LYNN JANET KIMBALL (NPI# 1487893509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487893509 |
| Entity Type | Individual |
| Full Name | LYNN JANET KIMBALL |
| Credential | P.N.P. |
| Practice Address |
4745 Arapahoe Ave Suite 310 Boulder CO 80303-1080 |
| Mailing Address |
25 Bristlecone Way Boulder CO 80304-0412 |
| Practice Telephone | 3034422913 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
59118 | CO | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
59118 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578804225 | Lynn Ellen Kimball | Counselor | 1301 Oregon Ave, Alamogordo, NM 88310-5710 | 2013-03-05 |
| Street Address |
4745 ARAPAHOE AVE SUITE 310 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-1080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316933484 | Donald A Maschka | Otolaryngology | 4745 Arapahoe Ave, Suite 130, Boulder, CO 80303-1080 | 2005-09-23 |
| 1497156509 | The Pediatric Center, Professional LLC | Pediatrics | 4745 Arapahoe Ave, Suite 310, Boulder, CO 80303-1080 | 2014-09-08 |
| 1568715183 | Nancy Kelley, Md, LLC | Clinic/Center | 4745 Arapahoe Ave, Suite 310, Boulder, CO 80303-1080 | 2012-10-19 |
| 1649525940 | Kimberly Ann Windels | Advanced Practice Midwife | 4745 Arapahoe Ave, Suite 320, Boulder, CO 80303-1080 | 2012-07-23 |
| 1679836944 | Kristen Wolfe | Obstetrics & Gynecology | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1080 | 2012-06-20 |
| 1386918977 | Jennifer Lau Stanzel | Physician Assistant | 4745 Arapahoe Ave, Suite 110, Boulder, CO 80303-1080 | 2012-02-29 |
| 1558638189 | Erika Leigh Guider | Physician Assistant | 4745 Arapahoe Ave, Suite 130, Boulder, CO 80303-1080 | 2011-11-28 |
| 1225310584 | Kimdao Collier | Pharmacist | 4745 Arapahoe Ave, Suite 120, Boulder, CO 80303-1080 | 2011-09-13 |
| 1033428883 | Sheela Mahnke Md LLC | Pediatrics | 4745 Arapahoe Ave, Suite 310, Boulder, CO 80303-1080 | 2010-09-28 |
| 1598097883 | Sarah Williams | Obstetrics & Gynecology | 4745 Arapahoe Ave, Suite 320, Boulder, CO 80303-1080 | 2010-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
| 1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
| 1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
| 1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
| 1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
| 1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
| 1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
| 1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
| 1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
| 1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
| Find all providers in zip 80303 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255709739 | Karen Tyler | Nurse Practitioner | 602 University Ave, Boulder, CO 80302-5903 | 2015-09-14 |
| 1679719785 | Jillaine Ruth Hobson | Nurse Practitioner | 4745 Arapahoe Ave, Suite 310, Boulder, CO 80303-1080 | 2008-12-18 |
| 1477663607 | Renee Taheny Gawrych | Nurse Practitioner | 4745 Arapahoe Ave, Suite 310, Boulder, CO 80303-1080 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832981 | 4 Corners Children's Clinic | Nurse Practitioner | 555 Rivergate Ste B1-109, Durango, CO 81301-7473 | 2020-08-22 |
| 1922630995 | Ashley Ruth Lahman | Nurse Practitioner | 162 Tartan Dr, Johnstown, CO 80534-7429 | 2020-02-07 |
| 1912543778 | Lauren Wollenzin | Nurse Practitioner | 3548 Dexter Ct, Denver, CO 80207-1050 | 2019-11-26 |
| 1386209294 | Rachel Unruh | Nurse Practitioner | 4880 Thompson Pkwy # 116, Johnstown, CO 80534-6409 | 2019-05-06 |
| 1083186407 | Megan Brady | Nurse Practitioner | 454 S Lafayette St, Denver, CO 80209-2501 | 2018-12-24 |
| 1093299679 | Brittany Michele Nielsen | Nurse Practitioner | 9141 Grant St Ste 115, Thornton, CO 80229 | 2018-09-19 |
| 1073010922 | Amanda Aung | Nurse Practitioner | 7240 Trione Ln, Fountain, CO 80817-2805 | 2018-04-08 |
| 1245737279 | Rebecca A Somershoe | Nurse Practitioner | 8200 E Belleview Ave Ste 510e, Greenwood Village, CO 80111-2808 | 2018-04-06 |
| 1629596168 | Alaina C Vargas | Nurse Practitioner | 502 Ludwig Drive, Bayfield, CO 81122 | 2017-09-05 |
| 1629592803 | Karly Yingst | Nurse Practitioner | 1516 Morning Glow Dr, Windsor, CO 80550 | 2017-07-31 |
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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.