KIMBERLY BROOKE FIELDS (NPI# 1326370438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326370438 |
| Entity Type | Individual |
| Full Name | KIMBERLY BROOKE FIELDS |
| Other Name | KIMBERLY BROOKE CAMPBELL |
| Credential | PA-C |
| Practice Address |
19500 Sandridge Way Ste 170 Leesburg VA 20176 |
| Mailing Address |
38570 Millstone Dr Hillsboro VA 20132-3732 |
| Practice Telephone | 7035541300 |
| Mailing Telephone | 7033719441 |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0010-03823 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 0110003169 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 488 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
0110-002169 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110-003169 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DEA | MC2305363 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19500 Sandridge Way Ste 170, Leesburg, VA 20176 | 7035541300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588153167 | Kimberly Felicia Fields | Behavior Technician | 733 Dante St., New Orleans, LA 70118 | 2018-05-09 |
| 1639561830 | Kimberly Fields | Speech-Language Pathologist | 542 Edgewood Pl, River Forest, IL 60305-1608 | 2015-02-24 |
| 1164739124 | Kimberly Ann Fields | Dentist | 277 Berrywood Drive, Severna Park, MD 21146 | 2010-09-10 |
| 1295058873 | Kimberly A Fields | Home Health Aide | 5162 N 8th St, Philadelphia, PA 19120-3108 | 2010-03-10 |
| 1467475947 | Kimberly D Fields | Obstetrics & Gynecology | 1711 Pepperell Pkwy, Opelika, AL 36801-5548 | 2006-07-25 |
| 1750320362 | Kimberly Ann Fields | Optometrist | 625 Warrenton Rd, Ste. 105, Fredericksburg, VA 22406-1010 | 2006-06-06 |
| 1114232618 | Kimberly Lynn Fields | Counselor | 1060 Grand Ave, Beattyville, KY 41311 | 2010-08-10 |
| 1356674568 | Kimberly C Fields | Specialist | 1375 E 20th Ave, Skyline Medical Office, Denver, CO 80205-5423 | 2009-09-08 |
| 1528238458 | Kimberly Shawn Fields | Nurse Practitioner | 719 N 25th St, Richmond, VA 23223-6539 | 2008-03-06 |
| 1578688024 | Kimberly Fields | Nurse Practitioner | 2223 West Loop S, Houston, TX 77027-3588 | 2007-03-20 |
| Street Address |
19500 SANDRIDGE WAY STE 170 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437274 | Medhealth360 | Internal Medicine | 19500 Sandridge Way Ste 170, Leesburg, VA 20176-3692 | 2020-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811439169 | Anthony Mark Rodrigues | Physician Assistant | 224 Cornwall St Nw Ste D, Leesburg, VA 20176-2701 | 2016-11-16 |
| 1770828774 | John O'hara Snow | Physician Assistant | 18706 Woodburn Rd, Leesburg, VA 20175-9030 | 2012-12-01 |
| 1285622829 | John A Horn | Physician Assistant | 600 Dixie Hwy, Leesburg, FL 34748 | 2005-10-07 |
| 1285195487 | Elizabeth Baek | Physician Assistant | 19450 Deerfield Ave Ste 325, Leesburg, VA 20176-8503 | 2019-03-29 |
| 1437629490 | Alexandrea Weeks | Physician Assistant | 1801 Us Highway 441 Bldg 100, Leesburg, FL 34748-2545 | 2018-12-03 |
| 1710461595 | Grace Fantl | Physician Assistant | 27950 Us Highway 27, Leesburg, FL 34748-9050 | 2018-09-18 |
| 1588061956 | Jaster Francis | Physician Assistant | 44035 Riverside Pkwy, Leesburg, VA 20176 | 2014-12-01 |
| 1073919197 | Alexandra Jean Bache | Physician Assistant | 44035 Riverside Pkwy Ste 400, Leesburg, VA 20176-8260 | 2014-11-17 |
| 1821492067 | Kelly Ashley Boardman | Physician Assistant | 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176-8452 | 2014-10-17 |
| 1437564911 | Ellen T. Godfrey | Physician Assistant | 601 Potomac Station Dr Ne, Leesburg, VA 20176-1816 | 2014-06-24 |
| Find all providers in LEESBURG | ||||
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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.