IAN S KINZER (NPI# 1043761810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043761810 |
| Entity Type | Individual |
| Full Name | IAN S KINZER |
| Credential | PMHNP |
| Practice Address |
4040 Memorial Pkwy Sw Huntsville AL 35802-4364 |
| Practice Telephone | 2565331970 |
| Practice Fax Number | 2567056477 |
| Mailing Telephone | 2565331970 |
| Mailing Fax Number | 2567056477 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1-147297 | AL | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1-147297 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 239778 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1909 Commerce Ave, Cullman, AL 350556151 | 2567344688 | 2567365638 |
| Street Address |
4040 MEMORIAL PKWY SW |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35802-4364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043291123 | Douglas W Adams | Psychiatry & Neurology | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2005-11-07 |
| 1710502687 | Joellen Yamamori | Licensed Practical Nurse | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2020-06-16 |
| 1780204354 | Kristi Allen | Registered Nurse | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2020-04-23 |
| 1861012452 | Jacqueline Bell | Counselor | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2020-04-23 |
| 1851911606 | William J Holmes | Counselor | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2020-04-22 |
| 1841810611 | Ryan M Hill | Counselor | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2020-04-22 |
| 1508486275 | Joseph Reed | Licensed Practical Nurse | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2020-04-22 |
| 1982224739 | Emma Gabriella Young | Registered Nurse | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2020-04-22 |
| 1770103541 | Kaasha Campbell | Counselor | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2020-04-22 |
| 1184244923 | Phyllis Brown | Counselor | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187371 | Susan R. Bechert | Social Worker | Huntsville Psychotherapy and Counseling Services, 7540 S. Memorial Parkway, Suite W, Huntsville, AL 35802 | 2019-04-24 |
| 1932601416 | Crystal Gaskins | Nurse Practitioner | 700 Airport Road Suite D, Huntsville, AL 35802 | 2018-03-01 |
| 1073032736 | Emily Rachel Lapidus | Specialist/Technologist | 310 Devon Circle, Huntsville, AL 35802 | 2017-09-13 |
| 1467992727 | Thrive At Jones Farm | Assisted Living Facility | 2238 Cecil Ashburn Dr Se, Huntsville, AL 35802 | 2017-03-06 |
| 1922554641 | Acts Signature Community Services, Inc. | Internal Medicine | One Clubhouse Avenue, Huntsville, AL 35802 | 2016-09-01 |
| 1578018438 | Sarah Thompson | Marriage & Family Therapist | 116 Lily Flagg Rd Sw Ste D, Huntsville, AL 35802 | 2016-08-22 |
| 1124489166 | Nadine Wormsbacher | Massage Therapist | 919 Willowbrook Dr Suite D, Huntsville, AL 35802 | 2016-03-18 |
| 1962761486 | Alfred Lawrence Watson | Internal Medicine | 2112 Clubhouse Ave, Huntsville, AL 35802 | 2012-05-04 |
| 1992073449 | Susan Gosdin Weiler | Pharmacist | 2784 Carl T Jones Drive, Huntsville, AL 35802 | 2011-12-12 |
| 1518257823 | Bonnie Jo Ferguson | Pharmacist | 4096 Whitesburg Drive, Huntsville, AL 35802 | 2011-04-08 |
| Find all providers in zip 35802 | ||||
| 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 |
|---|---|---|---|---|
| 1942776695 | Brittany Ellen Kesten | Nurse Practitioner | 185 Whitesport Dr Sw Ste 5, Huntsville, AL 35801-6487 | 2018-10-21 |
| 1063836807 | Billie Renee Russell | Nurse Practitioner | 953 Jeff Rd Nw, Huntsville, AL 35806-1237 | 2014-02-14 |
| 1578051348 | Tiffany Bumpus | Nurse Practitioner | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2018-04-27 |
| 1033648761 | Janet Kikily Merriam | Nurse Practitioner | 1111 Wayne Rd Nw, Huntsville, AL 35806-3567 | 2017-06-06 |
| 1184165748 | Josiah Keaton Aldrup | Nurse Practitioner | 1111 Wayne Rd Nw, Suite 6, Huntsville, AL 35806-3567 | 2017-03-15 |
| 1689123051 | Sean Keith Riggs | Nurse Practitioner | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2016-09-27 |
| 1346657392 | Violet R. Gilbert | Nurse Practitioner | 2308 Pansy St Sw, Huntsville, AL 35801-3803 | 2014-07-22 |
| 1700094463 | Sharon Wright | Nurse Practitioner | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2007-05-18 |
| 1174689459 | Cynthia Michele Barrett | Nurse Practitioner | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250207 | Samantha Rose Pichler | Nurse Practitioner | 256 Honeysuckle Rd Ste 3, Dothan, AL 36305-1168 | 2020-09-16 |
| 1285249219 | Shea Monique Ludgood | Nurse Practitioner | 406 Skyview Dr Apt D, Birmingham, AL 35209-7620 | 2020-09-15 |
| 1710599386 | Brianna Johnson | Nurse Practitioner | 1531 N Andrews Dr, Thomasville, AL 36784-3529 | 2020-08-17 |
| 1316565336 | Alisha Hamidian | Nurse Practitioner | 1229 County Road 512, Valley Head, AL 35989-4926 | 2020-07-07 |
| 1003437880 | Kathryn Nicole Logan | Nurse Practitioner | 183 Little Doe Ln, Wetumpka, AL 36093-3093 | 2020-05-02 |
| 1831740729 | Chloe J Law | Nurse Practitioner | 3000 Southlake Park Ste 1000, Hoover, AL 35244-3293 | 2019-09-23 |
| 1528526704 | Deangelo Cartez Cooper | Nurse Practitioner | 4371 Narrow Lane Rd Ste 205, Montgomery, AL 36116-2975 | 2019-03-07 |
| 1861965493 | Taylor Barrett | Nurse Practitioner | 740 Forrest Ave, Gadsden, AL 35901-3639 | 2019-01-07 |
| 1295217198 | Latisha Ali | Nurse Practitioner | 3000 Riverchase Galleria Ste 500, Hoover, AL 35244-2365 | 2018-09-06 |
| 1437661030 | Susan Nicole Bettis | Nurse Practitioner | 295 S Jackson St Ste B, Grove Hill, AL 36451-3231 | 2017-11-04 |
| Find all providers with the same taxonomy | ||||
| City | HUNTSVILLE |
| Zip Code | 35802 |
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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.