Dr Apt 9b, Goldsboro, NC 275341739 | 2529450046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922322916 | Kimberley H Smith | Behavioral Analyst | 421 Opelika Rd, Auburn, AL 36830-3981 | 2010-03-18 |
| 1679648646 | Kimberley Yvette Smith | Physical Medicine & Rehabilitation | 352 S Delsea Dr Ste C, Vineland, NJ 08360-5306 | 2006-11-22 |
| 1154943512 | Kimberley Joan Smith | Nurse Practitioner | 1703 Innovation Dr Ste 3136, York, PA 17408-8815 | 2020-05-08 |
| 1508224874 | Kimberley S Smith | Counselor | 502 N Carver St, Midland, TX 79701-3634 | 2016-02-02 |
| 1689042442 | Kimberley Ruth Smith | Nurse Practitioner | 747 Terrace St, Meadville, PA 16335-1737 | 2015-09-10 |
| 1558625202 | Kimberley Smith | Physical Therapist | 525 E Market St Ste B, Leesburg, VA 20176-4171 | 2012-06-27 |
| 1902117500 | Kimberley A Smith | Case Manager/Care Coordinator | 385 Court St Ste 103, Plymouth, MA 02360-7304 | 2010-06-29 |
| 1134314198 | Kimberley Harris Smith | Nurse Practitioner | 8369 Florida Blvd, Suite 8, Denham Springs, LA 70726-7862 | 2007-09-12 |
| 1740236918 | Kimberley Ellen Smith | Physical Therapist | 405 W Dominick St, Rome, NY 13440-4816 | 2006-05-26 |
| Street Address |
2607 MEDICAL OFFICE PL |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-9437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871681478 | Anthony Clark Gaither | Family Medicine | 2607 Medical Office Pl, Goldsboro, NC 27534-9437 | 2006-10-10 |
| 1477005858 | Anesthesia Services Associates | Durable Medical Equipment & Medical Supplies | 2607 Medical Office Pl, Goldsboro, NC 27534-9437 | 2016-11-01 |
| 1235434739 | Allison Lee Thomas | Pain Medicine | 2607 Medical Office Pl, Goldsboro, NC 27534-9437 | 2011-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| 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 |
|---|---|---|---|---|
| 1841891959 | Amanda Lou Nester | Nurse Practitioner | 5293 Wayne Memorial Dr, Goldsboro, NC 27534-7257 | 2020-11-04 |
| 1376670836 | Elizabeth E. Williford | Nurse Practitioner | 2607-b Medical Office Place, Goldsboro, NC 27534 | 2007-02-28 |
| 1336197557 | Kathryn Ann Johnson | Nurse Practitioner | 2607 Medical Office Place, Watch Mobile Unit, Goldsboro, NC 27534 | 2006-05-04 |
| 1417583717 | Michelle Marshburn | Nurse Practitioner | 625 Country Day Rd, Goldsboro, NC 27530-8888 | 2020-03-18 |
| 1669943148 | Melinda Payton | Nurse Practitioner | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2018-12-10 |
| 1689172389 | Wanda Bryant Sanders | Nurse Practitioner | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2018-01-28 |
| 1003356767 | Samantha Joanne Criste | Nurse Practitioner | 1402 Wayne Memorial Dr, Goldsboro, NC 27534-2235 | 2017-02-28 |
| 1811362403 | Alice W Munyua | Nurse Practitioner | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2015-12-08 |
| 1902247299 | Angelica F Etheridge | Nurse Practitioner | 102 Handley Park Ct, Goldsboro, NC 27534-1768 | 2013-07-15 |
| 1902179286 | Michele L Kim | Nurse Practitioner | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2012-02-16 |
| Find all providers in GOLDSBORO | ||||
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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.