KIMBERLY J MOELLER (NPI# 1134368780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134368780 |
Entity Type | Individual |
Full Name | KIMBERLY J MOELLER |
Credential | C.N.S. |
Practice Address |
161 N Forge St Ste. 198 Akron OH 44304-1468 |
Mailing Address |
525 E Market St Po Box 2090 Akron OH 44304-1619 |
Practice Telephone | 3303761043 |
Practice Fax Number | 3303769951 |
Mailing Telephone | 3309968603 |
Mailing Fax Number | 3309968695 |
Enumeration Date | 2009-02-05 |
Last Update Date | 2011-03-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364S00000X | Clinical Nurse Specialist | NS10499 | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2986112 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891392106 | Kimberly Sue Moeller | Counselor | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2020-10-08 |
Street Address |
161 N FORGE ST STE. 198 |
City | AKRON |
State | OH |
Zip Code | 44304-1468 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255328845 | Stephen J Andrews | Obstetrics & Gynecology | 161 N Forge St, Suite 298, Akron, OH 44304-1468 | 2005-09-29 |
1063864304 | Courtney Marie Nock | Physician Assistant | 161 N Forge St, Suite 298, Akron, OH 44304-1468 | 2016-07-11 |
1184968836 | Summa Physicians Inc | Surgery | 161 N Forge St, Suite G90, Akron, OH 44304-1468 | 2012-11-19 |
1073861902 | Jessica Moeller | Psychologist | 161 N Forge St, Ste 190, Akron, OH 44304-1468 | 2012-08-27 |
1669705224 | Cancer Care Center LLC | Radiology | 161 N Forge St, Suite G90, Akron, OH 44304-1468 | 2009-09-15 |
1639309735 | Summa Physicians Inc | Physician Assistant | 161 N Forge St, Ste. 298, Akron, OH 44304-1468 | 2009-07-23 |
1497904445 | Summa Physicians Inc | Internal Medicine | 161 N Forge St, Suite 198, Akron, OH 44304-1468 | 2008-09-15 |
1447407697 | Sameer A Mahesh | Internal Medicine | 161 N Forge St, Suite 198, Akron, OH 44304-1468 | 2008-08-19 |
1336315456 | Robin Laskey-jobkar | Obstetrics & Gynecology | 161 N Forge St, Suite 298, Akron, OH 44304-1468 | 2008-05-08 |
1104007665 | Anand Bharat Desai | Radiology | 161 N Forge St, Ste G90, Akron, OH 44304-1468 | 2007-11-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821696147 | Caroline Laska | Nurse Practitioner | Summa, 525 East Market, Akron, OH 44304 | 2020-10-09 |
1053940916 | Priyanka Malini Ravindran | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-04-03 |
1467081349 | Savannah Chavez | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine 525 East Market St., Akron, OH 44304 | 2020-04-03 |
1255960357 | Nicholas Gilliam | Student in an Organized Health Care Education/Training Program | Summa Health/psychiatry 525 E. Market Street, Akron, OH 44304 | 2020-04-02 |
1184252462 | Megan Carlson Ptasinski | Student in an Organized Health Care Education/Training Program | Summa Health/obgyn, 525 East Market St., Akron, OH 44304 | 2020-03-31 |
1871121889 | Haley Marie Coleman | Student in an Organized Health Care Education/Training Program | Summa Health/ Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-03-27 |
1154963387 | Andrew Tkacik | Physician Assistant | 151 N Forge St, Akron, OH 44304 | 2019-10-09 |
1457918328 | Brandy Deem | Counselor | 87 N Forge St, Akron, OH 44304 | 2019-05-24 |
1184187445 | Zoe Nastasic Jones | Student in an Organized Health Care Education/Training Program | Summa Health 525 East Market St., Akron, OH 44304 | 2019-04-12 |
1780147751 | Nidhi Khullar | Student in an Organized Health Care Education/Training Program | Summa Health Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2019-04-08 |
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Taxonomy Code | 364S00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962502674 | Marianne Goldyn | Clinical Nurse Specialist | Community Support Services Inc, 150 Cross Street, Akron, OH 44311 | 2006-09-23 |
1093257685 | Brenda Mahaney | Clinical Nurse Specialist | 1 Perkins Sq, Akron, OH 44308-1063 | 2016-11-14 |
1669882817 | Donald Croston | Clinical Nurse Specialist | 1 Perkins Sq, Akron, OH 44308-1063 | 2014-04-28 |
1720398134 | Frank Aaron Gargasz | Clinical Nurse Specialist | 75 Arch St Ste 301, Akron, OH 44304-1429 | 2010-10-19 |
1285950956 | Mary Sokolowski | Clinical Nurse Specialist | 1 Akron General Ave, Akron, OH 44307-2432 | 2010-04-20 |
1518297704 | Rebecca Elise Thomas | Clinical Nurse Specialist | 701 White Pond Dr, Suite 300, Akron, OH 44320-2626 | 2010-01-11 |
1033447511 | Summa Physicians Inc | Clinical Nurse Specialist | 75 Arch St, Suite 407, Akron, OH 44304-1429 | 2009-11-23 |
1447492145 | Anita Jean Meehan | Clinical Nurse Specialist | 400 Wabash Ave, Akron, OH 44307-2433 | 2009-03-27 |
1659519569 | Julie R Imani | Clinical Nurse Specialist | 400 Wabash Ave, Akron, OH 44307-2433 | 2009-01-30 |
1134367246 | Debra K Hudock | Clinical Nurse Specialist | 400 Wabash Ave, Akron, OH 44307-2433 | 2009-01-27 |
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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.