KIMBERLY EVANS (NPI# 1225531734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225531734 |
Entity Type | Individual |
Full Name | KIMBERLY EVANS |
Credential | MAT 15556 |
Practice Address |
75-5597 Palani Rd Ste B-1 Kailua Kona HI 96740-1661 |
Mailing Address |
Po Box 9026 Kailua Kona HI 96745-9026 |
Practice Telephone | 8083279791 |
Mailing Telephone | 8089602097 |
Enumeration Date | 2018-03-10 |
Last Update Date | 2019-03-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 15556 | HI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417418567 | Kimberly R Evans | Student in an Organized Health Care Education/Training Program | 7615 Kennedy Hl, San Antonio, TX 78235-4437 | 2019-03-29 |
1497233324 | Kimberly S Evans | Specialist/Technologist, Other | 7016 Oak Cove Dr, Biloxi, MS 39532-5013 | 2018-08-02 |
1164950309 | Kimberly J Evans | Counselor | 1409 Kirkman Street, Lake Charles, LA 70601-5344 | 2017-06-01 |
1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
1942509195 | Kimberly Dawn Evans | Pharmacist | 101 Laurel Ave, Coeburn, VA 24230-3529 | 2011-03-26 |
1033391933 | Kimberly L Evans | Counselor | 3401 Holmes Ave Nw, Huntsville, AL 35816-4107 | 2007-12-03 |
1619164118 | Kimberly A Evans | Dietitian, Registered | 68 Folsham Hollow Rd, South Burlington, VT 05403-5613 | 2007-09-28 |
1003007667 | Kimberly Anne Evans | Counselor | 219 Applebee St, Barrington, IL 60010-3036 | 2007-08-07 |
1962587337 | Kimberly Lee Evans | Obstetrics & Gynecology | 1441 Highway 6 Ste 200, Sugar Land, TX 77478-4951 | 2006-10-26 |
1871691261 | Kimberly Christian Evans | Massage Therapist | 1120 So 4th St, Sunnyside, WA 98944-1120 | 2006-09-20 |
Street Address |
75-5597 PALANI RD STE B-1 |
City | KAILUA KONA |
State | HI |
Zip Code | 96740-1661 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
Find all providers in zip 96740 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
1689220337 | Cynthia Cramer | Massage Therapist | 75-127 Lunapule Rd Ste 1b, Kailua Kona, HI 96740-2119 | 2019-08-16 |
1316463300 | Marcy H. Latteman | Massage Therapist | 75-5759 Kuakini Hwy Ste 103a, Kailua Kona, HI 96740-1726 | 2017-08-21 |
1407378177 | Nicole Camacho | Massage Therapist | 75-5759 Kuakini Hwy Ste 103e, Kailua Kona, HI 96740-1726 | 2017-07-13 |
1811384175 | Samuel J Sanders | Massage Therapist | 75-127 Lunapule Rd Ste 14, Kailua Kona, HI 96740-2119 | 2015-04-23 |
1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
1083004865 | Teresa Navarro | Massage Therapist | 75-5706 Kuakini Hwy, Suite 105, Kailua Kona, HI 96740-1751 | 2015-01-30 |
1063857316 | Aiko Joy Bray | Massage Therapist | 75-5626 Kuakini Hwy, Suite 17, Kailua Kona, HI 96740-3609 | 2013-04-30 |
1376898858 | Michelle Diane Popp | Massage Therapist | 75-5656 Kuakini Hwy Ste 101b, Kailua Kona, HI 96740-1673 | 2012-07-19 |
1215215991 | Karri Lynn Teshima Jr. | Massage Therapist | 74-5620 Palani Rd Ste 100, Kailua Kona, HI 96740 | 2011-07-28 |
Find all providers in KAILUA KONA |
City | KAILUA KONA |
Zip Code | 96740 |
Please comment or provide details below to improve the information on KIMBERLY EVANS.
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.