KIMBERLY ANN WILLICH (NPI# 1538680574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538680574 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN WILLICH |
| Credential | DNP, ARNP, FNP-C |
| Practice Address |
701 10th St Se Cedar Rapids IA 52403-1251 |
| Mailing Address |
5410 Maryland Way Ste 300 Brentwood TN 37027-5339 |
| Practice Telephone | 3193986011 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A120887 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
701 10TH ST SE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52403-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740284421 | Chad Abernathey | Neurological Surgery | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2005-06-09 |
| 1942821244 | Nicole Sporrer | Registered Nurse | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-04-28 |
| 1669003075 | Keri Zimmerman | Internal Medicine | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-02-04 |
| 1033740311 | Jessica Leigh Robinson | Physician Assistant | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-01-27 |
| 1144850389 | Kendall Anne Deitering | Speech-Language Pathologist | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-01-16 |
| 1316586159 | Lindsay Nicole Ehlers | Nurse Practitioner | 701 10th St Se, Cedar Rapids, IA 52403-1292 | 2019-12-26 |
| 1467007096 | Hanna Bishop Molinari | Nurse Practitioner | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2019-08-09 |
| 1659931269 | Jessica Bettmann | Speech-Language Pathologist | 701 10th St Se, Cedar Rapids, IA 52403-1292 | 2019-06-17 |
| 1013574250 | William James Halls | Pharmacist | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2019-05-23 |
| 1851957732 | Jennifer Lori Somerville | Nurse Practitioner | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2019-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093242083 | Eric Burton | Social Worker | 1535 1st Ave Se., Cedar Rapids Va Cboc, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1619404613 | Dylan Roberts Streb | Family Medicine | Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1760870851 | Forefront Dermatology, S.c. | Dermatology | 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 | 2014-12-26 |
| 1801292883 | Laura Pelechek | Marriage & Family Therapist | 1744 2nd Ave Se, Cedar Rapids, IA 52403 | 2014-11-18 |
| 1306090147 | John Daniel Schuchmann | Anesthesiology | 3629 Random Road Se, Cedar Rapids, IA 52403 | 2008-11-06 |
| 1851564157 | Cedar Rapids Medical Education Foundation | Family Medicine | 1260 Second Avenue S.e., Cedar Rapids, IA 52403 | 2008-04-08 |
| 1093866071 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 207 2nd Avenue Se Ste A, Cedar Rapids, IA 52403 | 2007-01-16 |
| 1154483980 | James P Schuller | Dentist | 1000 42nd St Se, 1000 Professional Centre Suite B, Cedar Rapids, IA 52403 | 2006-12-15 |
| 1477640183 | C R Iv Service Inc | Home Health | 402 10th St, Ste 700 Carepro Home Health, Cedar Rapids, IA 52403 | 2006-10-06 |
| 1104919638 | C R Iv Service Inc | Durable Medical Equipment & Medical Supplies | 402 10th Street Se, Suite 700, Cedar Rapids, IA 52403 | 2006-10-02 |
| Find all providers in zip 52403 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841823622 | Melissa Lynn Coulter | Nurse Practitioner | 202 10th St Se Ste 165, Cedar Rapids, IA 52403-2433 | 2020-02-19 |
| 1972741726 | Julie Ann Cayler | Nurse Practitioner | 1026 A Ave Ne Ofc 172m, Cedar Rapids, IA 52402-5036 | 2009-02-02 |
| 1578781951 | Sara Nan Gordon | Nurse Practitioner | 1212 7th St Se, Cedar Rapids, IA 52401-2602 | 2007-04-23 |
| 1164569737 | Paula D Stultz | Nurse Practitioner | 788 8th Ave Se Ste 300, Cedar Rapids, IA 52401-2106 | 2007-01-31 |
| 1265500573 | Denise A Peck | Nurse Practitioner | 411 10th St Se Ste 150, Cedar Rapids, IA 52403-2449 | 2006-12-04 |
| 1861578742 | Sharon Spiller | Nurse Practitioner | 3425 1st Ave Se # 100, Cedar Rapids, IA 52402-6005 | 2006-10-31 |
| 1144241837 | Susan Halter | Nurse Practitioner | 202 10th St Se Ste 225, Cedar Rapids, IA 52403-2419 | 2006-07-21 |
| 1710962519 | William K Barnhill | Nurse Practitioner | 3500 Edgewood Rd Ne, Apt 201, Cedar Rapids, IA 52402-7588 | 2005-12-14 |
| 1275534596 | Margaret Ann Boyt | Nurse Practitioner | 411-10th St Se, Suite 150, Cedar Rapids, IA 52403-2449 | 2005-08-09 |
| 1568063667 | Maria Swisher | Nurse Practitioner | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2020-11-04 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52403 |
Please comment or provide details below to improve the information on KIMBERLY ANN WILLICH.
| 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.