ANNA KIMBALL (NPI# 1194113092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194113092 |
Entity Type | Individual |
Full Name | ANNA KIMBALL |
Credential | RN, PHN |
Practice Address |
560 W Fir Ave Fergus Falls MN 56537-1364 |
Practice Telephone | 2189988320 |
Mailing Telephone | 2189988320 |
Enumeration Date | 2014-12-30 |
Last Update Date | 2014-12-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251K00000X | Public Health or Welfare | R199509-1 | MN | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 251K00000X | 05 |
Street Address |
560 W FIR AVE |
City | FERGUS FALLS |
State | MN |
Zip Code | 56537-1364 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023001260 | Otter Tail County Auditor | Public Health or Welfare | 560 W Fir Ave, Government Services Center, Fergus Falls, MN 56537-1364 | 2005-08-23 |
1316579337 | Mattie Ellenson | Public Health or Welfare | 560 W Fir Ave, Fergus Falls, MN 56537-1364 | 2020-02-07 |
1295374437 | Jon Fransen | Public Health or Welfare | 560 W Fir Ave, Fergus Falls, MN 56537-1364 | 2020-01-06 |
1982243028 | Dana Van Santen | Public Health or Welfare | 560 W Fir Ave, Fergus Falls, MN 56537-1364 | 2020-01-06 |
1437634607 | Monica Murillo | Community Health Worker | 560 W Fir Ave, Fergus Falls, MN 56537-1364 | 2018-10-03 |
1891242830 | Megan Barker | Public Health or Welfare | 560 W Fir Ave, Fergus Falls, MN 56537-1364 | 2016-09-07 |
1538536610 | Jodi Lewis | Public Health or Welfare | 560 W Fir Ave, Fergus Falls, MN 56537-1364 | 2015-08-25 |
1982087565 | Karen Beseman | Public Health or Welfare | 560 W Fir Ave, Fergus Falls, MN 56537-1364 | 2015-07-01 |
1487042479 | Amy Guck | Public Health or Welfare | 560 W Fir Ave, Fergus Falls, MN 56537-1364 | 2014-12-30 |
1073901047 | Jane Schmidt | Public Health or Welfare | 560 W Fir Ave, Fergus Falls, MN 56537-1364 | 2014-12-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
1134604127 | Christopher Michael Kjolhaug | Physical Therapist | 1131 South Mabelle Ave, Fergus Falls, MN 56537 | 2018-09-26 |
1619406808 | Aaron John Teigen | Physical Therapist | 1304 Lincoln Ave W, Suite C, Fergus Falls, MN 56537 | 2017-06-09 |
1003272154 | Anthony Gettel Dc LLC | Chiropractor | 755 Wildwood Trail, Fergus Falls, MN 56537 | 2016-01-05 |
1447628912 | Kelsey Shea | Student in an Organized Health Care Education/Training Program | 20743 Red Oak Dr., Fergus Falls, MN 56537 | 2015-09-14 |
1881070217 | Vineet Ganapati | Dentist | 2001 W Lincoln Ave # 33, Fergus Falls, MN 56537 | 2015-08-07 |
1497004832 | Beverly Renae Reiff | Registered Nurse | 22279 River Oaks Drive, Fergus Falls, MN 56537 | 2012-08-30 |
1114221421 | Jane Mary Bjornson | Social Worker | 21081 County Hwy 1, Fergus Falls, MN 56537 | 2010-12-29 |
Find all providers in zip 56537 |
Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023001260 | Otter Tail County Auditor | Public Health or Welfare | 560 W Fir Ave, Government Services Center, Fergus Falls, MN 56537-1364 | 2005-08-23 |
1316579337 | Mattie Ellenson | Public Health or Welfare | 560 W Fir Ave, Fergus Falls, MN 56537-1364 | 2020-02-07 |
1295374437 | Jon Fransen | Public Health or Welfare | 560 W Fir Ave, Fergus Falls, MN 56537-1364 | 2020-01-06 |
1982243028 | Dana Van Santen | Public Health or Welfare | 560 W Fir Ave, Fergus Falls, MN 56537-1364 | 2020-01-06 |
1891242830 | Megan Barker | Public Health or Welfare | 560 W Fir Ave, Fergus Falls, MN 56537-1364 | 2016-09-07 |
1538536610 | Jodi Lewis | Public Health or Welfare | 560 W Fir Ave, Fergus Falls, MN 56537-1364 | 2015-08-25 |
1982087565 | Karen Beseman | Public Health or Welfare | 560 W Fir Ave, Fergus Falls, MN 56537-1364 | 2015-07-01 |
1487042479 | Amy Guck | Public Health or Welfare | 560 W Fir Ave, Fergus Falls, MN 56537-1364 | 2014-12-30 |
1073901047 | Jane Schmidt | Public Health or Welfare | 560 W Fir Ave, Fergus Falls, MN 56537-1364 | 2014-12-29 |
1194113258 | Matthew Perrier | Public Health or Welfare | 560 W Fir Ave, Fergus Falls, MN 56537-1364 | 2014-12-24 |
Find all providers in FERGUS FALLS |
City | FERGUS FALLS |
Zip Code | 56537 |
Please comment or provide details below to improve the information on ANNA KIMBALL.
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.