KIMBERLY R ANDERSON (NPI# 1457674475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457674475 |
| Entity Type | Individual |
| Full Name | KIMBERLY R ANDERSON |
| Practice Address |
2816 E Jackson St Hugo OK 74743-4250 |
| Mailing Address |
Po Box 1030 Antlers OK 74523-1030 |
| Practice Telephone | 5803265350 |
| Mailing Telephone | 5802982830 |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2012-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124659594 | Kimberly G Anderson | Nurse Practitioner | 4089 42nd Sq, Vero Beach, FL 32967-1963 | 2020-02-03 |
| 1730724410 | Kimberly Susan Anderson | Specialist/Technologist | 708 W 4th St, Lewes, DE 19958-1284 | 2019-11-17 |
| 1740727312 | Kimberly Anderson | Licensed Practical Nurse | 102 Giminski Dr, Apartment 1, Syracuse, NY 13204-1304 | 2017-01-20 |
| 1467843292 | Kimberly Anderson | Registered Nurse | 8247 S 535 E, Sandy, UT 84070-0476 | 2015-02-16 |
| 1609279926 | Kimberly Anderson | Psychologist | 42 E Via Plaza Nueva, Santa Fe, NM 87507-8491 | 2014-10-01 |
| 1881003994 | Kimberly Dawn Anderson | Specialist/Technologist | 4280 S 246th Ave, Buckeye, AZ 85326-3351 | 2014-08-04 |
| 1295175537 | Kimberly Michelle Anderson | Case Manager/Care Coordinator | 1509 N Midwest Blvd Apt 8, Midwest City, OK 73110-3243 | 2013-07-01 |
| 1891062477 | Kimberly Michelle Anderson | Licensed Practical Nurse | 983 Ridgeway Ct Apt A, Lebanon, OH 45036-2562 | 2011-11-25 |
| 1417240003 | Kimberly Anderson | Community Health Worker | 900 North Courtenay Parkway, Suite 1, Merritt Island, FL 32953 | 2011-05-16 |
| 1487955068 | Kimberly Dawn Anderson | Pharmacy Technician | 13831 Chalco Valley Pkwy Ste 101, Omaha, NE 68138-6145 | 2010-11-12 |
| Street Address |
2816 E JACKSON ST |
| City | HUGO |
| State | OK |
| Zip Code | 74743-4250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417011081 | Camelot Community Services of Oklahoma, LLC | Clinic/Center | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2006-12-20 |
| 1215462247 | Courtney Wilder | Health Educator | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2017-04-27 |
| 1982943379 | Julia Ann Mason | Counselor | 2816 E Jackson St, Hugo, OK 74743-4250 | 2013-02-05 |
| 1316285430 | Olivia Jent | Counselor | 2816 E Jackson St, Hugo, OK 74743-4250 | 2013-01-24 |
| 1497919922 | Jennifer Dyer | Psychologist | 2816 E Jackson St, Hugo, OK 74743-4250 | 2008-07-14 |
| 1073775854 | Sequelcare of Oklahoma, LLC | Community/Behavioral Health | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2008-07-02 |
| 1801086236 | Kristianna Beddo | Counselor | 2816 E Jackson St, Hugo, OK 74743-4250 | 2007-08-01 |
| 1336358134 | Heide Grant | Counselor | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2007-05-21 |
| 1639233703 | Sequelcare of Oklahoma, LLC | Clinic/Center | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2006-12-21 |
| 1457415523 | Sequelcare of Oklahoma, LLC | Case Management | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053817775 | Emilia Sue Lopez | Registered Nurse | 2008 East 2110 Road, Hugo, OK 74743 | 2018-04-02 |
| 1144739657 | Healing Hearts Counseling & Consulting, L.L.C. | Clinic/Center | 1212 East Kirk, Hugo, OK 74743 | 2017-09-27 |
| 1457801177 | Kelli Lemke | Nurse Practitioner | 204 E. Jackson St., Hugo, OK 74743 | 2016-10-05 |
| 1780040147 | Shabreka Dorshell Coleman | Student in an Organized Health Care Education/Training Program | 1475 North 4220 Road, Grant, OK 74743 | 2016-01-14 |
| 1063898161 | Jaclyn Deann Rouse | Optometrist | 410 North M Street, Hugo, OK 74743 | 2015-07-31 |
| 1548519648 | Tori L Fowler | Counselor | 112 W. Jackson, Hugo, OK 74743 | 2012-09-05 |
| 1174802219 | Malinda Burnett | Counselor | 1100 David Roebuck Lane, Hugo, OK 74743 | 2011-08-08 |
| 1942591490 | Joshua Asher Tims | Clinic/Center | 1213 E. Jackson St, Hugo, OK 74743 | 2011-05-02 |
| 1598998320 | Kimberly Dawn Jones | Social Worker | 1717 1/2 West Jackson, Hugo, OK 74743 | 2009-08-27 |
| 1689812547 | Adeline Youngblood | Counselor | 612 E Jackson, Hugo, OK 74743 | 2009-01-30 |
| Find all providers in zip 74743 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376766998 | Jowanna S Teague | Psychologist | Hc 79 Box 142, Hugo, OK 74743-9323 | 2007-04-11 |
| 1497919922 | Jennifer Dyer | Psychologist | 2816 E Jackson St, Hugo, OK 74743-4250 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982006789 | Jeffrey Johns | Psychologist | 8763 N 97th East Ave Apt 207, Owasso, OK 74055-6864 | 2014-09-23 |
| 1659771996 | Jessica Pendergraft | Psychologist | 615 Amy Dr, Waukomis, OK 73773-1033 | 2014-08-22 |
| 1205249349 | Qiana Hawthorne | Psychologist | 104 Winter Wheat Dr, Guthrie, OK 73044-7750 | 2014-06-06 |
| 1962815902 | Robbin Vanwinkle | Psychologist | 1200 Prairie Heights Dr, Bartlesville, OK 74006-7800 | 2014-06-06 |
| 1275946683 | Silvia De Loera | Psychologist | 1416 Nw 126th St, Oklahoma City, OK 73120-5100 | 2014-06-04 |
| 1306256847 | Jonelle Freeman | Psychologist | 336 E Beech Ave, Enid, OK 73701-1702 | 2014-05-06 |
| 1114337664 | Katelyn James | Psychologist | 2020 Willow Run Ste 100, Enid, OK 73703-1421 | 2014-05-06 |
| 1043638760 | Jana Darnall | Psychologist | 405 N Neshoba St, Tishomingo, OK 73460-1247 | 2014-03-31 |
| 1114344223 | Jordan Harvey | Psychologist | 174 Daniels St, Healdton, OK 73438-1417 | 2014-03-26 |
| 1528489937 | Malerie Guilbeau | Psychologist | 1009 N Birch Ave, Sand Springs, OK 74063-8901 | 2014-01-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIMBERLY R ANDERSON.
| 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.