MRS. KIMBERLY LYNN NISSEN (NPI# 1508013111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508013111 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY LYNN NISSEN |
| Credential | RPH |
| Practice Address |
100 N Academy Ave Pharmacy 42-01 Danville PA 17822-9800 |
| Mailing Address |
20 Alexis Dr Bloomsburg PA 17815-7718 |
| Practice Telephone | 5702716671 |
| Mailing Telephone | 5703891503 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
RP041116L | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912257346 | Kimberly S. Nissen | Registered Nurse | 2815 Camino Del Rio S, Suite 115, San Diego, CA 92108-3815 | 2012-09-13 |
| Street Address |
100 N ACADEMY AVE PHARMACY 42-01 |
| City | DANVILLE |
| State | PA |
| Zip Code | 17822-9800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495996 | David J Salinger | Radiology | 100 N Academy Ave, Danville, PA 17822-2385 | 2005-05-23 |
| 1467053751 | Geisinger Clinc | Advanced Practice Midwife | 100 N Academy Ave, Danville, PA 17822-4903 | 2020-11-04 |
| 1144829649 | Felicia Mazzoni Sweeney | Nurse Practitioner | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-10-26 |
| 1013516988 | Julia Elizabeth Dawson | Audiologist | 100 N Academy Ave, Danville, PA 17822-0001 | 2020-10-21 |
| 1114525888 | Madelyn Elise Stabinski | Pharmacist | 100 N Academy Ave, Danville, PA 17822-0001 | 2020-10-14 |
| 1316545304 | Victor Theodore Mallory | Physician Assistant | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-10-13 |
| 1578160412 | Allison Nicole Hamner | Pharmacist | 100 N Academy Ave, Danville, PA 17822-0001 | 2020-10-05 |
| 1891392064 | Kaitlyn Kishbaugh | Speech-Language Pathologist | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-10-01 |
| 1174138150 | Anna Marie Cruz | Psychologist | 100 N Academy Ave, Geisinger Medical Center, Danville, PA 17822-1335 | 2020-09-15 |
| 1649884933 | Heather M Krohn | Nurse Anesthetist, Certified Registered | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062895 | Staci Lee Benoit | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue Geisinger Medical Center, Danville, PA 17822 | 2020-04-24 |
| 1275162018 | Kristena Yossef | Student in an Organized Health Care Education/Training Program | Geisinger Medical Center, 100 North Academy Avenue, Da, Danville, PA 17822 | 2020-04-03 |
| 1003470444 | Intekhab Askari Syed Ahmad Raza | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Geisinger Medical Center, Danville, PA 17822 | 2019-04-30 |
| 1841766334 | Sarah Louise Dearment | Counselor | Geisinger Medical Center: Department of Psychiatry, 100 N. Academy Avenue, Danville, PA 17822 | 2018-10-23 |
| 1548753908 | Josie Pervola | Genetic Counselor, MS | 100 N Academy Ave Mc-26-20, Danville, PA 17822 | 2018-06-11 |
| 1477059350 | Martha Niemiec | Counselor | Geisinger Medical Center Department of Psychiatry, 100 North Academy Avenue, Danville, PA 17822 | 2018-04-01 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1164877197 | Britta Hunter | Speech-Language Pathologist | 100 N. Academy Ave., Danville, PA 17822 | 2016-04-27 |
| 1891180725 | Zach Rottmann | Internal Medicine | Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822 | 2015-03-30 |
| 1891063251 | John D Chakan | Pharmacist | 1000 S Second St, Sunbury, PA 17822 | 2011-12-13 |
| Find all providers in zip 17822 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386880722 | Brenda Lynn Chepolis | Pharmacist | Geisinger Medical Center 100 North Academy Ln, Danville, PA 17822-0001 | 2009-01-06 |
| 1639327588 | William H Henning | Pharmacist | Geisinger Medical Center Inpatient Pharmacy, 100 N Academy Ave, Danville, PA 17822-0001 | 2008-09-04 |
| 1639326150 | Mark Gehman | Pharmacist | N Academy Ave, Or Pharmacy 42-01, Danville, PA 17822-0001 | 2008-08-27 |
| 1548230105 | Sally Ann Tice | Pharmacist | Geisinger Medical Center Pharmacy Dept 42-01, 100 N Academy Ave, Danville, PA 17822-0001 | 2006-01-25 |
| 1568442143 | Nathan M Sauers | Pharmacist | System Therapeutics - Geisinger Medical Center, 100 N Academy Ave, Danville, PA 17822-0001 | 2006-01-19 |
| 1821078775 | Nicholas Brabander | Pharmacist | Geisinger Medical Center 100 N Academy Ave, System Therapeutics 42-01, Danville, PA 17822-0001 | 2006-01-18 |
| 1881692994 | Dean Thomas Parry | Pharmacist | Geisinger Medical Center, System Therapeutics Dept, 100 N. Academy Avenue, Danville, PA 17822-0001 | 2005-07-12 |
| 1851917835 | Adam Castro | Pharmacist | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-06-24 |
| 1316588692 | Diem Phung Ho | Pharmacist | 100 N Academy Ave, Danville, PA 17822-9800 | 2019-10-08 |
| 1235671835 | Amanda Davis | Pharmacist | 812 N Logan Ave, Danville, IL 61832-3752 | 2016-11-14 |
| Find all providers in DANVILLE | ||||
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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.