MRS. KIMBERLY PETRI (NPI# 1679053417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679053417 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY PETRI |
| Credential | RN |
| Practice Address |
7 Upper Balcones Rd Boerne TX 78006-8546 |
| Mailing Address |
10422 Huebner Rd Apt 1303 San Antonio TX 78240-1386 |
| Practice Telephone | 2103601662 |
| Mailing Telephone | 2106397465 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
665897 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508267329 | Kimberly Petri | Physical Therapist | 600 S 13th St, Pekin, IL 61554-4936 | 2014-09-11 |
| Street Address |
7 UPPER BALCONES RD |
| City | BOERNE |
| State | TX |
| Zip Code | 78006-8546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790065845 | Texas Kids Home Therapy Professional Limited Liability Company | Nursing Care | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2011-08-21 |
| 1053893552 | Jessica Lo | Speech-Language Pathologist | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-08-30 |
| 1275013633 | Cyndi Montes | Occupational Therapy Assistant | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-08-15 |
| 1881174258 | Cristina Solis | Occupational Therapy Assistant | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-08-15 |
| 1235619602 | Laura Tejeda | Physical Therapy Assistant | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-08-15 |
| 1871073247 | Karina Taveras | Specialist/Technologist | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-08-15 |
| 1134609506 | Angela Stanley | Physical Therapy Assistant | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-08-15 |
| 1649750001 | Celest Knopf | Specialist/Technologist | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-08-15 |
| 1932689395 | Jessica Degollado | Specialist/Technologist | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-08-15 |
| 1104306562 | Mylove Francois | Occupational Therapy Assistant | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218517 | Boerne Mens Clinic | Family Medicine | 138 Tx-46, Boerne, TX 78006 | 2020-09-01 |
| 1700431798 | Methodist Ambulatory Surgery Center of Boerne, LLC | Clinic/Center | 110 Menger Springs, Boerne, TX 78006 | 2019-08-06 |
| 1144704156 | Lauren Elizabeth Settle | Counselor | 26254 Interstate 10, Suite 224, Boerne, TX 78006 | 2018-09-17 |
| 1265914600 | Shana North | Physical Therapy Assistant | 200 Ryan Street, Boerne, TX 78006 | 2018-09-02 |
| 1598258352 | Alamo Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 28711 I 10 W, Boerne, TX 78006 | 2018-06-07 |
| 1578052312 | Premium Pharma, LLC | Pharmacy | 1 Fm 3351 S Ste 115, Boerne, TX 78006 | 2018-05-08 |
| 1952814386 | Advanced Surgical Care of Boerne, LLC | Clinic/Center | 138 Old San Antonio Rd # 400, Boerne, TX 78006 | 2017-11-07 |
| 1184151532 | River Road Pharmacy | Pharmacy | 910 River Rd Ste 103, Boerne, TX 78006 | 2017-05-16 |
| 1487191565 | Olive Branch Hope Center, Inc | Counselor | 215 W Bandera Rd 114 Pmb 239, Boerne, TX 78006 | 2017-01-26 |
| 1063955367 | Leigh Ann Grasso | Pharmacist | 31007 Ih 10 W, Ste 108, Boerne, TX 78006 | 2016-11-18 |
| Find all providers in zip 78006 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356826796 | Elizabeth Escalera Murphy | Registered Nurse | 112 Cactus Flower, Boerne, TX 78006-1997 | 2018-10-02 |
| 1528557451 | Vicente Cortes Jr. | Registered Nurse | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-05-07 |
| 1609372960 | Loyda Bohnenblust | Registered Nurse | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-04-04 |
| 1407357833 | Tamara Balderas | Registered Nurse | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-02-21 |
| 1205337631 | Rafael Aguilar | Registered Nurse | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-02-21 |
| 1598266934 | Tamara Begley | Registered Nurse | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417155 | Tomi Mayer | Registered Nurse | 4030 Highway 6 S Ste 325, College Station, TX 77845-1803 | 2020-11-05 |
| 1760083364 | Chidinma U Oke | Registered Nurse | 452 Little Valley Ct, Fort Worth, TX 76108-4614 | 2020-11-02 |
| 1356949762 | Acto De Compasion Inc | Registered Nurse | 3331 Towerwood Dr Ste 305, Farmers Branch, TX 75234-2328 | 2020-10-16 |
| 1033717509 | Faith Marie Russell | Registered Nurse | 2056 E Hickory Hill Rd, Argyle, TX 76226-3125 | 2020-10-15 |
| 1013514595 | Katelynn Bryant | Registered Nurse | 4001 Ross Ave Apt 156, Dallas, TX 75204-5256 | 2020-10-07 |
| 1659988194 | Lizana Jimenez | Registered Nurse | 1900 E 28th St, Weslaco, TX 78596-8333 | 2020-09-29 |
| 1003423559 | Jennifer Annette Davis | Registered Nurse | 330 Harvest Mdw, Temple, TX 76502-5060 | 2020-09-29 |
| 1023622750 | Megan Paige Lauterbach | Registered Nurse | 4444 Corona Dr Ste 106, Corpus Christi, TX 78411-4323 | 2020-09-01 |
| 1487265542 | Beyond Home Health Care LLC | Registered Nurse | 3531 Pecos Way, Grand Prairie, TX 75052 | 2020-08-12 |
| 1679184048 | Vivian Temilola Soyingbe | Registered Nurse | 821 Lake Sierra Way, Little Elm, TX 75068-1237 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
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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.