MRS. KIMBERLY MARIE ANDERSON (NPI# 1649396797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649396797 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY MARIE ANDERSON |
| Credential | B.S. |
| Practice Address |
2200 E Ellendale Ave Dallas OR 97338-9353 |
| Mailing Address |
167 Nw Elderberry Ln Dallas OR 97338-1199 |
| Practice Telephone | 5036235588 |
| Practice Fax Number | 5036234729 |
| Mailing Telephone | 5038311003 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124659594 | Kimberly G Anderson | Nurse Practitioner | 4089 42nd Sq, Vero Beach, FL 32967-1963 | 2020-02-03 |
| 1730724410 | Kimberly Susan Anderson | Specialist/Technologist | 708 W 4th St, Lewes, DE 19958-1284 | 2019-11-17 |
| 1740727312 | Kimberly Anderson | Licensed Practical Nurse | 102 Giminski Dr, Apartment 1, Syracuse, NY 13204-1304 | 2017-01-20 |
| 1467843292 | Kimberly Anderson | Registered Nurse | 8247 S 535 E, Sandy, UT 84070-0476 | 2015-02-16 |
| 1609279926 | Kimberly Anderson | Psychologist | 42 E Via Plaza Nueva, Santa Fe, NM 87507-8491 | 2014-10-01 |
| 1881003994 | Kimberly Dawn Anderson | Specialist/Technologist | 4280 S 246th Ave, Buckeye, AZ 85326-3351 | 2014-08-04 |
| 1295175537 | Kimberly Michelle Anderson | Case Manager/Care Coordinator | 1509 N Midwest Blvd Apt 8, Midwest City, OK 73110-3243 | 2013-07-01 |
| 1891062477 | Kimberly Michelle Anderson | Licensed Practical Nurse | 983 Ridgeway Ct Apt A, Lebanon, OH 45036-2562 | 2011-11-25 |
| 1417240003 | Kimberly Anderson | Community Health Worker | 900 North Courtenay Parkway, Suite 1, Merritt Island, FL 32953 | 2011-05-16 |
| 1487955068 | Kimberly Dawn Anderson | Pharmacy Technician | 13831 Chalco Valley Pkwy Ste 101, Omaha, NE 68138-6145 | 2010-11-12 |
| Street Address |
2200 E ELLENDALE AVE |
| City | DALLAS |
| State | OR |
| Zip Code | 97338-9353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558663237 | Patrick F Hund | Counselor | 2200 E Ellendale Ave, Dallas, OR 97338-9353 | 2010-12-01 |
| 1619125820 | Brian Lee | Counselor | 2200 E Ellendale Ave, Dallas, OR 97338-9353 | 2008-08-29 |
| 1972716108 | Theresa Jean Valerio | Counselor | 2200 E Ellendale Ave, Dallas, OR 97338-9353 | 2007-05-07 |
| 1316150220 | Llama Taylor | Social Worker | 2200 E Ellendale Ave, Dallas, OR 97338-9353 | 2007-05-07 |
| 1104039346 | Richard Willis Brown | Counselor | 2200 E Ellendale Ave, Dallas, OR 97338-9353 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164932042 | Stephanie Marie Renfro | Massage Therapist | 289 E Ellendale Ave #601, Dallas, OR 97338 | 2017-10-05 |
| 1588185953 | Herbert Starr Woodward IIi | Dentist | 201 Se Washington St, Dallas, OR 97338 | 2017-07-06 |
| 1851708077 | David Mooso | Pharmacist | 321 Nw Kings Valley Highway, Dallas, OR 97338 | 2014-07-21 |
| 1841615556 | Leslie Lytle | Counselor | 1020 Sw Maple St., Dallas, OR 97338 | 2014-03-04 |
| 1205265493 | Chung-fan Ni | Counselor | 182 S. W. Academy St., Academy Building, Dallas, OR 97338 | 2013-11-07 |
| 1215204300 | Ron Fritz | Counselor | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | 2011-11-17 |
| 1235420167 | Deborah Kennedy | Counselor | 527 Ne Fern Ave, Dallas, OR 97338 | 2011-04-26 |
| 1821229774 | Chelsea Ruhoff Lee | Physician Assistant | 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 | 2009-07-27 |
| 1013128560 | Larry J Vuylsteke | Social Worker | 182 S.w. Academy, Dallas, OR 97338 | 2007-05-25 |
| 1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
| Find all providers in zip 97338 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710298104 | Dallas Independent School District | Social Worker | 3700 Ross Ave. Box 96, Dallas, TX 75204-5422 | 2010-06-30 |
| 1548707243 | Ashley London | Social Worker | 8915 Harry Hines Blvd, Dallas, TX 75235-1717 | 2017-01-19 |
| 1245695626 | Amber Lee Tveit | Social Worker | 8915 Harry Hines Blvd, Dallas, TX 75235-1717 | 2015-12-29 |
| 1487024311 | Katherine Ratcliff | Social Worker | 8915 Harry Hines Blvd, Dallas, TX 75235-1717 | 2015-10-05 |
| 1417245473 | Suzanne Hacker | Social Worker | 5402 Arapaho Rd, Dallas, TX 75248-6905 | 2011-07-12 |
| 1083935860 | Dallas Independent School District | Social Worker | 3700 Ross Ave, Box 96, Dallas, TX 75204-5422 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275185035 | Kirstin Leanne Cronin | Social Worker | 500 Monroe St, Medford, OR 97501-3522 | 2019-07-11 |
| 1548779549 | Valerie June Dubois | Social Worker | 37 Schoolhouse Ln, Shady Cove, OR 97539-9500 | 2017-09-22 |
| 1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
| 1053797167 | Iliana Henriquez | Social Worker | 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 | 2015-07-31 |
| 1992102024 | Wuaneesa Brown | Social Worker | 1538 Se 122nd Ave Apt 19, Portland, OR 97233-1265 | 2014-12-04 |
| 1578985149 | Ruth Murphy | Social Worker | 14513 Se Stark St # 2155, Portland, OR 97233-2155 | 2014-01-15 |
| 1497360085 | Jason Andrew Wargin | Social Worker | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2020-09-10 |
| 1467003970 | David Patrick Zahn | Social Worker | 2020 Se Powell Blvd, Portland, OR 97202-2345 | 2019-09-25 |
| 1538717061 | Kalina Marie Glover | Social Worker | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2019-08-28 |
| 1780238295 | Jamie Schroeder | Social Worker | 125 Ne Manzanita Ave, Grants Pass, OR 97526-1400 | 2019-08-01 |
| Find all providers with the same taxonomy | ||||
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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.