KIMBERLY HIZER (NPI# 1528614047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528614047 |
| Entity Type | Individual |
| Full Name | KIMBERLY HIZER |
| Credential | PMHNP-BC |
| Practice Address |
2316 South St Lafayette IN 47904-2971 |
| Mailing Address |
1716 Hartford St Lafayette IN 47904-2173 |
| Practice Telephone | 7657421567 |
| Practice Fax Number | 7654292700 |
| Mailing Telephone | 7657421567 |
| Mailing Fax Number | 7654292700 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
28210176A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300032553 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1324 Tippecanoe St, Lafayette, IN 479042051 | 7657422750 | |
| 1716 Hartford St, Lafayette, IN 479042173 | 7657421567 | 7654292700 |
| Street Address |
2316 SOUTH ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-2971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295721637 | Roger Bosley | Obstetrics & Gynecology | 2316 South St, Lafayette, IN 47904-2971 | 2005-09-21 |
| 1962058743 | Rita M Becker | Nurse Practitioner | 2316 South St, Lafayette, IN 47904-2971 | 2019-08-16 |
| 1295218071 | Hannah Henderson | Nurse Practitioner | 2316 South St, Lafayette, IN 47904-2971 | 2018-09-08 |
| 1700253580 | Amanda Jean Shea | Nurse Practitioner | 2316 South St, Lafayette, IN 47904-2971 | 2015-08-27 |
| 1467833988 | Susan Foster | Nurse Practitioner | 2316 South St, Lafayette, IN 47904-2971 | 2015-06-10 |
| 1801222641 | Laurel Shannon Thomas-voight | Nurse Practitioner | 2316 South St, Lafayette, IN 47904-2971 | 2013-09-25 |
| 1215285952 | April Rae Fife | Nurse Practitioner | 2316 South St, Lafayette, IN 47904-2971 | 2012-08-28 |
| 1386954048 | Suma Nagaraj | Pediatrics | 2316 South St, Lafayette, IN 47904-2971 | 2010-10-15 |
| 1639320641 | Cassandra Dawn Selby | Advanced Practice Midwife | 2316 South St, Lafayette, IN 47904-2971 | 2008-10-08 |
| 1417110503 | Georgia Ann Steiman | Obstetrics & Gynecology | 2316 South St, Lafayette, IN 47904-2971 | 2008-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376169979 | Nancy Ariwodo | Nurse Practitioner | 225 Rue La France, Lafayette, LA 70508-1565 | 2020-06-19 |
| 1114558715 | Danielle J Threatts Aprn LLC | Nurse Practitioner | 208 W Gloria Switch Rd Ste 219, Lafayette, LA 70507-3409 | 2020-02-01 |
| 1992359848 | Harold G Frizzell Psychiatric Services LLC | Nurse Practitioner | 300 Thompson Loop, Lafayette, LA 70506-2820 | 2019-07-29 |
| 1154801876 | Seth Jordan Bowers | Nurse Practitioner | 4906 Ambassador Caffery Pkwy # B, Lafayette, LA 70508-6962 | 2018-08-21 |
| 1205351137 | Laura Lee Kight | Nurse Practitioner | 215 Rue Fontaine, Lafayette, LA 70508-5742 | 2017-08-11 |
| 1295273837 | Cinderella Broussard LLC | Nurse Practitioner | 208 W Gloria Switch Rd # 6, Lafayette, LA 70507-3409 | 2017-02-02 |
| 1811441702 | Amanda Barfield, LLC | Nurse Practitioner | 103 Epinal Dr, Lafayette, LA 70507-3241 | 2016-08-08 |
| 1437500519 | April Breaux | Nurse Practitioner | 114 Representative Row Ste B, Lafayette, LA 70508-3878 | 2016-06-29 |
| 1497119481 | Acadiana Healthcare Solutions LLC | Nurse Practitioner | 711 N Pierce St, Lafayette, LA 70501-3529 | 2016-04-06 |
| 1477926715 | Lisa A. Chavis LLC | Nurse Practitioner | 2826 Louisiana Ave, 1202, Lafayette, LA 70501-1383 | 2015-11-09 |
| Find all providers in LAFAYETTE | ||||
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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.