KIMBERLY A. VANDEGRIFT


Address: 1101 Portage St Nw, North Canton, OH 44720-2353
Phone: 3304173283

KIMBERLY A. VANDEGRIFT (NPI# 1619913738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619913738
Entity Type Individual
Full Name KIMBERLY A. VANDEGRIFT
Credential R.N.
Practice Address 1101 Portage St Nw
North Canton
OH 44720-2353
Practice Telephone 3304173283
Practice Fax Number 5093519739
Mailing Telephone 3304173283
Mailing Fax Number 5093519739
Enumeration Date 2006-06-20
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
RN-243460 OH Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 2313375 05

Office Location

Street Address 1101 PORTAGE ST NW
City NORTH CANTON
State OH
Zip Code 44720-2353

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NPI Name Taxonomy Address Enumeration
1700351251 Mark Allan Joki Counselor 1303 W. Maple St., Suite 103, North Canton, OH 44720 2018-10-11
1700305794 Alexis Katherine Hundley Specialist/Technologist 1378 Devon Drive, North Canton, OH 44720 2017-09-12
1376060780 Universal Impex Inc. Day Training, Developmentally Disabled Services 6868 Farmcrest Cir Nw., North Canton, OH 44720 2017-08-25
1083066203 Wendy Barnett Registered Nurse 8722 Grimes Ave Nw, North Canton, OH 44720 2016-07-12
1336590389 Amanda L Cockerell Occupational Therapy Assistant 330 E Maple St, North Canton, OH 44720 2016-06-30
1467808063 Ryan Monti Physical Therapist 6285 Promler St Nw, North Canton, OH 44720 2016-05-12
1467816124 Jami Lynn Fisher Occupational Therapist 6057 Strip Avenue Nw, North Canton, OH 44720 2016-04-08
1801255427 Steven R Fricke Psychologist 239 Portage St. Ne, North Canton, OH 44720 2016-02-11
1396124814 Burkins Ritchie & Assco LLC Counselor 1206 N. Main St, North Canton, OH 44720 2015-05-29
1073992590 Max Dean Burkins Counselor 1206 N. Main St., North Canton, OH 44720 2015-05-29
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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1487251971 Margaret A Pentek Registered Nurse 1375 County Road 128, Ironton, OH 45638-8526 2020-10-07
1881291615 Gifty E Appini Registered Nurse 3988 Karl Rd, Columbus, OH 43224-2161 2020-10-05
1851998843 Marwah Home Care LLC Registered Nurse 3720 Kersdale Pl, Grove City, OH 43123-8611 2020-10-03
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1366059404 Breezy Yinger Registered Nurse 17450 Morris Rose Rd, Jackson Center, OH 45334-9447 2020-09-23
1013520931 Nurse Education Solutions LLC Registered Nurse 1446 Reynolds Rd Ste 100, Maumee, OH 43537-1634 2020-08-29
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Competitor

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City NORTH CANTON
Zip Code 44720

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Dataset Information

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.

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