KIMBERLY A SOUTHAM-GEROW (NPI# 1598316424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598316424 |
| Entity Type | Individual |
| Full Name | KIMBERLY A SOUTHAM-GEROW |
| Other Name | KIM SOUTHAM-GEROW |
| Credential | NURSE PRACTITIONER |
| Practice Address |
2305 N Parham Rd Ste 3 Richmond VA 23229-3156 |
| Mailing Address |
1215 Warren Ave Richmond VA 23227-3739 |
| Practice Telephone | 8042634365 |
| Mailing Telephone | 8042633265 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024178278 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BOARD OF NURSING | 0024178278 | 01 |
| Street Address |
2305 N PARHAM RD STE 3 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23229-3156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811184393 | Kathleen Nolan Martin | Social Worker | 2305 N Parham Rd Ste 3, Richmond, VA 23229-3156 | 2007-09-28 |
| 1982168134 | Elizabeth Goodman | Social Worker | 2305 N Parham Rd Ste 3, Richmond, VA 23229-3156 | 2019-01-22 |
| 1972073070 | Stephanie Dare Smith | Counselor | 2305 N Parham Rd Ste 3, Richmond, VA 23229 | 2018-11-30 |
| 1740787126 | Christine Ketterer Gray | Social Worker | 2305 N Parham Rd Ste 3, Richmond, VA 23229-3156 | 2018-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410044 | A&a Hearing Group, LLC | Audiologist-Hearing Aid Fitter | 7601 Forest Ave 311, Richmond, VA 23229 | 2019-08-01 |
| 1174041776 | Amanda Ashby Belding | Speech-Language Pathologist | 901 Maybeury Drive, Richmond, VA 23229 | 2017-09-03 |
| 1861919680 | Stewart Jones Ventures, Incorporated | In Home Supportive Care | 8003 Franklin Farms Dr Rm 113, Richmond, VA 23229 | 2017-08-23 |
| 1093180812 | Chiniqua L Jones | Nurse's Aide | 10 Vintage Dr., #c, Richmond, VA 23229 | 2015-12-04 |
| 1952774416 | Caremore Health Plan | Nurse Practitioner | 8935 Patterson Avenue, Richmond, VA 23229 | 2015-11-05 |
| 1245626894 | William Mauck | Orthopaedic Surgery | 224 Ross Road, Richmond, VA 23229 | 2015-04-10 |
| 1366846305 | Anne Brennan | Nurse Practitioner | 7607 Forest Avenue, Suite 300, Richmond, VA 23229 | 2014-10-20 |
| 1710305966 | Natalie M Dogal | Obstetrics & Gynecology | 7605 Forest Ave Ste 206, Richmond, VA 23229 | 2014-04-04 |
| 1083045405 | Joyce Campbell Wriston | Occupational Therapist | 1503 Michael's Road, Little Sisters of The Poor, Richmond, VA 23229 | 2013-12-11 |
| 1740535780 | Life Journeys Inc | Social Worker | 8413 A Patterson Avenue, Richmond, VA 23229 | 2012-07-16 |
| Find all providers in zip 23229 | ||||
| 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 |
|---|---|---|---|---|
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1972116127 | Margaret Nma Iroanya | Nurse Practitioner | 11102 Croftmore Dr, Richmond, TX 77407-2911 | 2020-08-27 |
| 1235749714 | Germaine Kelley-pope | Nurse Practitioner | 622 Westover Hills Blvd, Richmond, VA 23225-4521 | 2020-08-09 |
| 1760091979 | Peters Ako Etchu | Nurse Practitioner | 19726 Shallow Shaft Ln, Richmond, TX 77407-4100 | 2020-07-24 |
| 1649897174 | Elizabeth Nnenna Emeri | Nurse Practitioner | 1601 Main St Ste 600, Richmond, TX 77469-3244 | 2020-06-30 |
| 1083238083 | Kainer Behavioral Health Pllc | Nurse Practitioner | 23622 Fairport Harbor Ln, Richmond, TX 77407-2888 | 2020-06-04 |
| 1245853498 | Jennifer Lynn Whittington | Nurse Practitioner | 789 Eastern Bypass Medical Office 1, Suite 23, Richmond, KY 40475-4047 | 2020-05-22 |
| 1699308858 | Raymond C Obiajulu | Nurse Practitioner | 1911 William Lusk Rd, Richmond, TX 77469-4741 | 2020-02-17 |
| 1730719014 | Furo Uba Fabunmi | Nurse Practitioner | 1219 Orange Pumpkin Ln, Richmond, TX 77406-1771 | 2020-01-25 |
| Find all providers in RICHMOND | ||||
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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.