KIMBERLY A MEBUST (NPI# 1447258496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447258496 |
Entity Type | Individual |
Full Name | KIMBERLY A MEBUST |
Credential | MD |
Practice Address |
915 6th Ave Suite 200 Tacoma WA 98405-4682 |
Practice Telephone | 2534037299 |
Practice Fax Number | 2534037298 |
Mailing Telephone | 2534037299 |
Mailing Fax Number | 2534037298 |
Enumeration Date | 2005-07-13 |
Last Update Date | 2012-03-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
25778 | WA | Allopathic & Osteopathic Physicians |
Y | 173F00000X | Sleep Specialist, PhD | MD00033517 | WA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DEA | BM4750952 | 01 | |
WA | 8193377 | 05 |
Street Address |
915 6TH AVE SUITE 200 |
City | TACOMA |
State | WA |
Zip Code | 98405-4682 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275530859 | John Robert Huddlestone | Psychiatry & Neurology | 915 6th Ave, Ste 200, Tacoma, WA 98405-4682 | 2005-06-28 |
1861511693 | Melinda Louise Franklin | Nurse Practitioner | 915 6th Ave, Suite 200, Tacoma, WA 98405-4682 | 2007-03-29 |
1497766638 | Multicare Health System | Neurological Surgery | 915 6th Ave, Ste 200, Tacoma, WA 98405-4682 | 2006-08-11 |
1407847650 | Traci D Ryan | Psychiatry & Neurology | 915 6th Ave, Suite 200, Tacoma, WA 98405-4682 | 2005-11-04 |
1568460707 | Neurology & Neurosurgery Associates of Tacoma Pllc | Psychiatry & Neurology | 915 6th Ave, Ste 200, Tacoma, WA 98405-4682 | 2005-07-12 |
1043217920 | Peter S Kwon | Psychiatry & Neurology | 915 6th Ave, Ste 200, Tacoma, WA 98405-4682 | 2005-07-07 |
1134126170 | Yu Zhu | Psychiatry & Neurology | 915 6th Ave, Ste 200, Tacoma, WA 98405-4682 | 2005-07-06 |
1952308074 | William Dale Overfield | Psychiatry & Neurology | 915 6th Ave, Suite 200, Tacoma, WA 98405-4682 | 2005-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
Find all providers in zip 98405 |
Taxonomy Code | 173F00000X |
Grouping | Other Service Providers |
Classification | Sleep Specialist, PhD |
Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others. |
Notes: Source: National Uniform Claim Committee (based on American Board of Sleep Medicine), 2007 [1/1/2008: new] Additional resources: www.absm.org |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497990444 | 40 Winks Sleep LLC | Sleep Specialist, PhD | 7612 Ne 197th Ct, Kenmore, WA 98028-2076 | 2008-12-04 |
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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.