KIMBERLY BALTZELL (NPI# 1609200625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609200625 |
Entity Type | Individual |
Full Name | KIMBERLY BALTZELL |
Credential | CNS |
Practice Address |
30 E Apple St Ste 5254a Dayton OH 45409-2939 |
Practice Telephone | 9372084200 |
Practice Fax Number | 9372084205 |
Mailing Telephone | 9372084200 |
Mailing Fax Number | 9372084205 |
Enumeration Date | 2013-08-27 |
Last Update Date | 2017-03-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 364S00000X | Clinical Nurse Specialist | COA.14740-NS | OH | Physician Assistants & Advanced Practice Nursing Providers |
Y | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
COA.14740-NS | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0091249 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083185821 | Kimberly Baltzell | Case Manager/Care Coordinator | 110 Pearson, Benton, AR 72015-4436 | 2018-12-05 |
Street Address |
30 E APPLE ST STE 5254A |
City | DAYTON |
State | OH |
Zip Code | 45409-2939 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841295086 | Pramila J Bharwani | Physician Assistant | 30 E Apple St, Suite 5253, Dayton, OH 45409-2939 | 2005-06-15 |
1790301836 | Linda M Gibson | Registered Nurse | 30 E Apple St, Dayton, OH 45409-2939 | 2020-06-24 |
1144874314 | Priscilla Ann Blevins | Nurse Practitioner | 30 E Apple St, Dayton, OH 45409-2939 | 2019-07-26 |
1700386877 | Anne Marie Flynn | Registered Nurse | 30 E Apple St, Suite 5254 A, Dayton, OH 45409 | 2018-02-15 |
1508376922 | Ashley Wang | Physician Assistant | 30 E Apple St, Dayton, OH 45409-2939 | 2017-10-11 |
1245769033 | Jessamine Sothard | Nurse Practitioner | 30 E Apple St, Dayton, OH 45409-2939 | 2017-06-06 |
1821524513 | Shanah Hammock | Nurse Practitioner | 30 E Apple St, #6250, Dayton, OH 45409-2939 | 2017-05-02 |
1467985283 | Fady Yousef Hijji | Student in an Organized Health Care Education/Training Program | 30 E Apple St, Suite 2200, Dayton, OH 45409-2939 | 2017-04-08 |
1902339187 | Maria Groh | Physician Assistant | 30 E Apple St, Suite 5254, Dayton, OH 45409-2939 | 2017-04-05 |
1336672443 | Thomas George Cheslik | Student in an Organized Health Care Education/Training Program | 30 E Apple St, Suite 2200, Dayton, OH 45409-2939 | 2017-04-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
Find all providers in zip 45409 |
Taxonomy Code | 364SA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568904357 | Diana Marie Goettemoeller | Clinical Nurse Specialist | 1 Wyoming St, Dayton, OH 45409 | 2016-11-09 |
1487868055 | Cathy Denise Trame | Clinical Nurse Specialist | 1 Wyoming St, Dayton, OH 45409-2722 | 2007-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225682107 | Laura L Hutchinson | Clinical Nurse Specialist | 8821 Blossom Cir Nw, Massillon, OH 44646-1346 | 2019-07-29 |
1316417082 | Phyllis A Smith | Clinical Nurse Specialist | 972 Kahn Ave, Hamilton, OH 45011-4458 | 2018-11-26 |
1609293281 | Jennifer Colwill | Clinical Nurse Specialist | 253 E 326th St, Willowick, OH 44095-3238 | 2014-03-21 |
1710304316 | Esther Lene Bage | Clinical Nurse Specialist | 2226 Yellow Pine Ave, Columbus, OH 43229-4672 | 2014-03-21 |
1497311633 | Loletia Davis | Clinical Nurse Specialist | 460 W 10th Ave, Columbus, OH 43210-1240 | 2019-05-14 |
1629535299 | Drina Nemes | Clinical Nurse Specialist | 10701 East Blvd, Cleveland, OH 44106-1702 | 2019-03-01 |
1578020327 | Sarah R Lendvay | Clinical Nurse Specialist | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2019-02-28 |
1255824215 | Michelle Louise Porter | Clinical Nurse Specialist | 460 W 10th Ave, Columbus, OH 43210-1240 | 2018-06-13 |
1497261218 | Michele Mcphie | Clinical Nurse Specialist | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2017-12-15 |
1922528793 | Jennifer Michelle Cohen | Clinical Nurse Specialist | 800 W Main St, Coldwater, OH 45828-1613 | 2017-06-22 |
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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.