KIMBEREY CALLOWAY (NPI# 1669746772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669746772 |
| Entity Type | Individual |
| Full Name | KIMBEREY CALLOWAY |
| Credential | LICENSED VOCATIONAL |
| Practice Address |
5125 Wichita St 15283 Fort Worth TX 76119-2541 |
| Mailing Address |
Po Box 15283 Fort Worth TX 76119-0283 |
| Practice Telephone | 8176900538 |
| Mailing Telephone | 8176900538 |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2016-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 000000 | TX | Nursing Service Providers |
| Y | 164X00000X | Licensed Vocational Nurse | 000000 | TX | Nursing Service Providers |
| Street Address |
5125 WICHITA ST 15283 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76119-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003111 | Asha Jamilia Robertson | Technician | 5321 Rita Kay Ln Lot #21, Fort Worth, TX 76119 | 2019-09-24 |
| 1801366406 | Gina Stovall | Behavioral Analyst | 1100 Circle Drive Suite 101, Fort Worth, TX 76119 | 2018-11-27 |
| 1730660374 | Lisa Alfaro Williams | Counselor | 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 | 2018-08-22 |
| 1023597366 | Gregoire M Butera | Registered Nurse | 3883 Mighty Mite Dr., Fort Worth, TX 76119 | 2018-08-08 |
| 1598244816 | Tawnya R Anderson | Registered Nurse | 3883 Mighty Mite Drive, Fort Worth, TX 76119 | 2018-08-08 |
| 1730699802 | Miller Dental Pllc | Dentist | 3307 Miller Ave Suite #a, Fort Worth, TX 76119 | 2017-10-03 |
| 1053853697 | Carla Walter | Community Health Worker | 4125 Hardeman Ave, Fort Worth, TX 76119 | 2016-11-14 |
| 1710238134 | Thuy Vy Phan | Physician Assistant | 2500 Circle Dr, Fort Worth, TX 76119 | 2012-09-25 |
| 1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
| 1053600262 | Miller Dental | Dentist | 3307 Miller Ave Suite A, Fort Worth, TX 76119 | 2011-03-29 |
| Find all providers in zip 76119 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069292 | Monika Morales | Licensed Vocational Nurse | 4117 Surrey St, Fort Worth, TX 76133-1072 | 2020-10-06 |
| 1881291466 | Chioma B Ogba | Licensed Vocational Nurse | 505 Constellation Ct, Fort Worth, TX 76108-3894 | 2020-10-06 |
| 1720693989 | Karen Genelle Harris | Licensed Vocational Nurse | 3933 Willow Way Rd, Fort Worth, TX 76133-6802 | 2020-09-14 |
| 1669087995 | Edlisa Harris | Licensed Vocational Nurse | 4500 Brentwood Stair Rd Apt 1131, Fort Worth, TX 76103-1621 | 2020-09-14 |
| 1497360226 | Cindy Rena Lujan | Licensed Vocational Nurse | 3833 German Pointer Way, Fort Worth, TX 76123-3501 | 2020-09-09 |
| 1649884503 | Demetria M Davis | Licensed Vocational Nurse | 5204 Trail Lake Dr, Fort Worth, TX 76133-1929 | 2020-09-08 |
| 1679185946 | Frances Marie Grear-wilkinson | Licensed Vocational Nurse | 333 Allenwood Dr, Fort Worth, TX 76134-5356 | 2020-08-18 |
| 1063023810 | Michelle Renae Morgan | Licensed Vocational Nurse | 9024 Golden Sunset Trl, Fort Worth, TX 76244-4940 | 2020-08-14 |
| 1497372502 | Ivy L Lopez | Licensed Vocational Nurse | 10717 Broken Arrow Trl, Fort Worth, TX 76108-4751 | 2020-07-06 |
| 1225654452 | Jamie D Boone | Licensed Vocational Nurse | 4437 Stepping Stone Dr, Fort Worth, TX 76123-1869 | 2020-06-23 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76119 |
Please comment or provide details below to improve the information on KIMBEREY CALLOWAY.
| 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.