DR. SANDY JEAN KIMMEL (NPI# 1598714313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598714313 |
| Entity Type | Individual |
| Full Name | DR. SANDY JEAN KIMMEL |
| Credential | D.O. |
| Practice Address |
3400 Executive Dr Suite 203 Raleigh NC 27609-7476 |
| Practice Telephone | 9198720390 |
| Practice Fax Number | 9198720391 |
| Mailing Telephone | 9198720390 |
| Mailing Fax Number | 9198720391 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2011-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
200400893 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS/BLUE SHIELD | 137PC | 01 |
| NC | 89137PC | 05 |
| Street Address |
3400 EXECUTIVE DR SUITE 203 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-7476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821068313 | Lorraine Faith Birmingham | Family Medicine | 3400 Executive Dr, Suite 201, Raleigh, NC 27609-7476 | 2006-01-25 |
| 1811505068 | Tracy Lee Neily | Mastectomy Fitter | 3400 Executive Dr, Raleigh, NC 27609-7476 | 2020-07-14 |
| 1417234238 | Angelia M Flanagan Md Pa | Family Medicine | 3400 Executive Dr, Suite 101, Raleigh, NC 27609-7476 | 2011-11-08 |
| 1427350438 | Michelle Futrell | Dietitian, Registered | 3400 Executive Dr, Raleigh, NC 27609-7476 | 2010-11-23 |
| 1932371879 | Center for Orthotic and Prosthetic Care of North Carolina, Inc | Prosthetic/Orthotic Supplier | 3400 Executive Dr, Ste 102, Raleigh, NC 27609-7476 | 2008-04-01 |
| 1760607907 | Christopher James Messina Sr. | Psychologist | 3400 Executive Dr, Suite 205, Raleigh, NC 27609-7476 | 2007-04-14 |
| 1992821482 | Sandy J. Kimmel, D.o., P.a. | Specialist | 3400 Executive Dr, Suite 203, Raleigh, NC 27609-7476 | 2007-03-22 |
| 1689790081 | Raleigh Family Health Care | Family Medicine | 3400 Executive Dr, Suite 201, Raleigh, NC 27609-7476 | 2007-03-21 |
| 1942256326 | Angelia M Flanagan | Family Medicine | 3400 Executive Dr, Suite 101, Raleigh, NC 27609-7476 | 2006-05-26 |
| 1790756971 | Alger Vason Hamrick IIi | Family Medicine | 3400 Executive Dr, Suite 102, Raleigh, NC 27609-7476 | 2006-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356538698 | Susan Pate | Psychiatry & Neurology | 605 Marlowe Rd, Raleigh, NC 27609-7021 | 2007-10-01 |
| 1801842794 | David A Konanc | Psychiatry & Neurology | Raleigh Neurology Associates, Pa, 1540 Sunday Dr., Raleigh, NC 27607-5163 | 2006-05-25 |
| 1659342806 | Philip A Davenport | Psychiatry & Neurology | 3480 Wake Forest Rd, Suite 502, Raleigh, NC 27609-7376 | 2006-01-27 |
| 1659767911 | Wayneho Kam | Psychiatry & Neurology | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2015-04-13 |
| 1245650068 | Neeja Vivek Desai | Psychiatry & Neurology | 1540 Sunday Dr, Raleigh, NC 27607 | 2014-04-19 |
| 1619395092 | Casey Victoria Farin | Psychiatry & Neurology | 1540 Sunday Dr, Raleigh, NC 27607 | 2014-04-02 |
| 1205272663 | Raleigh Neurology Associates, Pa | Psychiatry & Neurology | 3701 Wake Forest Rd, Raleigh, NC 27609-6832 | 2013-05-13 |
| 1992048680 | Raleigh Neurology Associates, P.a. | Psychiatry & Neurology | 1520 Sunday Dr, Raleigh, NC 27607-5253 | 2013-04-01 |
| 1265728489 | Chandni Pankaj Kalaria | Psychiatry & Neurology | 1540 Sunday Dr, Raleigh, NC 27607 | 2011-06-27 |
| 1205125101 | Mariam Wasim | Psychiatry & Neurology | 3480 Wake Forest Rd Ste 310, Raleigh, NC 27609 | 2011-03-31 |
| Find all providers in RALEIGH | ||||
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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.