MS. KIMBERLY LYNN PRINE (NPI# 1396973400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396973400 |
Entity Type | Individual |
Full Name | MS. KIMBERLY LYNN PRINE |
Credential | LMP |
Practice Address |
103 Jalyn St Centralia WA 98531-1730 |
Practice Telephone | 3603885477 |
Mailing Telephone | 3603885477 |
Enumeration Date | 2009-06-26 |
Last Update Date | 2009-06-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA60097045 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 376K00000X | Nurse's Aide | NA00183242 | WA | Nursing Service Related Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | REGISTERED NURSING ASSISTANT | NA00183242 | 01 |
Street Address |
103 JALYN ST |
City | CENTRALIA |
State | WA |
Zip Code | 98531-1730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
Find all providers in zip 98531 |
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 |
---|---|---|---|---|
1003475484 | Rachel E Gothard-gollob | Massage Therapist | 500 W Main St Ste D, Centralia, WA 98531-4252 | 2019-06-10 |
1326575762 | Tristyn Jay | Massage Therapist | 628 W Main St, Centralia, WA 98531-2845 | 2017-05-16 |
1770021214 | Robert Yardley | Massage Therapist | 1325 E Mccord St, Centralia, IL 62801-3610 | 2017-02-04 |
1891232062 | Andrea Huhta | Massage Therapist | 1014 N Scheuber Rd Apt 21, Centralia, WA 98531-1568 | 2017-01-26 |
1033565742 | Rachael Nicole Smith | Massage Therapist | 1202 S Gold St, Centralia, WA 98531-3716 | 2016-05-11 |
1275995417 | Elijah Maxwell | Massage Therapist | 1639 Kresky Ave, Centralia, WA 98531-8912 | 2016-03-27 |
1457758104 | Karissa Ashley Steele | Massage Therapist | 1813 Harrison Ave, Centralia, WA 98531-1908 | 2014-11-24 |
1912205717 | Danielle Lynn Caywood | Massage Therapist | 1405 Lewis St Apt 23, Centralia, WA 98531-1255 | 2011-03-03 |
1265686968 | Patricia Ann Donoho | Massage Therapist | 109 N Park St, Centralia, IL 62801-2062 | 2008-11-07 |
1184874596 | Tanja Gribble | Massage Therapist | 111 E Pine St, Centralia, WA 98531-4211 | 2008-09-22 |
Find all providers in CENTRALIA |
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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.