DR. KATHERINE DAWN GIMMESTAD (NPI# 1699116228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699116228 |
Entity Type | Individual |
Full Name | DR. KATHERINE DAWN GIMMESTAD |
Credential | PH.D. |
Practice Address |
2025 S Washington Ave Lansing MI 48910-0828 |
Practice Telephone | 5172673925 |
Mailing Telephone | 8163051659 |
Enumeration Date | 2013-07-11 |
Last Update Date | 2013-09-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301015590 | MI | Behavioral Health & Social Service Providers |
Street Address |
2025 S WASHINGTON AVE |
City | LANSING |
State | MI |
Zip Code | 48910-0828 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952357865 | Battle Creek Vamc | Clinic/Center | 2025 S Washington Ave, Lansing, MI 48910-0828 | 2006-05-25 |
1407454903 | Melody Sutton | Licensed Practical Nurse | 2025 S Washington Ave, Lansing, MI 48910-0828 | 2020-10-15 |
1871190553 | Gabrielle Richey | Registered Nurse | 2025 S Washington Ave, Lansing, MI 48910-0828 | 2020-10-06 |
1932715778 | Carole A Stacy | Registered Nurse | 2025 S Washington Ave, Lansing, MI 48910-0828 | 2020-09-17 |
1417561697 | Erika Adel Poland | Licensed Practical Nurse | 2025 S Washington Ave, Lansing, MI 48910-0828 | 2020-09-03 |
1710508916 | Patricia Vanderlip | Registered Nurse | 2025 S Washington Ave, Lansing, MI 48910-0828 | 2020-04-29 |
1205455185 | Abigail Desmyter | Physician Assistant | 2025 S Washington Ave, Lansing, MI 48910-0828 | 2020-04-10 |
1720623507 | Deborah Lyon | Counselor | 2025 S Washington Ave, Lansing, MI 48910-0828 | 2019-11-15 |
1407338668 | Jason William Robinson | Counselor | 2025 S Washington Ave, Lansing, MI 48910-0828 | 2018-09-05 |
1952784696 | Meaghan Gregg | Social Worker | 2025 S Washington Ave, Suite 210, Lansing, MI 48910-0828 | 2015-06-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821604562 | Wendy Lynne Hughes | Licensed Practical Nurse | 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 | 2020-09-18 |
1073146908 | James Laroach | Peer Specialist | 913 W. Homes Suite 200, Lansing, MI 48910 | 2020-02-19 |
1487284279 | Kourtia Nicole Munson | Counselor | 2025 S Washighton Ave, Suite 210, Lansing, MI 48910 | 2020-01-21 |
1699248112 | Cedar Pharmacy LLC | Pharmacy | 2513 S Cedar St., Lansing, MI 48910 | 2019-01-08 |
1134604390 | Kazuho Kondo | Student in an Organized Health Care Education/Training Program | 3338 Beau Jardin Dr., 0812, Lansing, MI 48910 | 2018-10-03 |
1477036655 | Dalia Elgohary | Pharmacist | 5016 S Martin Luther King, Lansing, MI 48910 | 2018-09-13 |
1457856940 | Derrick Lynn Byrd | Social Worker | 4305 S. Cedar St., Lansing, MI 48910 | 2018-03-27 |
1326564964 | Lansing Health Supplies | Durable Medical Equipment & Medical Supplies | 3105 S Martin Luther King Blvd #320, Lansing, MI 48910 | 2017-08-15 |
1265957203 | Heather E Dover | Dietitian, Registered | 2510 Solomon Dr, Lansing, MI 48910 | 2017-08-10 |
1407307705 | Elise Evans | Occupational Therapist | 2331 East Jolly Rd, Suite B, Lansing, MI 48910 | 2016-10-21 |
Find all providers in zip 48910 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932500030 | Sarah Elizabeth Westcot | Psychologist | 801 S Waverly Rd Ste 204, Lansing, MI 48917-4200 | 2014-09-08 |
1326332396 | Talitha P Easterly | Psychologist | 302 South Waverly, Suite 1, Lansing, MI 48917 | 2011-06-07 |
1285942672 | Judy L. Isaac | Psychologist | 33 Myers Rd, Lansing, NY 14882-9024 | 2010-09-20 |
1568794329 | Nicole Lynn Gilbertson | Psychologist | 3960 Patient Care Way Ste 104, Ste 104, Lansing, MI 48911-4276 | 2010-02-04 |
1851456396 | Lynn Marshall Darling | Psychologist | 6630 Centurion Dr, Ste 150, Lansing, MI 48917-8276 | 2006-12-26 |
1104929066 | David Arthur Harley | Psychologist | 1720 Willow Creek Dr, Lansing, MI 48917-8848 | 2006-09-06 |
1417374109 | Tabitha Mpamira | Psychologist | 812 E Jolly Rd, Lansing, MI 48910-6818 | 2014-03-20 |
1154764827 | Jonathan M. Blair Phd, Pllc | Psychologist | 5123 W St Joe Hwy, Suite 103, Lansing, MI 48917-4093 | 2013-04-12 |
1245547439 | Amy Lynn Hines | Psychologist | 5303 S Cedar St, Building 2, Lansing, MI 48911-3800 | 2010-09-09 |
1285940064 | Jonathan Matthew Blair | Psychologist | 5123 W St Joe Hwy, Suite 103, Lansing, MI 48917-4093 | 2010-08-31 |
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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.