KIMBERLY LYNETTE GLENN (NPI# 1992176606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992176606 |
| Entity Type | Individual |
| Full Name | KIMBERLY LYNETTE GLENN |
| Credential | CNP |
| Practice Address |
2159 Dogwood Ridge Rd Wheelersburg OH 45694-9044 |
| Mailing Address |
36 Pemberton Cv Jackson TN 38305-5514 |
| Practice Telephone | 7313941145 |
| Mailing Telephone | 7313941145 |
| Mailing Fax Number | 8443740233 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.18224 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0148226 | 05 | |
| WV | 1992176606 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Jackson Pike, Gallipolis, OH 456311560 | 8554465937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053847467 | Kimberly Simkin Glenn | Dietitian, Registered | 820 Lake Summit Dr, Atlanta, GA 30342-1975 | 2017-05-04 |
| 1669879474 | Kimberly Glenn | Counselor | 10505 N 69th St Ste 100, Scottsdale, AZ 85253-1479 | 2014-11-21 |
| 1023438165 | Kimberly Jan Glenn | Counselor | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2014-04-16 |
| Street Address |
2159 DOGWOOD RIDGE RD |
| City | WHEELERSBURG |
| State | OH |
| Zip Code | 45694-9044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780672873 | Diversicare Leasing Corp. | Skilled Nursing Facility | 2159 Dogwood Ridge Rd, Wheelersburg, OH 45694-9044 | 2005-10-12 |
| 1649744384 | Amanda L Gillenwater | Registered Nurse | 2159 Dogwood Ridge Rd, Wheelersburg, OH 45694-9044 | 2019-01-16 |
| 1316448103 | Amanda Renee Meeker | Occupational Therapist | 2159 Dogwood Ridge Rd, Wheelersburg, OH 45694-9044 | 2018-02-27 |
| 1396245783 | Angela F Duhl | Registered Nurse | 2159 Dogwood Ridge Rd, Wheelersburg, OH 45694-9044 | 2018-02-13 |
| 1750774725 | Melva Gordon | Registered Nurse | 2159 Dogwood Ridge Rd, Wheelersburg, OH 45694-9044 | 2015-03-13 |
| 1902143241 | Nathan Lee Stevens | Registered Nurse | 2159 Dogwood Ridge Rd, Wheelersburg, OH 45694-9044 | 2013-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292902 | Karen Cooper | Nurse Practitioner | 730 A Kittle Road, Wheelersburg, OH 45694 | 2020-10-12 |
| 1477032746 | Elizabeth Lee Johnson | Nurse Practitioner | 11239 Gallia Pike Rd, Wheelersburg, OH 45694 | 2018-08-08 |
| 1215442389 | Wham, LLC | Community/Behavioral Health | 8073 Ohio River Road, Wheelersburg, OH 45694 | 2017-12-11 |
| 1225380306 | Krystal Wynn Knapp | Registered Nurse | 352 Bussey Road, Wheelersburg, OH 45694 | 2012-10-12 |
| 1114275948 | Seth E Harris | Licensed Practical Nurse | 164 Park St, Wheelersburg, OH 45694 | 2012-08-28 |
| 1790972008 | Assisted Living Concepts Inc | Assisted Living Facility | 900 Pirate Drive, Wheelersburg, OH 45694 | 2007-10-01 |
| 1033312376 | Lisa Gay Lancaster | Nurse's Aide | 8065 Bell St, Wheelersburg, OH 45694 | 2007-06-06 |
| 1457560773 | Sharon Kay Tilley | Home Health Aide | 10262 Gallia Pike, Wheelersburg, OH 45694 | 2007-05-22 |
| 1609080415 | Michele Renee Payton | Licensed Practical Nurse | 1200 Cole St., Wheelersburg, OH 45694 | 2007-05-10 |
| 1194879759 | Sarah Jane Riggs | Registered Nurse | 434 Miller Rd, Wheelersburg, OH 45694 | 2007-01-22 |
| Find all providers in zip 45694 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447876545 | Brandon Scott Malone | Nurse Practitioner | 400a Piquet Rd, Wheelersburg, OH 45694-8797 | 2020-06-24 |
| 1134766991 | Ashley Malone | Nurse Practitioner | 925 Piquet Rd, Wheelersburg, OH 45694-8600 | 2019-11-28 |
| 1588133730 | Bridget Michelle Sexton | Nurse Practitioner | 840 Mead Mcneer Rd, Wheelersburg, OH 45694-8633 | 2018-11-16 |
| 1477032746 | Elizabeth Lee Johnson | Nurse Practitioner | 11239 Gallia Pike Rd, Wheelersburg, OH 45694 | 2018-08-08 |
| 1013979483 | Jennifer Knapp Glockner | Nurse Practitioner | 8750 Ohio River Rd, Wheelersburg, OH 45694-1918 | 2006-04-03 |
| 1194375386 | Kristina Wilburn | Nurse Practitioner | 8750 Ohio River Rd, Wheelersburg, OH 45694-1918 | 2019-09-19 |
| 1790225969 | Connie Mcdonald | Nurse Practitioner | 1661 State Route 522, Unit 2, Wheelersburg, OH 45694-8120 | 2017-03-07 |
| 1346625795 | Bellefonte Physician Services, Inc. | Nurse Practitioner | 8991 Ohio River Rd, Ste. 2, Wheelersburg, OH 45694-1923 | 2015-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184681 | Madison Baxter | Nurse Practitioner | 2730 Hyde Park Ave, Cincinnati, OH 45209-2004 | 2020-11-06 |
| 1932700937 | Caroline V Murrey | Nurse Practitioner | 109 Ratcliff Ln, Plain City, OH 43064-8662 | 2020-11-05 |
| 1134720154 | Anthonia Ndali Chukwudelunzu | Nurse Practitioner | 20 Rocky Top Ct, Maple Heights, OH 44137-4760 | 2020-11-05 |
| 1275134801 | Abram James Basinger | Nurse Practitioner | 3956 Sparkhill Dr, Enon, OH 45323-1436 | 2020-11-02 |
| 1780284091 | Tana Darniece Williams | Nurse Practitioner | 513 Harris Rd, Richmond Heights, OH 44143-2539 | 2020-10-27 |
| 1174123335 | Heidi Archer | Nurse Practitioner | 52003 Peck Wadsworth Rd, Wellington, OH 44090-9725 | 2020-10-27 |
| 1114526662 | Angelina Fiszlewicz | Nurse Practitioner | 69 Bayberry Ln, Monroe, OH 45050-2521 | 2020-10-25 |
| 1851990600 | Brandy Baker | Nurse Practitioner | 494 Yorkshire Dr, Newark, OH 43055-1522 | 2020-10-22 |
| 1538768445 | Ashley Nicole Morgan | Nurse Practitioner | 15099 State Route 170, East Liverpool, OH 43920-9598 | 2020-10-21 |
| 1881293082 | Sommer Saddler | Nurse Practitioner | 2120 Hampstead Rd, Cleveland Heights, OH 44118-2509 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | WHEELERSBURG |
| Zip Code | 45694 |
Please comment or provide details below to improve the information on KIMBERLY LYNETTE GLENN.
| 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.