HOLLY ELAINE KIMBALL (NPI# 1174057855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174057855 |
| Entity Type | Individual |
| Full Name | HOLLY ELAINE KIMBALL |
| Credential | CNS |
| Practice Address |
7700 Fish Pond Rd Waco TX 76710-1031 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2547614444 |
| Mailing Telephone | 2547248800 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 713761 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
AP133825 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7700 FISH POND RD |
| City | WACO |
| State | TX |
| Zip Code | 76710-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841298494 | Laura S Byas | Counselor | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2005-07-08 |
| 1053821504 | Ashley A Aaron | Nurse Practitioner | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2017-10-10 |
| 1215389846 | Alyce Danielle Alven | Optometrist | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2016-07-07 |
| 1558741967 | Fernando Galindo | Physician Assistant | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2015-06-02 |
| 1649685462 | Jennifer Harwell | Nurse Practitioner | 7700 Fish Pond Rd, Waco, TX 76710 | 2014-07-01 |
| 1932511276 | Lee Murphy | Family Medicine | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2014-05-21 |
| 1881005031 | Adam Keith Jantz | Family Medicine | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2014-05-09 |
| 1134470198 | Jamie Michele Olejarski | Internal Medicine | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2012-09-30 |
| 1700146586 | Allison Joy Achilefu | Family Medicine | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2012-05-25 |
| 1942597851 | David Sadoskas | Podiatrist | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2011-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| 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 |
|---|---|---|---|---|
| 1285032656 | Icarepro of Texas, Pa | Clinical Nurse Specialist | 2301 Cedar Ridge Rd, Waco, TX 76708-2347 | 2014-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1144843103 | Katie Elaine Malone | Clinical Nurse Specialist | 1325 Pennsylvania Ave Ste 500, Fort Worth, TX 76104-2130 | 2020-05-26 |
| 1912561051 | Princess Rollins Holt | Clinical Nurse Specialist | 2300 Highland Village Rd Ste 300, Highland Village, TX 75077-7157 | 2019-04-24 |
| 1538646062 | William Stone | Clinical Nurse Specialist | 1400 Clarewood Dr Apt 325, San Marcos, TX 78666-8034 | 2018-07-26 |
| 1831680040 | Carmen Floy Lagrone | Clinical Nurse Specialist | 6901 Mckinney Falls Pkwy, Austin, TX 78744-8401 | 2018-05-23 |
| 1891206835 | Rebecca Robles | Clinical Nurse Specialist | 2500 West Fwy Ste 200, Fort Worth, TX 76102-5851 | 2017-10-17 |
| 1467970145 | Kimberley Gayle Brooks | Clinical Nurse Specialist | 507 Denali Pass, Cedar Park, TX 78613 | 2017-09-01 |
| 1932637378 | Virginia Ducote Remeny | Clinical Nurse Specialist | 4316 Companeros Way, Austin, TX 78749-3650 | 2017-05-30 |
| 1689101651 | Mary Beth Mollenkopf | Clinical Nurse Specialist | 1130 Hoffman Rd, Seguin, TX 78155-0956 | 2017-05-21 |
| 1821532565 | Equilibre Clinic LLC | Clinical Nurse Specialist | 6025 Metropolitan Dr Ste 210, Beaumont, TX 77706-2409 | 2016-12-15 |
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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.