KIMBERLY ANN BASHAM (NPI# 1467796656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467796656 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN BASHAM |
| Other Name | KIMBERLY ANN RICE |
| Practice Address |
750 Broadway Ave E Mattoon IL 61938-4610 |
| Practice Telephone | 2172385700 |
| Mailing Telephone | 2172385700 |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2012-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247000000X | Technician, Health Information | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790154169 | Kimberly Joy Basham | Nurse Practitioner | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2015-09-16 |
| Street Address |
750 BROADWAY AVE E |
| City | MATTOON |
| State | IL |
| Zip Code | 61938-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203914 | Coles County Mental Health Association, Inc. | Community/Behavioral Health | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2005-05-24 |
| 1962003384 | Darren Victor Mathias | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-11-03 |
| 1811595341 | Alexander Rojas | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-10-16 |
| 1669070181 | Selina Nicole Satterfield | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-10-16 |
| 1376159970 | Tammy Dahlke | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-09-18 |
| 1326654914 | Morgan Hummel | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-09-18 |
| 1194330217 | Chelsea Brettin | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-09-15 |
| 1760091458 | Jessica Frields | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-07-28 |
| 1619586906 | Lisa Ann Harrison | Registered Nurse | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-07-23 |
| 1588272637 | Jessica Blazich | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831134 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | Clinic/Center | 101 Coles Centre Pkwy, Ste 101, Mattoon, IL 61938 | 2020-04-30 |
| 1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
| 1841707726 | Mattoon Chiropractic LLC | Chiropractor | 905 Remington Rd, Mattoon, IL 61938 | 2018-01-02 |
| 1164892758 | Dr. Charles L. Schnibben Ltd. | Dentist | 1502 Lakeland Blvd, Mattoon, IL 61938 | 2015-09-25 |
| 1982000139 | Judy A. Clark | Hearing Instrument Specialist | 1302 Charleston Avenue, Audibel Hearing Aids, Mattoon, IL 61938 | 2014-11-17 |
| 1023419884 | Christopher Steven Lillie | Physician Assistant | 200 Richmond Ave East, Family Medical Center, Mattoon, IL 61938 | 2014-09-11 |
| 1295055168 | Jennifer Harp | Mechanotherapist | 232 Richmond Ave East, Mattoon, IL 61938 | 2010-06-02 |
| 1447482682 | Gene Clark Hearing Aid Service | Hearing Aid Equipment | 208 Wabash, Mattoon, IL 61938 | 2009-08-21 |
| 1326229774 | Central Illinois Family Health Center | Nurse Practitioner | 10555 East County Rd 800 North, Mattoon, IL 61938 | 2007-11-14 |
| 1568656445 | Bernie Ranchero | Family Medicine | 1004 Health Center Dr Ste 210, Mattoon, IL 61938 | 2007-09-04 |
| Find all providers in zip 61938 | ||||
| Taxonomy Code | 247000000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Health Information |
| Preferred term for an Accredited Record Technician who is an individual with an associate’s degree from an accredited college or independent study program who is skilled in analyzing health information and in examination of medical records for accuracy, reporting of patient data for reimbursement, and creation of disease registries for researchers. |
| Notes: Source: American Health Information Management Association, Chicago, IL, 1996. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585967 | Afua Opoku Aning | Technician, Health Information | 1021 Meadowlark Ln, Darien, IL 60561-5416 | 2020-07-13 |
| 1962941096 | Care Advisors Inc | Technician, Health Information | 701 S Wells St Apt 2804, Chicago, IL 60607-4673 | 2017-02-22 |
| 1114471075 | Joyce Morris | Technician, Health Information | 333 S State St, Room 200, Chicago, IL 60604-3900 | 2016-08-09 |
| 1588900302 | Mary Ellen Pacheco | Technician, Health Information | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2012-12-26 |
Please comment or provide details below to improve the information on KIMBERLY ANN BASHAM.
| 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.