KIMBERLY D CREEL (NPI# 1164888046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164888046 |
| Entity Type | Individual |
| Full Name | KIMBERLY D CREEL |
| Credential | ARNP |
| Practice Address |
9900 Bren Road East Mail Route Mn 008-b213 Minnetonka MN 55343 |
| Practice Telephone | 2292202483 |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9315287 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164854485 | Kimberly Creel | Speech-Language Pathologist | 2104 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1316 | 2013-08-09 |
| Street Address |
9900 BREN ROAD EAST MAIL ROUTE MN 008-B213 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104828276 | Jayne Ellen Peak | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2005-06-02 |
| 1720549124 | Shardai Nichole Shelton | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2019-03-28 |
| 1497268429 | Erin Watts | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343-1357 | 2017-11-13 |
| 1164943064 | Lora Lea Dosh | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2017-06-29 |
| 1851821755 | Julie Harris | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343-7918 | 2017-06-14 |
| 1174069348 | Tiffany Diane Bailey | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2017-01-12 |
| 1689124752 | Lorena C De La Rosa | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2016-10-12 |
| 1386193761 | Brittney Bobb | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2016-09-27 |
| 1497201156 | Leng Gauv | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2016-08-31 |
| 1902350291 | Lauren Daiuto | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2016-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689230542 | Madison C Korus | Behavior Technician | 5501 Feltl Road, Minnetonka, MN 55343 | 2019-05-16 |
| 1942708508 | Teammd Physicians of Texas Inc | Case Manager/Care Coordinator | 9900 Bren Rd E # 8-b217, Minnetonka, MN 55343 | 2018-01-30 |
| 1659899284 | Midwest Medical Transit | Transportation Broker | 1001 Main Street #125, Hopkins, MN 55343 | 2017-09-04 |
| 1376070367 | Noor Translation and Interpretation Services LLC | Interpreter | 5620 Smetana Drive, Ste 300, Office D, Minnetonka, MN 55343 | 2017-05-22 |
| 1871043240 | Katherine Rae Skarphol | Speech-Language Pathologist | 5501 Feltl Rd, Hopkins, MN 55343 | 2016-10-10 |
| 1215481478 | Safi Care Transportation | Non-emergency Medical Transport (VAN) | 1001 Mainstreet, Ste 125, Hopkins, MN 55343 | 2016-08-05 |
| 1649723420 | Stephanie Stackhouse | Internal Medicine | 5520 Bristol Lane, Minnetonka, MN 55343 | 2016-07-28 |
| 1023479706 | Counter Point Recovery | Substance Abuse Rehabilitation Facility | 5022 Baker Rd, Minnetonka, MN 55343 | 2016-03-09 |
| 1851766356 | Enrique Mendoza Rojas | Nurse Practitioner | 9900 Ben Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2015-12-09 |
| 1013307230 | Susanna Monroe | Nurse Practitioner | Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 | 2015-01-26 |
| Find all providers in zip 55343 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376992313 | Fredricka Marsh | Nurse Practitioner | 9900 Bren Rd E, Mail Route Mn 008-b213, Minnetonka, MN 55343-9664 | 2016-06-09 |
| 1598173577 | Miranda Billings | Nurse Practitioner | 501 Carlson Pkwy Apt 108, Minnetonka, MN 55305-5805 | 2014-07-23 |
| 1700448073 | Tara Carroll | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2019-07-08 |
| 1659936045 | All In Consulting LLC | Nurse Practitioner | 11800 Wayzata Blvd, Minnetonka, MN 55305-2010 | 2019-05-01 |
| 1962962530 | Denise Pennicooke | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2019-03-20 |
| 1679054100 | Jesse Hayes | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2018-08-23 |
| 1740771088 | Claire Malark | Nurse Practitioner | 9800 Health Care Ln, Minnetonka, MN 55343-4542 | 2018-05-22 |
| 1114423738 | Loran Rae Pottruck | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2018-04-03 |
| 1033610100 | Kelly Ann Callis | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2018-02-23 |
| 1750889523 | Alice Bowen | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2018-01-26 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55343 |
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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.