MRS. KIMBERLY GLASS (NPI# 1497119101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497119101 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY GLASS |
| Credential | FNP-C |
| Practice Address |
619 S 8th St Ste 200 Griffin GA 30224-4260 |
| Practice Telephone | 7702271587 |
| Practice Fax Number | 7702271485 |
| Mailing Telephone | 7702271587 |
| Mailing Fax Number | 7702271485 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN213379 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568853851 | Kimberly April Glass | Licensed Vocational Nurse | 3801 University Ave Ste 350, Riverside, CA 92501-3277 | 2015-02-09 |
| 1336308147 | Kimberly N Glass | Home Health Aide | 2018 W 103rd St, Cleveland, OH 44102-3525 | 2008-06-06 |
| 1982898813 | Kimberly Lynn Glass | Marriage & Family Therapist | 21250 Box Springs Rd Ste 106, Moreno Valley, CA 92557-8707 | 2007-09-04 |
| 1548392723 | Kimberly Lynne Glass | Clinical Neuropsychologist | 8720 Georgia Ave, Ste. 300, Silver Spring, MD 20910-3638 | 2007-03-12 |
| Street Address |
619 S 8TH ST STE 200 |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30224-4260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720082613 | Brian Cross | Internal Medicine | 619 S 8th St Ste 200, Griffin, GA 30224-4260 | 2005-06-08 |
| 1467064030 | Ashley Eppinger | Nurse Practitioner | 619 S 8th St Ste 200, Griffin, GA 30224-4260 | 2020-08-17 |
| 1548886518 | Audrey Lynn Napier | Nurse Practitioner | 619 S 8th St Ste 200, Griffin, GA 30224-4260 | 2020-06-24 |
| 1619592284 | Emily Heape Burns | Physician Assistant | 619 S 8th St Ste 200, Griffin, GA 30224-4260 | 2020-06-10 |
| 1295232528 | Brad Wood | Nurse Practitioner | 619 S 8th St Ste 200, Griffin, GA 30224-4260 | 2018-04-12 |
| 1154868404 | Nikisha Baker | Nurse Practitioner | 619 S 8th St Ste 200, Griffin, GA 30224-4260 | 2017-01-25 |
| 1104370501 | Melissa Hinton | Nurse Practitioner | 619 S 8th St Ste 200, Griffin, GA 30224-4260 | 2016-08-15 |
| 1275987554 | Jeannie English | Nurse Practitioner | 619 S 8th St Ste 200, Griffin, GA 30224-4260 | 2016-04-22 |
| 1649468844 | Loren Bland | Nurse Practitioner | 619 S 8th St Ste 200, Griffin, GA 30224-4260 | 2007-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346888971 | Latamika Renee Williams | Counselor | 1710 Ga-16 West, #6, Griffin, GA 30224 | 2019-12-13 |
| 1063062651 | Dominique S Paul-thompson | Contractor | 112 Deercreek Parkway, Griffin, GA 30224 | 2019-09-16 |
| 1497303531 | Xiaohui Zhang Brotzge | Physician Assistant | 601 S 8th Street, Griffin, GA 30224 | 2019-09-02 |
| 1548812282 | Andrew Dennis Nesmith | Registered Nurse | 601 South 8th St, Emergency Room, Griffin, GA 30224 | 2019-07-12 |
| 1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
| 1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
| 1699297077 | Amanda Norman | Speech-Language Pathologist | 106 Garnet Ln, Griffin, GA 30224 | 2017-07-07 |
| 1306214655 | Ruchi P Gandhi | Optometrist | 646 8th Street, Griffin, GA 30224 | 2015-09-03 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1437436094 | C. B. Reddy Md PC | Preferred Provider Organization | 610 S 8th Street, Suite F, Griffin, GA 30224 | 2011-11-10 |
| Find all providers in zip 30224 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739519 | Haylee Powell | Nurse Practitioner | 616 S 8th St Ste A, Griffin, GA 30224-4214 | 2020-07-31 |
| 1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
| 1164913646 | Alvon Dukes | Nurse Practitioner | 193 Jim Goodson Rd, Griffin, GA 30223-6125 | 2018-05-21 |
| 1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
| 1497294532 | Portia Risper | Nurse Practitioner | 600 S Pine Hill Rd, Apt H6, Griffin, GA 30224-8325 | 2017-02-22 |
| 1023479516 | Kaley Prather | Nurse Practitioner | 619 S 8th St Suite 200, Griffin, GA 30224-4260 | 2016-03-11 |
| 1407109267 | Terrie Hattie Allen | Nurse Practitioner | 82 Payton Rd, Minuteclinic, Griffin, GA 30223-5738 | 2012-10-17 |
| 1922238260 | Frances Marie Landrum | Nurse Practitioner | 409 W Solomon St, Griffin, GA 30223-2831 | 2009-07-21 |
| 1437330412 | Margaret Ann Mcilwain | Nurse Practitioner | 1857 W Mcintosh Rd, Griffin, GA 30223-1705 | 2007-11-19 |
| 1093708869 | Kudirat Mumuney | Nurse Practitioner | 315 S 9th St, Griffin, GA 30224-4111 | 2005-08-26 |
| Find all providers in GRIFFIN | ||||
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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.