MRS. LINDA KIMBLE (NPI# 1962602573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962602573 |
| Entity Type | Individual |
| Full Name | MRS. LINDA KIMBLE |
| Other Name | MRS. LINDA KIMBLE |
| Credential | APRN -BC PMHNP-BC |
| Practice Address |
2725 Lincoln St E Canton OH 44707-2769 |
| Mailing Address |
4336 Orchardview Dr Se East Canton OH 44730-9513 |
| Practice Telephone | 3304542000 |
| Practice Fax Number | 3304546184 |
| Mailing Telephone | 3304886083 |
| Mailing Fax Number | 3304886083 |
| Enumeration Date | 2007-07-21 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN192334 | OH | Nursing Service Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN192334 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN192334-07560 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2958456 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 E State St, Alliance, OH 446014936 | 3305967650 | 3305967657 |
| 4336 Orchardview Dr Se, East Canton, OH 447309513 | 3304886083 | 3304886083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598278293 | Linda Kimble | Registered Nurse | 204 S Bellview Ave, Dover, OH 44622 | 2017-11-16 |
| 1770184822 | Linda Kimble | Technician | 1408 Harrison Ave, Elkins, WV 26241-3325 | 2020-11-05 |
| Street Address |
2725 LINCOLN ST E |
| City | CANTON |
| State | OH |
| Zip Code | 44707-2769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326007501 | Irwin Lilenfield | Family Medicine | 2725 Lincoln St E, Canton, OH 44707-2769 | 2006-03-17 |
| 1942765953 | Jodi Lynn Johnson | Nurse Practitioner | 2725 Lincoln St E, Canton, OH 44707 | 2019-02-04 |
| 1003305855 | Shakeilah Carelle Burns | Nurse Practitioner | 2725 Lincoln St E, Canton, OH 44707-2769 | 2018-05-08 |
| 1114373016 | Emily Reusser | Dentist | 2725 Lincoln St E, Canton, OH 44707-2769 | 2016-05-10 |
| 1073986873 | Kasey Mercurio | Nurse Practitioner | 2725 Lincoln St E, Canton, OH 44707-2769 | 2015-11-03 |
| 1720410194 | Michelle A Nesbitt | Dental Hygienist | 2725 Lincoln St E, Canton, OH 44707-2769 | 2013-08-07 |
| 1093073546 | Rachel Lester | Registered Nurse | 2725 Lincoln St E, Canton, OH 44707 | 2012-05-02 |
| 1932433240 | Michelle D. Husted | Counselor | 2725 Lincoln St E, Canton, OH 44707-2769 | 2009-09-21 |
| 1407012206 | Rebecca J Richards | Social Worker | 2725 Lincoln St E, Canton, OH 44707-2769 | 2008-07-31 |
| 1528227105 | Richard D Watkins Canton Community Clinic Inc | Clinic/Center | 2725 Lincoln St E, Canton, OH 44707-2769 | 2008-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649781717 | Linda Wilt | Licensed Practical Nurse | 620market Ave. S., Canton, OH 44707 | 2017-10-17 |
| 1558872622 | Michele Rose Strongoli-scott | Registered Nurse | 1620 Market Ave S., Canton, OH 44707 | 2017-10-17 |
| 1366972234 | Terri Sue Clendenin | Home Health Aide | 1317 Mattie St Sw, Canton, OH 44707 | 2017-06-14 |
| 1215467311 | Draya K Ellis | Community Health Worker | 408 9th Street Sw, Canton, OH 44707 | 2017-06-13 |
| 1720537780 | Individual | Preferred Provider Organization | 1111 Gonder Avenue Se, Canton, OH 44707 | 2016-09-30 |
| 1962958512 | Individual | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1111 Gonder Av Se, Canton, OH 44707 | 2016-09-01 |
| 1184070526 | Mj Harvey Development, LLC | Day Training, Developmentally Disabled Services | 804 Marion Ave Sw, Canton, OH 44707 | 2016-05-04 |
| 1164898516 | Erica Marie Brown | Occupational Therapy Assistant | 1620 Market Ave., South, Canton, OH 44707 | 2015-08-19 |
| 1508256439 | Kenny Mcclelland | Military/U.S. Coast Guard Transport | 903 Alan Page Dr Se # Apt1, Canton, OH 44707 | 2015-01-30 |
| 1295143550 | Susan Elaine Ball | Technician | 908 6th St Sw, Canton, OH 44707 | 2014-07-30 |
| Find all providers in zip 44707 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922666866 | Bright Minds Psychiatry,pllc | Nurse Practitioner | 575 Washington St Ste 1b, Canton, MA 02021-3011 | 2019-06-05 |
| 1366914970 | Nancy Louise Bennett | Nurse Practitioner | 328 E Otto St, Canton, MS 39046-4324 | 2018-12-20 |
| 1790227544 | Priscilla Anne Rice | Nurse Practitioner | 1271 Fulton Rd Nw, Canton, OH 44703-1463 | 2016-11-10 |
| 1306824784 | Kathy E Green | Nurse Practitioner | 80 State St # 310, Canton, NY 13617-1026 | 2006-01-05 |
| 1053944298 | Megen Yerman | Nurse Practitioner | 624 Market Ave N, Canton, OH 44702-1017 | 2020-02-17 |
| 1285279901 | Grace Elizabeth Maxton | Nurse Practitioner | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2019-11-18 |
| 1417502535 | Tiffany Nichol Brown | Nurse Practitioner | 1223 Market Ave N, Canton, OH 44714-2603 | 2019-08-06 |
| 1568022051 | Christopher Fogarty | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2019-06-17 |
| 1184105223 | Elizabeth Pfalzgraf | Nurse Practitioner | 919 2nd St Ne, Canton, OH 44704-1132 | 2018-08-27 |
| 1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
| Find all providers in CANTON | ||||
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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.