KIMBERLY NICOLE NORRIS (NPI# 1114470028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114470028 |
Entity Type | Individual |
Full Name | KIMBERLY NICOLE NORRIS |
Other Name | KIMBERLY NICOLE MCEVOY |
Credential | AGACNP |
Practice Address |
2701 17th St Rock Island IL 61201 |
Mailing Address |
2621 36th St Rock Island IL 61201-5640 |
Practice Telephone | 3097387393 |
Mailing Telephone | 3097837393 |
Enumeration Date | 2016-07-27 |
Last Update Date | 2018-05-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
H129244 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209.015950 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
100 Airport Rd, Kinston, NC 285011604 | 2525227000 | |
4500 Utica Ridge Rd, Bettendorf, IA 527221626 | 3097425000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184965139 | Kimberly J Norris | Rehabilitation Practitioner | 580 Cheyenne, Ste.70, Las Vegas, NV 89030 | 2013-03-14 |
1881833721 | Kimberly Dawn Norris | Developmental Therapist | 1 Children's Way Slot 900, Little Rock, AR 72202 | 2009-02-17 |
1124565494 | Kimberly Norris | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2017-01-25 |
1528355880 | Kimberly Lauren Norris | Pediatrics | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2011-07-06 |
1154654986 | Kimberly A Norris | Speech-Language Pathologist | 8200 Dodge St, Children's Hospital & Medical Center - Rehab Services, Omaha, NE 68114-4113 | 2009-09-11 |
1659335305 | Kimberly J Norris | Ophthalmology | 1761 W M-43 Hwy, Suite 1, Hastings, MI 49058-8378 | 2006-04-12 |
Street Address |
2701 17TH ST |
City | ROCK ISLAND |
State | IL |
Zip Code | 61201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336142629 | Deepak Ahuja | Internal Medicine | 2701 17th St, Rock Island, IL 61201-5351 | 2005-05-31 |
1205436052 | Penny Ann Liebbe | Psychiatry & Neurology | 2701 17th St, Rock Island, IL 61201-5351 | 2020-10-30 |
1740880863 | Ginger I Busby | Counselor | 2701 17th St, Rock Island, IL 61201-5351 | 2020-10-28 |
1366041022 | Elizabeth Erin Montgomery | Registered Nurse | 2701 17th St, Rock Island, IL 61201-5351 | 2020-10-22 |
1285232587 | Jillian Elizabeth Spragg | Counselor | 2701 17th St, Rock Island, IL 61201-5393 | 2020-10-09 |
1902403140 | Kelsey Jean Mickelson | Counselor | 2701 17th St, Rock Island, IL 61201-5351 | 2020-10-01 |
1033725452 | Amber Michelle Winters | Counselor | 2701 17th St, Rock Island, IL 61201-5351 | 2020-09-21 |
1295341865 | Kaitlyn Dawn Shannon | Counselor | 2701 17th St, Rock Island, IL 61201-5351 | 2020-09-19 |
1902412539 | Alex Strupp | Counselor | 2701 17th St, Rock Island, IL 61201-5351 | 2020-09-18 |
1861008641 | Leanne Elizabeth Zazzetti | Counselor | 2701 17th St, Rock Island, IL 61201-5351 | 2020-09-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689206245 | Judy Kay Moore | Technician | 2439 8th Ave, Rock Island, IL 61201 | 2020-02-11 |
1053956862 | Christina Beam | Counselor | 1413 40th Street, Rock Island, IL 61201 | 2019-11-15 |
1356843817 | Stephanie Kaye Jones | Counselor | 2701 17th St., Rock Island, IL 61201 | 2018-03-01 |
1073062030 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 2239 24th Street Apt 15c, Rock Island, IL 61201 | 2016-09-30 |
1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
1538520903 | James Keith Frainey | Psychologist | 805 19th Street, Transitions Mhs, Rock Island, IL 61201 | 2016-03-14 |
1417340837 | Brandon Lee Sachwitz | Physician Assistant | 2701 17th Street, Trinity Medical Center, Rock Island, IL 61201 | 2015-03-10 |
1215366679 | Kimberly Lyall | Physical Therapy Assistant | 767 30th Street, Rock Island, IL 61201 | 2013-11-06 |
1386080745 | The Abbey Center, LLC | Clinic/Center | 3031 5th Ave., Rock Island, IL 61201 | 2013-05-13 |
1487097382 | Joe Lee Westerhof | Veterinarian | 2529 11th St, Rock Island, IL 61201 | 2013-04-10 |
Find all providers in zip 61201 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831724137 | Anna Gisela Press | Nurse Practitioner | 2701 17th St, Rock Island, IL 61201-5351 | 2020-03-06 |
1063047371 | Kristyn Annice Raya | Nurse Practitioner | 2570 24th St Ste 124, Rock Island, IL 61201-5394 | 2020-03-06 |
1467992974 | Shelly Vroman | Nurse Practitioner | 2570 24th St Ste 124, Rock Island, IL 61201-5394 | 2017-03-02 |
1467909549 | Erica Theis | Nurse Practitioner | 2701 17th St, Rock Island, IL 61201-5351 | 2016-09-06 |
1902201791 | Melinda Sue Allison | Nurse Practitioner | 2560 24th St, Suite 201, Rock Island, IL 61201-5357 | 2014-10-23 |
1528469491 | Sarah Mays | Nurse Practitioner | 2701 17th St, Rock Island, IL 61201-5351 | 2014-09-10 |
1407257488 | Nicole Fedele | Nurse Practitioner | 2701 17th St, Rock Island, IL 61201-5351 | 2014-09-10 |
1659610277 | Jeffery M Little | Nurse Practitioner | 2701 17th St, Rock Island, IL 61201-5351 | 2013-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437759461 | Sarah Westerman | Nurse Practitioner | 721 Dover Ct, Pingree Grove, IL 60140-9181 | 2020-10-28 |
1609485424 | Intensive Karen LLC | Nurse Practitioner | 612 Mulford St Apt 503, Evanston, IL 60202-3531 | 2020-07-28 |
1609484591 | Jennifer Kuczero | Nurse Practitioner | 4059 W 89th Pl, Hometown, IL 60456-1202 | 2020-07-16 |
1205452489 | Aneta Trybula | Nurse Practitioner | 10604 W 154th Pl, Orland Park, IL 60462-6025 | 2020-06-23 |
1740742170 | Jenna C Reeh | Nurse Practitioner | 1740 W Taylor St # 605e, Chicago, IL 60612-7232 | 2019-04-04 |
1588125116 | Sherryl Estorque | Nurse Practitioner | 9033 W Heathwood Cir, Niles, IL 60714-5807 | 2019-03-27 |
1992276497 | Laura Beth Miller | Nurse Practitioner | 302 W Hay St Ste 110, Decatur, IL 62526-4167 | 2018-12-09 |
1932674322 | Ashleigh M Poptic | Nurse Practitioner | 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 | 2018-10-11 |
1215415039 | Julieanne Ferguson | Nurse Practitioner | 251 E Huron St Dept Of, Chicago, IL 60611-2908 | 2018-08-02 |
1275024523 | Lateisha Nicole Fort | Nurse Practitioner | 1222 E 170th St, South Holland, IL 60473-3558 | 2018-05-22 |
Find all providers with the same taxonomy |
City | ROCK ISLAND |
Zip Code | 61201 |
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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.