KIMBERLY SHADELLE HARDY-SAMPSON (NPI# 1164777553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164777553 |
| Entity Type | Individual |
| Full Name | KIMBERLY SHADELLE HARDY-SAMPSON |
| Credential | FNP |
| Practice Address |
4330 Bellfort St Houston TX 77051-1802 |
| Mailing Address |
3114 Sherbrooke Canyon Ln Houston TX 77047-2300 |
| Practice Telephone | 7137323532 |
| Mailing Telephone | 2818967202 |
| Enumeration Date | 2012-07-21 |
| Last Update Date | 2016-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
747140 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4330 BELLFORT ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77051-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013382639 | American Current Care Pa | Clinic/Center | 4330 Bellfort St, Houston, TX 77051-1802 | 2015-12-08 |
| 1922473545 | Concentra Primary Care | Clinic/Center | 4330 Bellfort St, Houston, TX 77051-1802 | 2015-12-08 |
| 1114391216 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 4330 Bellfort St, Houston, TX 77051-1802 | 2015-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023640174 | Partners In Primary Care Tx, Pa | Family Medicine | 9609 Cullen Boulevard, Suite A, Houston, TX 77051 | 2020-02-06 |
| 1548796709 | Lee & Lee-cullen-2, Pllc | Dentist | 9426 B Cullen Blvd., Houston, TX 77051 | 2017-05-10 |
| 1073974010 | Kinship Residential Care, LLC | Assisted Living Facility | 1119 Theresa St, Houston, TX 77051 | 2016-03-18 |
| 1730584921 | A.a.a. Abundance of Love, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4322 Mallow St, Houston, TX 77051 | 2014-10-30 |
| 1205254786 | Veronica Annette Holiday | Case Manager/Care Coordinator | 9049 Brandon, Houston, TX 77051 | 2014-04-02 |
| 1851501316 | Nikkis Apothecary LLC | Pharmacy | 8109 Cullen Blvd Ste. B, Houston, TX 77051 | 2007-05-23 |
| 1053439232 | Harriet Sumbo Tuyd | Nurse Practitioner | 9314 Cullen, Houston, TX 77051 | 2007-03-27 |
| 1972648681 | City of Houston | Clinic/Center | Sunnyside Health Center, Houston, TX 77051 | 2007-02-20 |
| 1124167895 | Brookhaven's Residential Care Center | Registered Nurse | 1222 Theresa St, Houston, TX 77051 | 2007-02-06 |
| 1396712774 | Barry A Martin | Family Medicine | 8803 Scott Street, Houston, TX 77051 | 2006-03-03 |
| Find all providers in zip 77051 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1104426311 | Erin Krim Gordon | Nurse Practitioner | 2202 Quenby St, Houston, TX 77005-1502 | 2020-10-27 |
| 1003415902 | Hope Ozumba | Nurse Practitioner | 8544 Dairy View Ln, Houston, TX 77072-3907 | 2020-10-21 |
| 1487253761 | Khanh Vu Phuong Nguyen | Nurse Practitioner | 13218 Bellaire Bld, Houston, TX 77083 | 2020-10-19 |
| 1962001362 | Eshcol Clinic | Nurse Practitioner | 9935 Bissonnet St Unit B, Houston, TX 77036-8413 | 2020-10-19 |
| 1013516483 | Shazia Mominkhawaja | Nurse Practitioner | 2222 Greenhouse Rd Ste 400, Houston, TX 77084-7288 | 2020-10-18 |
| 1851908610 | Iyobo Elegon | Nurse Practitioner | 8511 Dawnridge Dr, Houston, TX 77071-2441 | 2020-09-25 |
| 1548877541 | Lifespan Psychiatry and Wellness Center Pllc | Nurse Practitioner | 8700 Commerce Park Dr Ste 220, Houston, TX 77036-7431 | 2020-09-24 |
| 1811503345 | Alyssa Cory Hildebrand | Nurse Practitioner | 2450 Fondren Rd Ste 111, Houston, TX 77063-2314 | 2020-09-21 |
| 1245846088 | Adriana Ortiz | Nurse Practitioner | 7218 Shady Corners Ln, Houston, TX 77040-4733 | 2020-09-17 |
| Find all providers in HOUSTON | ||||
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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.