KIMBERLY SCOTT (NPI# 1164972055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164972055 |
Entity Type | Individual |
Full Name | KIMBERLY SCOTT |
Credential | APRN-BC |
Practice Address |
570 E 115th St Chicago IL 60628-5740 |
Mailing Address |
9119 S Exchange Ave Chicago IL 60617-4225 |
Practice Telephone | 7737685000 |
Mailing Telephone | 7737685000 |
Enumeration Date | 2016-10-04 |
Last Update Date | 2016-10-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.014787 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285257899 | Kimberly T Scott | Counselor | 1870 Dixon Swimming Pool Rd, Burlington, NC 27217-8587 | 2020-05-19 |
1336779941 | Kimberly Nichole Scott | Nurse Practitioner | 201 Southview Dr, Hudson Oaks, TX 76087-8232 | 2020-01-22 |
1508403239 | Kimberly Scott | Social Worker | 8550 Ulmerton Rd Ste 145, Largo, FL 33771-5357 | 2019-12-02 |
1174035992 | Kimberly Scott | Registered Nurse | 19500 Sw 117th Ct, Miami, FL 33177-4413 | 2017-11-02 |
1669904447 | Kimberly Scott | Physical Therapy Assistant | 2921 Excelsior Springs Ct, Ellicott City, MD 21042-7614 | 2017-03-30 |
1740645779 | Kimberly Scott | Registered Nurse | 5207 Avenue T, Brooklyn, NY 11234-4604 | 2015-12-17 |
1376880153 | Kimberly Baldwin Scott | Counselor | Hc 68 Box 569, Ringold, OK 74754-9717 | 2013-01-14 |
1003169251 | Kimberly Evette Scott | Health Educator | 210 Schuyler St, Apartment 12, Jamestown, NY 14701-7536 | 2012-10-24 |
1720259633 | Kimberly Scott | Psychologist | 2272 North Pleasants Highway, St. Marys, WV 26170-0021 | 2008-03-19 |
1093884108 | Kimberly Antoine Scott | Social Worker | 112 S. Brooks St., Wake Forest, NC 27587-5008 | 2006-11-06 |
Street Address |
570 E 115TH ST |
City | CHICAGO |
State | IL |
Zip Code | 60628-5740 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063614923 | Chicago Family Health Center, Inc. | Clinic/Center | 570 E 115th St, Chicago, IL 60628-5740 | 2007-06-04 |
1578189577 | Sommer Mckinney | Nurse Practitioner | 570 E 115th St, Chicago, IL 60628-5740 | 2020-06-25 |
1801334008 | Ariel Bernstein | Social Worker | 570 E 115th St, Chicago, IL 60628-5740 | 2017-02-08 |
1396296299 | Julia Gordon | Nurse Practitioner | 570 E 115th St, Chicago, IL 60628-5740 | 2016-10-17 |
1992170393 | Sharmaine Patterson | Nurse Practitioner | 570 E 115th St, Chicago, IL 60628-5740 | 2015-12-10 |
1023496767 | Laura Michelle Douglas | Dentist | 570 E 115th St, Chicago, IL 60628-5740 | 2015-05-14 |
1326440538 | Katrina Mosley | Dentist | 570 E 115th St, Chicago, IL 60628-5740 | 2014-09-18 |
1720242852 | Ophelia K. Carlton | Dentist | 570 E 115th St, Chicago, IL 60628-5740 | 2008-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750857942 | Myrna Pledger | Counselor | 259 W. 104th Pl., Chicago, IL 60628 | 2018-10-16 |
1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
1285152801 | Brittany Bellamy | Developmental Therapist | 10333 S Prairie, Chicago, IL 60628 | 2017-09-04 |
1598293839 | Denise Marie Mercherson | Social Worker | 9561 S. Union, Chicago, IL 60628 | 2017-05-31 |
1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
1528432697 | Global Dialysis, LLC | Registered Nurse | 9746 South Harvard Ave., Chicago, IL 60628 | 2015-11-30 |
1871966382 | Kirby Rehabilitation, Inc | Clinic/Center | 723 W. 111th St, Chicago, IL 60628 | 2015-11-05 |
1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
1841567377 | Emma Goodman | Pharmacist | 10620 S. Halsted St, Chicago, IL 60628 | 2011-11-29 |
Find all providers in zip 60628 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
1881291706 | Rita Elue | Nurse Practitioner | 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 | 2020-10-04 |
1558976514 | Janice Nicole Kinney | Nurse Practitioner | 10127 S Harding Ave, Chicago, IL 60655-3748 | 2020-09-15 |
1881209278 | Monique Graves | Nurse Practitioner | 4912 W Adams St Apt 2, Chicago, IL 60644-4445 | 2020-09-11 |
1194339721 | Maureen Iyesogie Diji | Nurse Practitioner | 4658 S Ellis Ave, Chicago, IL 60653-3625 | 2020-09-01 |
1669085395 | Emily Calderon | Nurse Practitioner | 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 | 2020-08-24 |
Find all providers in CHICAGO |
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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.