KIMBERLEY TRAIL (NPI# 1629489810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629489810 |
| Entity Type | Individual |
| Full Name | KIMBERLEY TRAIL |
| Practice Address |
419 Seneca St Fulton NY 13069-1332 |
| Practice Telephone | 3153809325 |
| Mailing Telephone | 3153809325 |
| Enumeration Date | 2014-05-10 |
| Last Update Date | 2014-05-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 266689-1 | NY | Nursing Service Providers |
| Street Address |
419 SENECA ST |
| City | FULTON |
| State | NY |
| Zip Code | 13069-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588291454 | Awilda Vega Johnston | Counselor | 92 N. 2nd St., #100, Fulton, NY 13069 | 2020-03-23 |
| 1174169346 | Gabrielle Sunshine Chrestler | Technician | 2118 Co Rt 176, Fulton, NY 13069 | 2019-11-22 |
| 1558917310 | Renee Omsby | Technician | 1323 County Rte 9, Fullton, NY 13069 | 2019-08-16 |
| 1194208488 | Bridgette Lynn Godfrey | Registered Nurse | 167 South 4th Street, Fulton, NY 13069 | 2018-09-12 |
| 1205299195 | Nu-ops, Inc | Taxi | 107 West 4th St So, Fulton, NY 13069 | 2016-03-30 |
| 1770909061 | Siobhan Anne Walsh | Licensed Practical Nurse | 436 Rowlee Road, Fulton, NY 13069 | 2014-03-11 |
| 1982971743 | Jennifer Lynn Scaringi | Licensed Practical Nurse | 505 Seneca St, Fulton, NY 13069 | 2011-11-22 |
| 1215242680 | Meghan Kathleen Hill | Physical Therapist | 706 South 4th St, Fulton, NY 13069 | 2010-08-10 |
| 1659699064 | Daniel Petrescu | Physical Therapist | 453 Park St., Michaud Residential Healthcare, Fulton, NY 13069 | 2010-05-10 |
| 1528212842 | Robyn Elizabeth Mccann | Licensed Practical Nurse | 464 Red School House Road, Fulton, NY 13069 | 2008-11-13 |
| Find all providers in zip 13069 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775689 | Ericka Jo Daniszewski | Licensed Practical Nurse | 112 W 1st St N, Fulton, NY 13069-1150 | 2020-09-23 |
| 1821632407 | Gabrielle Lynn Benn | Licensed Practical Nurse | 318 W Broadway Apt 2, Fulton, NY 13069-2252 | 2019-11-06 |
| 1871140293 | Teresa Ann Warfield | Licensed Practical Nurse | 104 Bartley Ln, Fulton, MO 65251-2139 | 2019-08-21 |
| 1992363246 | Lisa Marie Thrash | Licensed Practical Nurse | 313 Erie St Apt 1, Fulton, NY 13069-1219 | 2019-06-02 |
| 1487116935 | Jaclyn Susann Behling | Licensed Practical Nurse | 617 W 4th St S, Fulton, NY 13069-3106 | 2019-04-03 |
| 1255800512 | Rebecca Lynne Rodriguez | Licensed Practical Nurse | 621 1/2 W 4th St S, Fulton, NY 13069-3106 | 2018-11-15 |
| 1972085900 | Shelby Johnson | Licensed Practical Nurse | 4219 State Route 3, Fulton, NY 13069-3640 | 2018-09-06 |
| 1922521277 | Marsha Ann Fuller I | Licensed Practical Nurse | 867 Rowlee Rd, Fulton, NY 13069-4228 | 2017-07-19 |
| 1730600560 | Laura Jean Stacy | Licensed Practical Nurse | 104 W 4th St N, Fulton, NY 13069-1064 | 2017-07-01 |
| 1376064691 | Heather Leigh House | Licensed Practical Nurse | 627 Island Rd, Fulton, NY 13069-4439 | 2017-06-28 |
| Find all providers in FULTON | ||||
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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.