KIMBERLY N HACKNEY (NPI# 1083842454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083842454 |
| Entity Type | Individual |
| Full Name | KIMBERLY N HACKNEY |
| Other Name | KIMBERLY N. ROBINSON |
| Credential | D.O. |
| Practice Address |
300 Winding Woods Dr Ste 120 O Fallon MO 63366-4772 |
| Practice Telephone | 6369787902 |
| Mailing Telephone | 6369787902 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2017-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2010037113 | MO | Allopathic & Osteopathic Physicians |
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
2010037113 | MO | Allopathic & Osteopathic Physicians |
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
05-35901 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1083842454 | 05 | |
| IL | ILLINOIS MEDICAL ASSISTANCE PROGRAM | PAYEE 1 | 01 |
| MO | RAILROAD MEDICARE | P01296531 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 615 S New Ballas Rd, Suite 6006b, Saint Louis, MO 631418221 | 3142516299 |
| Street Address |
300 WINDING WOODS DR STE 120 |
| City | O FALLON |
| State | MO |
| Zip Code | 63366-4772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314826 | Transformative Health 180 LLC | Physical Therapist | 821 West Terra Lane, O Fallon, MO 63366 | 2019-03-05 |
| 1740754126 | Donna Marie Person | Nurse Practitioner | 331 Magnolia Valley Dr., Ofallon, MO 63366 | 2019-01-18 |
| 1679069470 | Samantha Schulte | Clinical Pharmacology | 7 Poor Richard Ct, O Fallon, MO 63366 | 2018-07-03 |
| 1790218048 | Jill Buery | Marriage & Family Therapist | 801 S Woodlawn Ave, Ste 15, O'fallon, MO 63366 | 2017-04-04 |
| 1114466968 | Jessica Anne Morris | Counselor | 103 Lincoln Street, O'fallon, MO 63366 | 2017-02-13 |
| 1639528540 | Kyle James Neuschaefer | Dentist | 31 Ofallon Sq, O Fallon, MO 63366 | 2016-06-10 |
| 1295116143 | Katherine Seiler Harkess | Obstetrics & Gynecology | 300 Winding Woods Drive Suite 200, O'fallon, MO 63366 | 2015-06-16 |
| 1528453354 | Amanda Flamm | Nurse Practitioner | 1101 Hightway K, Ofallon, MO 63366 | 2015-03-30 |
| 1144639972 | Sara Birkemeier | Physical Therapist | 1541 Norwood Hills Dr, Ofallon, MO 63366 | 2014-08-06 |
| 1710390893 | Catherine Rose Most | Speech-Language Pathologist | 555 E. Terra Lane, Fort Zumwalt School District, O'fallon, MO 63366 | 2014-06-06 |
| Find all providers in zip 63366 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578792297 | Melissa Roewe | Pediatrics | 9979 Winghaven Blvd Ste 206, O Fallon, MO 63368 | 2009-07-02 |
| 1881760445 | Thomas Edmund Levrault | Pediatrics | 1337 Park Plaza Dr, Suite 1, O Fallon, IL 62269-1777 | 2006-11-27 |
| 1790730554 | Nuzhat Nisar | Pediatrics | 2954 Highway K, O Fallon, MO 63368-7861 | 2006-05-23 |
| 1881655454 | Jennifer M Hinton | Pediatrics | 1002 Peruque Crossing Ct, Ste 101, O Fallon, MO 63366-2362 | 2006-03-31 |
| 1962478925 | Ella Rozin | Pediatrics | 1001 Highway K, Suite 4, O Fallon, MO 63366-8423 | 2006-02-28 |
| 1013993344 | Guy C Venuti | Pediatrics | 670 Pierce Blvd, O Fallon, IL 62269-2579 | 2005-12-19 |
| 1841281193 | William Stuart Adams | Pediatrics | 9979 Winghaven Blvd, Suite 206, O Fallon, MO 63368-3627 | 2005-11-03 |
| 1619515384 | Emily Caufield | Pediatrics | 604 Pierce Blvd, O Fallon, IL 62269-2588 | 2019-12-12 |
| 1366830572 | Wuca-o'fallon Pediatrics, LLC | Pediatrics | 20 Progress Point Pkwy, Suite 220, O Fallon, MO 63368-2206 | 2014-12-23 |
| 1194901025 | Yasangi Marina Jayasinha | Pediatrics | 1001 Highway K, Suite 4, O Fallon, MO 63366-8423 | 2008-01-09 |
| Find all providers in O FALLON | ||||
Please comment or provide details below to improve the information on KIMBERLY N HACKNEY.
| 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.