KIMBERLY STANDEFER (NPI# 1992044762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992044762 |
| Entity Type | Individual |
| Full Name | KIMBERLY STANDEFER |
| Credential | FNP-BC |
| Practice Address |
1008 Executive Dr Suite 102 Hixson TN 37343-3991 |
| Practice Telephone | 4238025143 |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
17410 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1008 EXECUTIVE DR SUITE 102 |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-3991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427003201 | Specialized Oxygen Services, LLC | Durable Medical Equipment & Medical Supplies | 1008 Executive Dr, Suite 102, Hixson, TN 37343-3991 | 2006-05-23 |
| 1366530594 | Timothy D. Gowder Gowder | Pain Medicine | 1008 Executive Dr, Suite 101, Hixson, TN 37343-3991 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558822320 | Sabin Michelle Von Almen | Nurse Practitioner | 2051 Hamill Rd Ste 107, Hixson, TN 37343-4653 | 2019-03-26 |
| 1013416973 | Brandi Hoback | Nurse Practitioner | 2051 Hamill Rd Ste 204, Hixson, TN 37343-4653 | 2018-02-06 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1255864062 | Vanessa Moser | Nurse Practitioner | 1649 Kamin Rd, Hixson, TN 37343-3279 | 2017-04-07 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| 1487955241 | Teresa Ann Novak | Nurse Practitioner | 2051 Hamill Rd Ste 302, Hixson, TN 37343-4653 | 2010-11-10 |
| 1164745261 | Connie Michele Pierce | Nurse Practitioner | 4976 Alpha Ln, Hixson, TN 37343-5470 | 2010-03-04 |
| 1639361579 | Brenda Sue Borkgren | Nurse Practitioner | 1017 Executive Dr Ste 101, Hixson, TN 37343-7911 | 2007-08-14 |
| 1508892415 | Angela D Thompson | Nurse Practitioner | 5120 Highway 153, Hixson, TN 37343-4520 | 2006-06-23 |
| 1467405092 | Ada I Batista-baron | Nurse Practitioner | 5000 Alpha Ln, Hixson, TN 37343-4054 | 2006-05-17 |
| Find all providers in HIXSON | ||||
Please comment or provide details below to improve the information on KIMBERLY STANDEFER.
| 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.