KIMBERLY A BALDWIN (NPI# 1447686241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447686241 |
| Entity Type | Individual |
| Full Name | KIMBERLY A BALDWIN |
| Other Name | KIMBERLY A MATTEI |
| Credential | APN |
| Practice Address |
5844 Elaine Dr Ste B Rockford IL 61108-2495 |
| Practice Telephone | 8153162621 |
| Practice Fax Number | 8004939260 |
| Mailing Telephone | 8153162621 |
| Mailing Fax Number | 8004939260 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209010699 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
277000782 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
209.010699 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6090 Strathmoor Dr Ste 1, Rockford, IL 611075200 | 8154449999 | 8159861363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205236692 | Kimberly Baldwin | Dental Therapist | 436 5th Ave Ted Stevens Way, Kotzebue, AK 99752 | 2014-09-04 |
| 1740698265 | Kimberly Baldwin | Student in an Organized Health Care Education/Training Program | 26168 Bosch Ln, Hebron, MD 21830-2214 | 2014-07-28 |
| 1649425588 | Kimberly A Baldwin | Counselor | 20050 E Smoky Hill Rd, Centennial, CO 80015-3134 | 2008-11-19 |
| 1275732349 | Kimberly Baldwin | Speech-Language Pathologist | 2619 S Yellowstone Ct, Wichita, KS 67215-1507 | 2007-07-17 |
| 1407122518 | Kimberly Sue Baldwin | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2012-03-23 |
| 1881888774 | Kimberly Field Baldwin | Marriage & Family Therapist | 70 N Hudson Ave, Pasadena, CA 91101-1808 | 2007-09-04 |
| 1164487096 | Kimberly Staton Baldwin | Obstetrics & Gynecology | 433 Bellevue Ave, Trenton, NJ 08618-4514 | 2006-04-20 |
| Street Address |
5844 ELAINE DR STE B |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-2495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700058005 | Julie Ann Logan | Social Worker | 5844 Elaine Dr Ste B, Rockford, IL 61108-2495 | 2008-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184090847 | Logan Health & Healing Center, Inc | Clinical Nurse Specialist | 5844 Elaine Dr, Suite B, Rockford, IL 61108-2494 | 2015-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376102814 | Rl Group | Clinical Nurse Specialist | 2008 N Lawler Ave, Chicago, IL 60639-3136 | 2019-06-09 |
| 1669620480 | Cynthia Hodson Kerber | Clinical Nurse Specialist | 1 Westbrook Corporate Ctr Ste 300, Westchester, IL 60154-5709 | 2008-09-04 |
| 1467624775 | Laureen Lewis | Clinical Nurse Specialist | 4750 N Sheridan Rd, #434, Chicago, IL 60640-7528 | 2008-03-26 |
| 1114197324 | Rhonda Fried | Clinical Nurse Specialist | 265 Stonegate Rd Ste 102, Algonquin, IL 60102-5614 | 2008-03-04 |
| 1689603177 | Ellen Maxson | Clinical Nurse Specialist | Hines Veterans Administration, Hines, IL 60141-9910 | 2006-06-30 |
| 1669472379 | Mary Lee Dunning | Clinical Nurse Specialist | 126 S Lincoln Blvd, Centralia, IL 62801-3654 | 2005-07-22 |
| 1710519335 | Linq Care Inc | Clinical Nurse Specialist | 50 S Main St Ste 200, Naperville, IL 60540-5485 | 2020-02-11 |
| 1215365036 | Joyce Azzaline | Clinical Nurse Specialist | 1401 Lakewood Dr, Ste A, Morris, IL 60450-3352 | 2013-10-15 |
| 1356625966 | Vine Street Clinical Associates, LLC | Clinical Nurse Specialist | 3225 Hedley Rd, Springfield, IL 62711-6248 | 2011-09-30 |
| 1073801189 | Mary Jane Welch | Clinical Nurse Specialist | 2150 W Harrison St, Chicago, IL 60612-3706 | 2011-07-11 |
| Find all providers with the same taxonomy | ||||
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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.