MS. KIMBERLY SUE VANCE (NPI# 1538230123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538230123 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY SUE VANCE |
| Credential | MASTER OF EDUCATION |
| Practice Address |
113 Lincoln Way East Mishawaka IN 46544-2016 |
| Practice Telephone | 5742554976 |
| Practice Fax Number | 5742551882 |
| Mailing Telephone | 5742554976 |
| Mailing Fax Number | 5742551882 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 39001136A | IN | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39001136A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | AETNA | 7381710 | 01 |
| IN | ANTHEM | 000000341223 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700125291 | Kimberly Sue Vance | Physical Therapy Assistant | 9800 Touchton Rd Apt 927, Jacksonville, FL 32246-8218 | 2013-02-04 |
| 1952439135 | Kimberly Dawn Vance | Occupational Therapist | 14 Wildwood Cv, Batesville, AR 72501-6235 | 2007-03-01 |
| 1922667781 | Kimberly Marie Vance | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3397 | 2019-06-06 |
| 1841698370 | Kimberly Vance | Nurse Practitioner | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2014-12-16 |
| Street Address |
113 LINCOLN WAY EAST |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477624054 | Avonne Deanne Dainton | Social Worker | 113 Lincoln Way East, Mishawaka, IN 46544-2016 | 2006-11-13 |
| 1558432138 | Lauren S Offerle | Social Worker | 113 Lincoln Way East, Mishawaka, IN 46544-2016 | 2006-11-13 |
| 1063583664 | Brigitte Erna Wiescher | Counselor | 113 Lincoln Way East, Mishawaka, IN 46544-2016 | 2006-11-13 |
| 1205907888 | Kevin Patrick Molloy | Counselor | 113 Lincoln Way East, Mishawaka, IN 46544-2016 | 2006-11-13 |
| 1639240211 | Teresa Ann Sult | Social Worker | 113 Lincoln Way East, Mishawaka, IN 46544-2016 | 2006-11-13 |
| 1336210913 | Linda Rae Taylor | Social Worker | 113 Lincoln Way East, Mishawaka, IN 46544-2016 | 2006-11-13 |
| 1053482646 | G Darlene Radcliff | Social Worker | 113 Lincoln Way East, Mishawaka, IN 46544-2016 | 2006-11-13 |
| 1134290729 | Jeannine M Curtis | Social Worker | 113 Lincoln Way East, Mishawaka, IN 46544-2016 | 2006-11-13 |
| 1821169418 | Cynthia Mary Biskner | Marriage & Family Therapist | 113 Lincoln Way East, Mishawaka, IN 46544-2016 | 2006-11-13 |
| 1346311933 | Cynthia L Mccay | Social Worker | 113 Lincoln Way East, Mishawaka, IN 46544-2016 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477166320 | Rita Elaine Brockie | Counselor | 2419 E 3rd St, Mishawaka, IN 46544-3327 | 2020-08-28 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| 1427480110 | Sarah A Fifer | Counselor | 4201 Lincolnway E, Mishawaka, IN 46544-4020 | 2013-08-05 |
| 1508021106 | Sara Skodinski | Counselor | 515 Lincolnway W, Mishawaka, IN 46544-1808 | 2008-07-23 |
| 1821190810 | Scott R. Tafelski | Counselor | 1818 Went Ave, Suite A, Mishawaka, IN 46545-6482 | 2006-09-01 |
| 1871581793 | Deborah K Kriegel | Counselor | 2410 Grape Rd Ste 1, Mishawaka, IN 46545-3015 | 2005-10-13 |
| 1023664315 | Recore Counseling LLC | Counselor | 3835 Edison Lakes Parkway, Suite # 200, Mishawaka, IN 46545-3419 | 2019-08-13 |
| 1548762511 | Tonya Denton | Counselor | 1818 Went Ave, Mishawaka, IN 46545-6482 | 2018-03-06 |
| 1750824801 | Cassandra Davis | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2016-11-22 |
| 1306232723 | Estella Ganger | Counselor | 1818 Went Ave, Mishawaka, IN 46545-6482 | 2015-04-13 |
| Find all providers in MISHAWAKA | ||||
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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.