OLIVIA KIMBLE (NPI# 1356836647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356836647 |
| Entity Type | Individual |
| Full Name | OLIVIA KIMBLE |
| Other Name | OLIVERA VELICKOVIC |
| Credential | FNP |
| Practice Address |
4129 S Meadows Rd Apt 424 Santa Fe NM 87507-3066 |
| Mailing Address |
Po Box 26666 Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5056399476 |
| Mailing Telephone | 5059236770 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 53443 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F06180294 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194171801 | Olivia Kimble | Midwife | 1001 Trail View Ln Se, Pine Island, MN 55963-8608 | 2016-05-11 |
| Street Address |
4129 S MEADOWS RD APT 424 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87507-3066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
| 1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
| 1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
| 1033623780 | Averie Montgomery-diener | Physical Therapy Assistant | 2538 Camino Entrad Suite 300, Santa Fe, NM 87507 | 2017-11-16 |
| 1013426790 | Deja Nicole Mendez | Behavior Technician | 2213 Paseo De Tercero, Santa Fe, NM 87507 | 2017-09-25 |
| 1548787633 | Lauren Sherwood | Behavior Technician | 4129 S Meadows Rd, Apt #1023, Santa Fe, NM 87507 | 2017-08-29 |
| 1972032563 | Alyssa Butler | Counselor | 1409 Zepol Rd Apt 110, Santa Fe, NM 87507 | 2017-06-07 |
| 1093253221 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4326 Airport Road, Unit F, Santa Fe, NM 87507 | 2017-02-08 |
| 1891233128 | Daniel & Max, LLC | Optometrist | 4079 Cerillos Road, Santa Fe, NM 87507 | 2017-02-07 |
| 1508225749 | Youth Shelters and Family Services | Counselor | 5686 B Agua Fria Street, Santa Fe, NM 87507 | 2016-02-16 |
| Find all providers in zip 87507 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518469295 | Cheryl Ann Becker | Nurse Practitioner | 490a W Zia Rd Ste 260, Santa Fe, NM 87505-6996 | 2018-03-08 |
| 1669861506 | Svelte LLC | Nurse Practitioner | 1300 Luisa St Ste 3b, Santa Fe, NM 87505-4177 | 2015-01-15 |
| 1649537978 | St Johns College Health Center | Nurse Practitioner | 1160 Camino Cruz Blanca, Santa Fe, NM 87505-4599 | 2012-04-11 |
| 1871661223 | Amy Beth Robbins | Nurse Practitioner | 454 St Michaels Drive, Pmg St Michaels, Santa Fe, NM 87505 | 2006-12-02 |
| 1033187802 | Jacquelyn Belinsky | Nurse Practitioner | 2025 Galisteo St, Santa Fe, NM 87505-2101 | 2006-03-09 |
| 1659349298 | Mary Ellen Lopez | Nurse Practitioner | 531 Harkle Rd Ste B, Santa Fe, NM 87505-4753 | 2006-03-09 |
| 1548247513 | Martha V Ludwick | Nurse Practitioner | 2015 Galisteo St, Santa Fe, NM 87505-2101 | 2005-12-29 |
| 1356986947 | Alyssa Stramel | Nurse Practitioner | 1421 Luisa St Ste I, Santa Fe, NM 87505-4073 | 2019-11-07 |
| 1629553011 | Rebecca J Wilson | Nurse Practitioner | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2018-10-01 |
| 1235612177 | Christopher Evan Jones | Nurse Practitioner | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2018-09-06 |
| Find all providers in SANTA FE | ||||
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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.