MRS. KIMBERLY CARNELLA HAUGABOOK (NPI# 1437474897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437474897 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY CARNELLA HAUGABOOK |
| Credential | RN,BSN,MSN, NP-C |
| Practice Address |
1101 Western Ave Hamilton OH 45013-2313 |
| Practice Telephone | 5138872000 |
| Practice Fax Number | 5138872300 |
| Mailing Telephone | 5138872000 |
| Mailing Fax Number | 5138872300 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.12166 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0061614 | 05 | |
| OH | MEDICARE PTAN | H277048 | 01 |
| OH | RRMEDICARE PTAN | P02361925 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4881 Sugar Maple Drive, Wpafb, Dayton, OH 45433 | 9377870638 | |
| 50 E Rivercenter Blvd Ste 434, Covington, KY 410111660 | 8333582278 |
| Street Address |
1101 WESTERN AVE |
| City | HAMILTON |
| State | OH |
| Zip Code | 45013-2313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447713052 | Western Avenue Family Practice LLC | Family Medicine | 1101 Western Ave, Hamilton, OH 45013-2313 | 2019-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043860331 | Cynthia Dossenback | Technician | 2094 Gardner Road, Hamilton, OH 45013 | 2019-09-18 |
| 1427530237 | Barbara Ann Rhymer | Nurse Practitioner | 1474 Main Street, Hamilton, OH 45013 | 2018-08-29 |
| 1740771286 | Rachel Jo Creech | Counselor | 314 S Erie Highway, Hamilton, OH 45013 | 2018-05-21 |
| 1205358488 | Erica Knollman | Specialist/Technologist | 7535 Willey Rd, Hamilton, OH 45013 | 2017-07-10 |
| 1336699669 | Lottie Renee Hamblin | Licensed Practical Nurse | 146 Cedar Ln, Hamilton, OH 45013 | 2016-10-11 |
| 1497103535 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 890 Nw Washington Blvd, Hamilton, OH 45013 | 2016-05-31 |
| 1689044109 | Gary Juan Kidd | Nurse Practitioner | 2449 Ross Millville Rd Ste 270, Hamilton, OH 45013 | 2015-09-26 |
| 1629487210 | Roger Shane Burton | Community Health Worker | 3926 Shank Road, Hamilton, OH 45013 | 2014-08-07 |
| 1689090458 | Amy Marie Bonham | Registered Nurse | 714 Eaton Avenue, Hamilton, OH 45013 | 2014-03-17 |
| 1932520103 | David L Rivers | Counselor | 1862 Wagon Wheel Dr., Hamilton, OH 45013 | 2013-12-13 |
| Find all providers in zip 45013 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581248 | Divine Family Wellness, LLC | Nurse Practitioner | 400 Bexar Ave W, Hamilton, AL 35570-5522 | 2020-05-28 |
| 1609497049 | Theresa Lynn Falk | Nurse Practitioner | 5215 Wayne Milford Rd, Hamilton, OH 45013-9727 | 2020-04-27 |
| 1588290068 | Kathryn E Nelson | Nurse Practitioner | 1544 Kuser Rd Ste 9, Hamilton, NJ 08619-3830 | 2020-03-17 |
| 1790323525 | Anna O Donaldson | Nurse Practitioner | 32 Holt Ave, Hamilton, NJ 08619-1602 | 2019-12-11 |
| 1578104253 | Nora Caitlin Healy | Nurse Practitioner | 201 North 10th Street, Hamilton, MT 59840 | 2019-10-03 |
| 1962052464 | Sonia Thoonkuzhy | Nurse Practitioner | 3100 Quakerbridge Rd Ste 28, Hamilton, NJ 08619-1658 | 2019-09-17 |
| 1811549470 | Marjan Salehi | Nurse Practitioner | 22 Albert E Bonacci Dr, Hamilton, NJ 08690-3306 | 2019-07-14 |
| 1447714548 | Rachel Card | Nurse Practitioner | 67 Victoria Street, Hamilton, HAMILTON HM 17 | 2019-01-23 |
| 1427530237 | Barbara Ann Rhymer | Nurse Practitioner | 1474 Main Street, Hamilton, OH 45013 | 2018-08-29 |
| 1356846166 | Christina M. Valencia | Nurse Practitioner | 7381 Mason Rd, Hamilton, NY 13346-2152 | 2018-03-26 |
| Find all providers in HAMILTON | ||||
Please comment or provide details below to improve the information on MRS. KIMBERLY CARNELLA HAUGABOOK.
| 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.