KIMBERLY BLOCK SMITH (NPI# 1669733838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669733838 |
Entity Type | Individual |
Full Name | KIMBERLY BLOCK SMITH |
Credential | NP |
Practice Address |
8000 Wolf River Blvd Suite 102 Germantown TN 38138-1754 |
Mailing Address |
2550 Tenderfoot Hill St Colorado Springs CO 80906-3998 |
Practice Telephone | 9016728941 |
Practice Fax Number | 9016728941 |
Mailing Telephone | 9012032901 |
Mailing Fax Number | 9017907136 |
Enumeration Date | 2012-06-05 |
Last Update Date | 2018-01-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0000864 | CO | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
16683 | TN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R868155 | MS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | LICENSE | R868155 | 01 |
TN | APN LICENSE | 16683 | 01 |
TN | 1529089 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801496443 | Kimberly A Smith | Counselor | 2764 Teakwood Ln, Plano, TX 75075-9100 | 2020-10-30 |
1437703212 | Kimberly L Smith | Massage Therapist | 2707 Silesia Ln Apt C, Bellingham, WA 98226-3664 | 2019-07-30 |
1831651298 | Kimberly A Smith | Hearing Instrument Specialist | 954 E Main St, Chillicothe, OH 45601-2844 | 2019-04-04 |
1467916437 | Kimberly Alicia Smith | Family Medicine | 4000 Mitchellville Rd Ste A308, Bowie, MD 20716-3135 | 2019-01-24 |
1891296901 | Kimberly Diane Smith | Acupuncturist | 11110 Ohio Ave Ste 105, Los Angeles, CA 90025-6345 | 2018-02-23 |
1184140881 | Kimberly Denise Smith | Peer Specialist | 720 14th Ave Fl 2, Longview, WA 98632-2315 | 2017-08-15 |
1285164897 | Kimberly Smith | Contractor | 2607 Lakebriar St, San Antonio, TX 78222 | 2017-06-15 |
1912458092 | Kimberly Grace Smith | Speech-Language Pathologist | 220 Lincoln Pl, Apt 2f, Brooklyn, NY 11217-3761 | 2016-10-24 |
1922553171 | Kimberly Smith | Licensed Practical Nurse | 4432 Drexel St, Detroit, MI 48215-3346 | 2016-08-17 |
1144673476 | Kimberly B. Smith | Speech-Language Pathologist | 39341 Jason St, Prairieville, LA 70769-4614 | 2016-07-21 |
Street Address |
8000 WOLF RIVER BLVD SUITE 102 |
City | GERMANTOWN |
State | TN |
Zip Code | 38138-1754 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184624454 | Mid-south Cancer Center | Internal Medicine | 8000 Wolf River Blvd, Suite 100, Germantown, TN 38138-1727 | 2005-07-28 |
1609304377 | Heckscher Dialysis LLC | Clinic/Center | 8000 Wolf River Blvd, Ste 106, Germantown, TN 38138-1754 | 2017-05-25 |
1457894693 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 8000 Wolf River Blvd, Ste. 200, Germantown, TN 38138-1754 | 2016-11-21 |
1922550409 | Anesthesia Services Associates, Pllc. | Durable Medical Equipment & Medical Supplies | 8000 Wolf River Blvd, Suite 100, Germantown, TN 38138-1754 | 2016-10-31 |
1811371891 | Chandni Patel | Nurse Practitioner | 8000 Wolf River Blvd, Germantown, TN 38138-1754 | 2015-07-19 |
1235532391 | Brooke May | Nurse Practitioner | 8000 Wolf River Blvd, Suite 102, Germantown, TN 38138-1754 | 2014-10-03 |
1982027611 | Gretchen Purkey | Nurse Practitioner | 8000 Wolf River Blvd, Suite 102, Germantown, TN 38138-1754 | 2014-01-31 |
1528319357 | West Clinic, P.C. | Surgery | 8000 Wolf River Blvd, Suite 100, Germantown, TN 38138-1754 | 2012-09-19 |
1083931364 | Joshua Blake French | Internal Medicine | 8000 Wolf River Blvd, Germantown, TN 38138-1754 | 2010-04-27 |
1275776585 | Michael Alexander Huba | Pathology | 8000 Wolf River Blvd, Suite 200, Germantown, TN 38138-1754 | 2009-04-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
Find all providers in zip 38138 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
1114537545 | Pamela Ngeghua Wanki | Nurse Practitioner | 13377 Rushing Water Way, Germantown, MD 20874-2170 | 2020-07-31 |
1154948974 | Sambila Valentine Zangre Congo | Nurse Practitioner | 12747 Longford Glen Dr, Germantown, MD 20874-4113 | 2020-06-27 |
1205466810 | Mother Baby Lactation Care, LLC | Nurse Practitioner | 11602 Scarlet Leaf Cir, Germantown, MD 20876-6048 | 2020-01-22 |
1861042095 | Kristina Murphy Fnp, LLC | Nurse Practitioner | 2095 Exeter Rd Ste 385, Germantown, TN 38138-3963 | 2019-09-19 |
1881255842 | Florence O Fakayode | Nurse Practitioner | 20201 Halethorpe Ln Apt 12, Germantown, MD 20876-5702 | 2019-06-21 |
1740844190 | Victorine Njang Njingo | Nurse Practitioner | 20818 Mountain Lake Ter, Germantown, MD 20874-3989 | 2019-04-30 |
1083176804 | Florence Tchetgna Djikimi | Nurse Practitioner | 19612 Musser Ct, Germantown, MD 20874-6247 | 2019-04-01 |
1427521053 | Charlotte Joure Knight | Nurse Practitioner | 9067 Poplar Ave Ste 109, Germantown, TN 38138-7851 | 2019-01-07 |
1568969517 | Nehali Patel | Nurse Practitioner | 12321 Middlebrook Rd Ste 101, Germantown, MD 20874-1512 | 2018-04-06 |
Find all providers in GERMANTOWN |
City | GERMANTOWN |
Zip Code | 38138 |
Please comment or provide details below to improve the information on KIMBERLY BLOCK SMITH.
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.