KIMBERLY ANN SHAFER (NPI# 1063413557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063413557 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN SHAFER |
| Credential | R.N., F.N.P.-B.C. |
| Practice Address |
2601 Wasson Rd Big Spring TX 79720-6416 |
| Practice Telephone | 4327144284 |
| Practice Fax Number | 4327144286 |
| Mailing Telephone | 4327144284 |
| Mailing Fax Number | 4327144286 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2008-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
578393 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 167375801 | 05 | |
| TX | BCBS TX | NP7140 | 01 |
| Street Address |
2601 WASSON RD |
| City | BIG SPRING |
| State | TX |
| Zip Code | 79720-6416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609341007 | Latisha Marie Ward | Family Medicine | 2601 Wasson Rd, Big Spring, TX 79720 | 2018-10-11 |
| 1316154693 | Kimberly A Shafer, P.C. | Nurse Practitioner | 2601 Wasson Rd, Big Spring, TX 79720-6416 | 2007-05-17 |
| 1710049465 | Nancy Faye Vassar | Nurse Practitioner | 2601 Wasson Rd, Big Spring, TX 79720-6416 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174174072 | Sharron Harrell | Technician | 407 Driver Rd, Big Spring, TX 79720 | 2019-09-23 |
| 1760049357 | Big Spring Urgent Care Pllc | Clinic/Center | 1700 Wfm 700 Suite B, Big Spring, TX 79720 | 2019-05-20 |
| 1558927582 | West Texas Injury Prevention | Nurse Practitioner | 1111 Scurry, Big Spring, TX 79720 | 2019-05-15 |
| 1417442781 | Caprise Carrisalez | Licensed Vocational Nurse | 2536 Westover, #140, Big Spring, TX 79720 | 2018-06-28 |
| 1235644758 | Connect2speech, LLC | Speech-Language Pathologist | 603 S Gregg St Ste C, Big Spring, TX 79720 | 2017-12-06 |
| 1396256913 | Pf Development 16, LLC | Home Health | 609 S Gregg St, Big Spring, TX 79720 | 2017-10-23 |
| 1497202063 | Wiggins-worthy Wellness Pllc | Clinic/Center | 607 N Main St., Big Spring, TX 79720 | 2016-09-01 |
| 1336537109 | Sangwook Kang | Nurse Anesthetist, Certified Registered | 1601 W 11th Place, Big Spring, TX 79720 | 2015-01-02 |
| 1245542091 | Mme II LLC | Durable Medical Equipment & Medical Supplies | 1903 S Gregg St, Big Spring, TX 79720 | 2010-07-09 |
| 1699945659 | Treasa Kerby Wells | Registered Nurse | 2103 Morrison Drive, Big Spring, TX 79720 | 2008-03-06 |
| Find all providers in zip 79720 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576489 | Alexandria Nicole Watkins | Nurse Practitioner | 908 Mountain Park Dr, Big Spring, TX 79720-4110 | 2020-04-10 |
| 1548803661 | Lindsey Jacques | Nurse Practitioner | 1700 W Fm 700 Ste B, Big Spring, TX 79720-4120 | 2019-10-21 |
| 1194367235 | Stacy Renae Flores | Nurse Practitioner | 608 S Aylesford St, Big Spring, TX 79720-2326 | 2019-10-10 |
| 1871147280 | Anywhere Mobile Health Care Pllc | Nurse Practitioner | 1801 E Fm 700, Big Spring, TX 79720-5055 | 2019-07-25 |
| 1386950871 | Eligio Jason Arguello | Nurse Practitioner | 1700 W Fm 700, Big Spring, TX 79720-4120 | 2010-08-23 |
| 1063651917 | Shirlene Marie Sulatan | Nurse Practitioner | 609 Jeffery Rd, Big Spring, TX 79720-7920 | 2009-02-17 |
| 1932312584 | Connie Sue Zant | Nurse Practitioner | 2601 Wasson Drive, Big Spring, TX 79720 | 2007-05-08 |
| 1689694556 | Leslie R White | Nurse Practitioner | 1800 Scurry St, Big Spring, TX 79720-5402 | 2006-07-20 |
| 1396350070 | Jonathan Robert Morales | Nurse Practitioner | 2301 S Gregg St, Big Spring, TX 79720-5531 | 2020-09-10 |
| 1659995645 | Lark Michelle Olivas | Nurse Practitioner | 1300 S Gregg St, Big Spring, TX 79720-4325 | 2020-06-04 |
| Find all providers in BIG SPRING | ||||
| City | BIG SPRING |
| Zip Code | 79720 |
Please comment or provide details below to improve the information on KIMBERLY ANN SHAFER.
| 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.