KIMBERLY A HAVINS


Address: 1714 10th St, Wichita Falls, TX 76301-5011
Phone: 9407664482

KIMBERLY A HAVINS (NPI# 1659596450) 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) 1659596450
Entity Type Individual
Full Name KIMBERLY A HAVINS
Other Name KIMBERLY A OTTO
Credential PMHNP-RN-FNP-C
Practice Address 1714 10th St
Wichita Falls
TX 76301-5011
Practice Telephone 9407664482
Practice Fax Number 9407664487
Mailing Telephone 9407664482
Mailing Fax Number 9407664487
Enumeration Date 2007-04-16
Last Update Date 2016-03-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
617471 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX NP CERTIFICATION 0367754-22 01

Office Location

Street Address 1714 10TH ST
City WICHITA FALLS
State TX
Zip Code 76301-5011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376505545 Adam Stephen Butera Psychiatry & Neurology 1714 10th St, Wichita Falls, TX 76301-5011 2006-04-04
1356989339 Gifty Acheampong Nurse Practitioner 1714 10th St, Wichita Falls, TX 76301-5011 2019-12-20
1164083010 Jesse Gorley, M.d., P.l.l.c. Psychiatry & Neurology 1714 10th St, Wichita Falls, TX 76301-5011 2019-06-21
1730695131 Rhonda Hensley Counselor 1714 10th St, Wichita Falls, TX 76301-5011 2017-12-20
1285009415 Racheal Rallis Counselor 1714 10th St, Wichita Falls, TX 76301-5011 2015-12-14
1508262296 Cheryl Smiley Counselor 1714 10th St, Wichita Falls, TX 76301-5011 2014-11-07
1306242094 Angela Rallis Counselor 1714 10th St, Wichita Falls, TX 76301-5011 2014-11-07
1659777340 Shari Griffiths Counselor 1714 10th St, Wichita Falls, TX 76301-5011 2014-11-07
1558423905 Patricia A Dehaas Psychologist 1714 10th St, Wichita Falls, TX 76301-5011 2006-12-14
1992865992 Adam S. Butera Md Pa Psychiatry & Neurology 1714 10th St, Wichita Falls, TX 76301-5011 2006-12-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679192991 Rebecca Ashley Marin Licensed Vocational Nurse 909 8th Sreet, Ste 100, Wichita Falls, TX 76301 2020-04-16
1164077558 Melissa Ann Marshall Registered Nurse 1717 Lucile Ave, Wichita Falls, TX 76301 2019-08-02
1841760659 Edward Scott Hamilton Psychologist 710 Lamar St., Wichita Falls, TX 76301 2018-12-05
1457872681 Jennyfer A Rosado Counselor 719 Scott Ave Ste 610, Wichita Falls, TX 76301 2017-06-28
1023547676 Cale David Lennard Dentist 2405 9th St Ste A, Wichita Falls, TX 76301 2017-06-07
1790198455 Tongle Yu Family Medicine 1301 Third St, Suite 200, Wichita Falls, TX 76301 2014-06-10
1821412081 Jennifer Burbage Nurse Practitioner 1700 3rd Street, Wichita Falls, TX 76301 2014-02-09
1275871568 Jeffrey John Papak Pharmacy Technician 1610 9th Street, Wichita Falls, TX 76301 2013-01-22
1679826853 Cheryl Denise Williams Clinical Nurse Specialist 1605 10th Street, Wichita Falls, TX 76301 2012-10-24
1902199250 Tilahun Worku Belay Internal Medicine 1631 11th St Unit B, Wichita Falls, TX 76301 2011-05-19
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588135990 Positive Frame of Mind Counceling Pllc Nurse Practitioner 2304 Midwestern Pkwy Ste 202, Wichita Falls, TX 76308-2334 2018-12-10
1346735222 Holistic Balance Pllc Nurse Practitioner 4317 Berwick Dr, Wichita Falls, TX 76309-4812 2018-06-24
1124261011 Kym Cullar, LLC Nurse Practitioner 1708 Dayton Ave, Wichita Falls, TX 76301-6110 2009-04-08
1144830597 Reah Gambrell Nurse Practitioner 501 Midwestern Pkwy E, Wichita Falls, TX 76302-2302 2020-07-31
1659998458 Chelsea Ferguson Nurse Practitioner 1708 Dayton Ave, Wichita Falls, TX 76301-6110 2020-06-29
1356989339 Gifty Acheampong Nurse Practitioner 1714 10th St, Wichita Falls, TX 76301-5011 2019-12-20
1114562048 Annie Ruth Moore Nurse Practitioner 900 7th St, Wichita Falls, TX 76301-2402 2019-11-14
1639677180 Katherine Elizabeth Teszler Nurse Practitioner 6515 Kemp Blvd, Wichita Falls, TX 76308-5419 2018-01-30
1316458763 Megan Elizabeth Cummings Nurse Practitioner 516 Denver St, Wichita Falls, TX 76301-2110 2017-10-12
1265983787 Anthony Ketchersid Nurse Practitioner 1800 Rose St, Wichita Falls, TX 76301-4219 2016-10-19
Find all providers in WICHITA FALLS

Competitor

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City WICHITA FALLS
Zip Code 76301

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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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