MISS KIMBERLEY MARIE MATTHEWS (NPI# 1194232827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194232827 |
| Entity Type | Individual |
| Full Name | MISS KIMBERLEY MARIE MATTHEWS |
| Credential | DRUG COUNSELOR |
| Practice Address |
117 Power Dr Apt B Vallejo CA 94589-3418 |
| Mailing Address |
250 Smith Ranch Rd San Rafael CA 94903-5551 |
| Practice Telephone | 7077711704 |
| Mailing Telephone | 4154920818 |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1228410416 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 117 Power Dr Apt B, Vallejo, CA 945893418 | 7077711704 |
| Street Address |
117 POWER DR APT B |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067850 | Rachel Rix | Counselor | 201 Maine St Apt D3, Vallejo, CA 94590-5817 | 2020-09-11 |
| 1841845500 | Raelynn Ila Irene Foster | Counselor | 401 Stinson St Apt 8, Vallejo, CA 94591-6416 | 2019-08-08 |
| 1770145252 | Kennisha Allen | Counselor | 285 Larissa Ln, Vallejo, CA 94590-7601 | 2019-07-03 |
| 1972068203 | William Paul Mcdougall Iv | Counselor | 2521 Alameda St, Vallejo, CA 94590-2403 | 2019-01-31 |
| 1740754019 | Loren Cluke | Counselor | 116 El Dorado St, Vallejo, CA 94590-6945 | 2019-01-18 |
| 1316477664 | Matthew Friend Ausfahl | Counselor | 1628 Broadway St Ste A, Vallejo, CA 94590-2405 | 2017-06-19 |
| 1467802926 | Ronald Gensler | Counselor | 1109 Porter St Apt B, Vallejo, CA 94590-7909 | 2016-06-15 |
| 1881040418 | Nathan Hill | Counselor | 1313 Colusa St, Vallejo, CA 94590-3332 | 2016-05-12 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1184093882 | Jordana Cooper | Counselor | 141 Crowsnest Ct, Vallejo, CA 94591-7770 | 2015-09-23 |
| Find all providers in VALLEJO | ||||
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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.