KIMBERLY BALDWIN (NPI# 1205236692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205236692 |
| Entity Type | Individual |
| Full Name | KIMBERLY BALDWIN |
| Practice Address |
436 5th Ave Ted Stevens Way Kotzebue AK 99752 |
| Practice Telephone | 9074427325 |
| Practice Fax Number | 9074427308 |
| Mailing Telephone | 9074427325 |
| Mailing Fax Number | 9074427308 |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125J00000X | Dental Therapist | 06-021-DHAT | ZZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740698265 | Kimberly Baldwin | Student in an Organized Health Care Education/Training Program | 26168 Bosch Ln, Hebron, MD 21830-2214 | 2014-07-28 |
| 1649425588 | Kimberly A Baldwin | Counselor | 20050 E Smoky Hill Rd, Centennial, CO 80015-3134 | 2008-11-19 |
| 1275732349 | Kimberly Baldwin | Speech-Language Pathologist | 2619 S Yellowstone Ct, Wichita, KS 67215-1507 | 2007-07-17 |
| 1447686241 | Kimberly A Baldwin | Nurse Practitioner | 5844 Elaine Dr Ste B, Rockford, IL 61108-2495 | 2013-09-25 |
| 1407122518 | Kimberly Sue Baldwin | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2012-03-23 |
| 1881888774 | Kimberly Field Baldwin | Marriage & Family Therapist | 70 N Hudson Ave, Pasadena, CA 91101-1808 | 2007-09-04 |
| 1164487096 | Kimberly Staton Baldwin | Obstetrics & Gynecology | 433 Bellevue Ave, Trenton, NJ 08618-4514 | 2006-04-20 |
| Street Address |
436 5TH AVE TED STEVENS WAY |
| City | KOTZEBUE |
| State | AK |
| Zip Code | 99752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770103731 | Breanna Rosales | Counselor | 433 5 Th Ave, Kotzebue, AK 99752 | 2020-04-20 |
| 1679118814 | Verna Mariam Sherman | Case Manager/Care Coordinator | 733 2nd Ave., Kotzebue, AK 99752 | 2019-11-12 |
| 1568979565 | John Steven Ferraro | Counselor | 733 2'nd Ave, Kotzebue, AK 99752 | 2017-12-29 |
| 1528585494 | Guardian Flight LLC | Ambulance | Teacher Housing Apt # 18 Lagoon Street, Kotzebue, AK 99752 | 2017-08-23 |
| 1366998114 | Alaskans Changing Together, Inc. | Counselor | 241 5th Ave, Kotzebue, AK 99752 | 2016-08-31 |
| 1811309040 | Sylvia Michelle Windham | Advanced Practice Midwife | 436 5th Avenue and Ted Stevens Way, Kotzebue, AK 99752 | 2014-05-22 |
| 1881941193 | Belynda M. Gregg | Case Manager/Care Coordinator | 256 2nd Ave, F.r. Ferguson Building, Kotzebue, AK 99752 | 2012-08-07 |
| 1689932436 | Srikanth Rao Dakoji | Family Medicine | 479 Mission St, Apt C8, Kotzebue, AK 99752 | 2012-04-30 |
| 1932434792 | Joseph E Copeland | Family Medicine | Maniilaq Healh Center, Box 43, Kotzebue, AK 99752 | 2009-10-13 |
| 1144452426 | Peter Christopher Mccutcheon | Dentist | 436 Fifth St., Ted Stevens Way, Kotzebue, AK 99752 | 2009-08-20 |
| Find all providers in zip 99752 | ||||
| Taxonomy Code | 125J00000X |
| Grouping | Dental Providers |
| Classification | Dental Therapist |
| A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783075 | Allison Kristi Wasuli | Dental Therapist | 733 2nd Avenue, Kotzebue, AK 99752 | 2019-11-06 |
| 1609283621 | Lauren Tooyak | Dental Therapist | 436 5th Ted Stevens Way, Kotzebue, AK 99752-0043 | 2014-07-22 |
| 1841607140 | Samantha Brown | Dental Therapist | 436 5th and Ted Stevens Way, Kotzebue, AK 99752 | 2014-07-18 |
| 1922442334 | Stephanie Woods | Dental Therapist | 436 5th and Ted Stevens Way, Kotzebue, AK 99752 | 2013-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251607 | Tamija Katrice Woods | Dental Therapist | 4519 E 4th Ave, Anchorage, AK 99508-2216 | 2019-12-02 |
| 1538541693 | Amanda Miles | Dental Therapist | 3449 E. Rezanof Drive, Dental Department, Kodiak, AK 99615-3449 | 2015-06-25 |
| 1205265345 | Cora Roberts | Dental Therapist | 201 3rd Avenue, Suite 115, Seward, AK 99664 | 2013-11-08 |
| 1326654245 | Kathrine G.d.a Levi | Dental Therapist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2020-09-16 |
| 1790320513 | Ruby Okitkun | Dental Therapist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2019-11-15 |
| 1922579143 | Janette Carmen Ulak | Dental Therapist | 49 Airport Rd, Hooper Bay Clinic, Hooper Bay, AK 99604 | 2018-12-16 |
| 1609345677 | Samantha Sparks | Dental Therapist | 222 Tongass Dr, Sitka, AK 99835-9416 | 2018-11-19 |
| 1134696156 | Shonna Wheeler | Dental Therapist | 100 Slocum Drive, King Cove, AK 99612 | 2018-10-29 |
| 1881160570 | Leandra Beech | Dental Therapist | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2018-10-19 |
| 1275075244 | Summer Michele Lynch | Dental Therapist | 216 Dalton Street, Suite 102, Haines, AK 99827 | 2016-11-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIMBERLY BALDWIN.
| 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.