KIMBERLY ANN WALTERS (NPI# 1710498803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710498803 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN WALTERS |
| Practice Address |
11572 17th and C. Street Tacoma WA 98433 |
| Practice Telephone | 2539674989 |
| Mailing Telephone | 2539674989 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | WA | Dental Providers | |
| N | 126800000X | Dental Assistant | Dental Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316018872 | Kimberly D Walters | Chiropractor | 3532 Fruitville Rd, Sarasota, FL 34237 | 2006-11-13 |
| 1720534274 | Kimberly Walters | Registered Nurse | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2016-08-25 |
| 1063825321 | Kimberly Walters | Technician, Other | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2014-06-04 |
| 1548673874 | Kimberly Dawn Walters | Specialist/Technologist | 3721 Executive Center Dr, #201, Austin, TX 78731-1645 | 2014-06-04 |
| 1710236799 | Kimberly Walters | Dentist | 701 Park Avenue South, Minneapolis, MN 55415 | 2012-09-05 |
| 1639474943 | Kimberly Ann Walters | Pharmacist | 39 Shortcut Road, Inchelium, WA 99138 | 2011-01-18 |
| 1609972132 | Kimberly Jo Walters | Occupational Therapist | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2006-09-15 |
| Street Address |
11572 17TH AND C. STREET |
| City | TACOMA |
| State | WA |
| Zip Code | 98433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739881 | Bryonna Floyd | Dental Assistant | 11572 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2020-08-07 |
| 1790393213 | Matthew T Ellison | Dentist | Dental Clinic 2, 3740 South 14th St., Joint Base Lewis-mcchord, WA 98433 | 2020-07-21 |
| 1952933251 | Julie Kristen Dutler | Dental Hygienist | 11572 C St, Jblm, WA 98433 | 2020-02-05 |
| 1881224806 | James Eric Carvelli | Dental Assistant | 11572 17th Street & C Street, Joint Base Lewis Mcchord, WA 98433 | 2020-01-17 |
| 1245891019 | Tanya Latrell Lesane | Counselor | 9924b W. Johnson St, Joint Base Lewis0mcchord, WA 98433 | 2019-06-24 |
| 1740844224 | Allison Tracy Bertoni | Student in an Organized Health Care Education/Training Program | 3740 South 14th Street, Joint Base Lewis-mcchord, WA 98433 | 2019-04-30 |
| 1124682448 | Lori Ann Sage | Registered Nurse | Building 11582, 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2019-04-23 |
| 1639645997 | Emily Elisabeth Armstrong | Emergency Medical Technician, Paramedic | 3370 Evergreen Ave, Jblm, WA 98433 | 2018-10-15 |
| 1982182101 | Won Kyung Yang | Dentist | 11582 C St., Jblm, WA 98433 | 2018-07-31 |
| 1205325966 | Gloria Judith Penate I | Dental Hygienist | 2103 North Division Street, Tacoma, WA 98433 | 2018-05-08 |
| Find all providers in zip 98433 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659873453 | Jacqueline Patrick | Dental Assistant | 9900 Lincoln Street, 2nd Florr, Us Army Dentac, Tacoma, WA 98327 | 2018-03-07 |
| 1609383561 | Barbara Thaler | Dental Assistant | 2008 Hillside Dr Ne, Tacoma, WA 98422-4268 | 2018-01-01 |
| 1588182026 | Nguyen Smith-trinidad | Dental Assistant | North Division St Bldg 2103p, Tacoma, WA 98431-0001 | 2017-09-05 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1518319151 | Lucy Comley | Dental Assistant | N Division St Bldg 2103p, Tacoma, WA 98431-0001 | 2016-07-07 |
| 1326499377 | Christina Posner | Dental Assistant | Madigan Annex 2nd Floor Bldg 9900, Tacoma, WA 98431-0001 | 2016-06-30 |
| 1144671298 | Melissa Sue Wilkins | Dental Assistant | Bldg 9900, 2nd Floor, Tacoma, WA 98431-0001 | 2016-06-29 |
| 1750716460 | Amanda G Hogan | Dental Assistant | 646 S State St, Tacoma, WA 98405-3036 | 2013-09-12 |
| 1144551003 | Carmen Marie Diaz | Dental Assistant | 7241 S Monroe St, Tacoma, WA 98409-2445 | 2010-01-15 |
| 1720691116 | Mercedes Mmn Valdivia | Dental Assistant | North Division St Bldg 2103p, Tacoma, WA 98431-0001 | 2020-08-26 |
| Find all providers in TACOMA | ||||
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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.