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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NP CERTIFICATION | 0367754-22 | 01 |
| Street Address |
1714 10TH ST |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76301-5011 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 76301 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| 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 | ||||
| City | WICHITA FALLS |
| Zip Code | 76301 |
Please comment or provide details below to improve the information on KIMBERLY A HAVINS.
| 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.