KIMBERLY DESTEFANO (NPI# 1104281526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104281526 |
| Entity Type | Individual |
| Full Name | KIMBERLY DESTEFANO |
| Practice Address |
27446 151st Pl Se Kent WA 98042 |
| Practice Telephone | 5099458288 |
| Mailing Telephone | 5099458288 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP00045273 | WA | Nursing Service Providers |
| Street Address |
27446 151ST PL SE |
| City | KENT |
| State | WA |
| Zip Code | 98042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1609489640 | Hua Wang | Massage Therapist | 27641 Covington Way Se, Ste 1, Covington, WA 98042 | 2020-08-28 |
| 1417416678 | Anatoliy Voznyarskiy | Behavior Technician | 27023 164th. Ave Se, Covington, WA 98042 | 2019-03-18 |
| 1639693393 | Michele Shilley | Registered Nurse | 24519 185th Pl Se, Covington, WA 98042 | 2017-08-02 |
| 1508243403 | Dora Arralde | Registered Nurse | 14620 S.e. 244th St, Kent, WA 98042 | 2015-04-29 |
| 1609299486 | Mei Ing Yau | Registered Nurse | 14311 Se 243rd St, Kent, WA 98042 | 2014-01-29 |
| 1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
| 1326327073 | Julie A Taylor | Occupational Therapy Assistant | 15630 Se 262nd Pl, Covington, WA 98042 | 2011-08-12 |
| 1720380397 | Blanka Karasek | Pharmacist | 17023 Se 272nd St., Safeway Pharmacy, Covington, WA 98042 | 2010-12-02 |
| 1154573343 | Danni Walker | Specialist | 6624 Se 196th St, Suite U-101, Kent, WA 98042 | 2008-10-21 |
| Find all providers in zip 98042 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857485 | Serah Wanjiru Njoroge | Licensed Practical Nurse | 14109 Se 282nd St, Kent, WA 98042-3916 | 2019-12-04 |
| 1366092785 | Kennly M Renicker | Licensed Practical Nurse | 709 Allerton St, Kent, OH 44240-4501 | 2019-09-17 |
| 1104483684 | Christian Rice | Licensed Practical Nurse | 478 Brentwood Ave, Kent, OH 44240-3236 | 2019-05-21 |
| 1396247409 | Jaid Monique Jackson | Licensed Practical Nurse | 902 Summit Gardens Blvd, Kent, OH 44240-7736 | 2018-03-05 |
| 1346792934 | Ngoc Tran | Licensed Practical Nurse | 24323 100th Pl Se, Kent, WA 98030-4841 | 2016-10-29 |
| 1386092054 | Amninder Ripsy Nagra-kaur | Licensed Practical Nurse | 10016 Se 218th Pl, Kent, WA 98031 | 2016-06-02 |
| 1609248319 | Laura Beth Brumfield | Licensed Practical Nurse | 343 W Elm St, Kent, OH 44240-3715 | 2015-10-21 |
| 1104211259 | Octavia Lawler | Licensed Practical Nurse | 782 Silver Meadows Blvd Apt 202, Kent, OH 44240-1964 | 2015-04-04 |
| 1154726289 | Laura Michelle Alhassan | Licensed Practical Nurse | 3534 Duffield Rd., Kent, OH 44240 | 2014-10-31 |
| 1881000842 | Shannon Marie Wood | Licensed Practical Nurse | 3969 Lor Ron St, Kent, OH 44240-6429 | 2014-07-10 |
| Find all providers in KENT | ||||
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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.