KIMBERLY LEE BROCKLEHURST (NPI# 1649748310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649748310 |
| Entity Type | Individual |
| Full Name | KIMBERLY LEE BROCKLEHURST |
| Credential | CNP |
| Practice Address |
1550 N Main St Lima OH 45801-2823 |
| Practice Telephone | 4195495982 |
| Practice Fax Number | 4192258878 |
| Mailing Telephone | 4195495982 |
| Mailing Fax Number | 4192258878 |
| Enumeration Date | 2018-11-11 |
| Last Update Date | 2019-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
313177 | OH | Nursing Service Providers |
| Y | 208000000X | Pediatrics | APRN.CNP.024119 | OH | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | ARRN.CNP.024119 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CERTFIED NURSE PRACTITIONER | APRN.CNP.024119 | 01 |
| OH | REGISTEREC NURSE | 3131777 | 01 |
| OH | CERTIFIED NURSE PRACTITIONER | APRN.CNP.024119 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 730 W Market St, Lima, OH 458014602 | 4192269442 | 4192269826 |
| Street Address |
1550 N MAIN ST |
| City | LIMA |
| State | OH |
| Zip Code | 45801-2823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447238993 | Gregory B Parranto | Emergency Medicine | 1550 N Main St, Lima, OH 45801-2823 | 2006-01-05 |
| 1336764687 | Jessica Anne Walkup | Pharmacist | 1550 N Main St, Lima, OH 45801-2823 | 2020-06-12 |
| 1861989915 | Ashley Nichole Conrad | Registered Nurse | 1550 N Main St, Lima, OH 45801 | 2018-04-15 |
| 1497260046 | Melissa R Maag | Nurse Practitioner | 1550 N Main St, Lima, OH 45801-2823 | 2017-12-05 |
| 1649704453 | William Paton | Pharmacist | 1550 N Main St, Lima, OH 45801-2823 | 2017-04-18 |
| 1508317454 | Kaylee Jones | Pharmacist | 1550 N Main St, Lima, OH 45801-2823 | 2016-10-15 |
| 1790234433 | Health Partners of Western Ohio | Pharmacy | 1550 N Main St, Lima, OH 45801-2823 | 2016-09-22 |
| 1730564345 | Heidi K Aust-cox | Social Worker | 1550 N Main St, Lima, OH 45801-2823 | 2015-07-24 |
| 1982093696 | Sarah Elizabeth Kavalauskas | Nurse Practitioner | 1550 N Main St, Lima, OH 45801-2823 | 2015-01-19 |
| 1477963973 | Health Partners of Western Ohio | Clinic/Center | 1550 N Main St, Lima, OH 45801-2823 | 2014-05-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839720 | Candie Sue Dray | Counselor | 311 Market St., 311 Market St, Lima, OH 45801 | 2017-09-01 |
| 1962945105 | Alisha Harper | Social Worker | 200 E. High St. 2nd Floor, Lima, OH 45801 | 2016-11-21 |
| 1841740156 | Bullock Home Care | Home Health | 128 West High Street, Lima, OH 45801 | 2016-10-11 |
| 1952787707 | Brenda Tran Hoang | Pharmacist | 730 W Market St., Lima, OH 45801 | 2015-08-04 |
| 1134511918 | Gbenga Balogun | Registered Nurse | 1225 Summit Street, Lima, OH 45801 | 2015-03-03 |
| 1588802763 | Illness Prevention and Holistic Health Center | Specialist | 545 West Market Street, Suite 306, Lima, OH 45801 | 2009-01-27 |
| 1033302237 | Custom Staffing Lima Inc | Home Health | 712 W North St, Lima, OH 45801 | 2007-08-21 |
| 1316167463 | Ear Nose and Throat Specialists of West Central Ohio | Otolaryngology | 770 West High St, Suite 480, Lima, OH 45801 | 2007-04-30 |
| 1598886566 | Zita Marie Duffy | Social Worker | 658 W Market St Ste 101, Lima, OH 45801 | 2007-04-03 |
| 1487787875 | Steve C Knapke | Specialist/Technologist | 730 West Market St., Lima, OH 45801 | 2007-03-14 |
| Find all providers in zip 45801 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316366099 | Jennifer Lynne Whitehead | Pediatrics | 830 W High St Ste 102, Lima, OH 45801-3972 | 2014-04-10 |
| 1306138458 | Kidz Paradise Pediatrics | Pediatrics | 3275 W Elm St, Lima, OH 45805-2518 | 2011-05-09 |
| 1598775801 | Tilly Effie Duncan-sampson | Pediatrics | 1220 E. Elm Street, Suite 240, Lima, OH 45804 | 2006-08-09 |
| 1801246558 | Jason Andrew Metcalf | Pediatrics | 730 W Market St, Lima, OH 45801-4602 | 2016-06-14 |
| 1013382068 | Lima Memorial Professional Corporation | Pediatrics | 525 N Eastown Rd Ste A, Lima, OH 45807-2268 | 2015-12-02 |
| 1508122805 | Ufuoma Onyemachi | Pediatrics | 1005 Bellefontaine Ave Ste 245, Lima, OH 45804-2884 | 2012-04-11 |
| 1386805679 | Teresa Jean Byrne | Pediatrics | 830 W High St, Suite 102 and Suite 201, Lima, OH 45801 | 2008-06-19 |
| 1154589455 | New Century Pediatrics of Lima, Inc. | Pediatrics | 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 2008-05-23 |
| 1093972614 | Lima Memorial Professional Corporation | Pediatrics | 1005 Bellefontaine Ave Ste 245, Lima, OH 45804-2884 | 2008-05-21 |
| 1902091572 | The Pediatric Center | Pediatrics | 967 Bellefontaine Ave, Lima, OH 45804-2888 | 2007-09-07 |
| Find all providers in LIMA | ||||
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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.