ELIZABETH MANKE KIMBALL (NPI# 1720301153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720301153 |
| Entity Type | Individual |
| Full Name | ELIZABETH MANKE KIMBALL |
| Credential | M.A. |
| Practice Address |
650 Clark Way Palo Alto CA 94304-2300 |
| Practice Telephone | 6506173840 |
| Practice Fax Number | 6506883680 |
| Mailing Telephone | 6506173840 |
| Mailing Fax Number | 6506883680 |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
001654 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225465768 | Elizabeth Ann Kimball | Nurse Practitioner | 523 E State Rd, Fairview, OK 73737-1453 | 2013-09-30 |
| 1679745004 | Elizabeth Caroll Kimball | Dietitian, Registered | 403 Burkarth Road, Warrensburg, MO 64093 | 2008-03-26 |
| Street Address |
650 CLARK WAY |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104939503 | Glen R. Elliott | Psychiatry & Neurology | 650 Clark Way, Palo Alto, CA 94304-2300 | 2006-08-17 |
| 1124631197 | Sarah Newman | Marriage & Family Therapist | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-08-28 |
| 1992318679 | Nicole Wdowiak | Speech-Language Pathologist | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-08-24 |
| 1003436023 | Holly Weldon | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-04-20 |
| 1548889629 | Cara Marie Diclemente | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-04-09 |
| 1568091791 | Lauren Adelyn Cohen | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-04-08 |
| 1053942862 | Eric Loughhead | Counselor | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-01-30 |
| 1558902502 | Moran Shoham | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2019-10-01 |
| 1235797705 | Dariah Simone Brown | Counselor | 650 Clark Way, Palo Alto, CA 94304-2300 | 2019-05-30 |
| 1174187934 | Virginia Diane Peisch | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2019-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861003790 | Julie Cameron | Counselor | 2591 Alma St, Palo Alto, CA 94301-4202 | 2020-08-13 |
| 1477174316 | Elizabeth Gray Johnson Lee | Counselor | 416 Chaucer St., Palo Alto, CA 94301-2201 | 2020-05-01 |
| 1720627466 | Hooria Jazaieri | Counselor | 380 Hamilton Ave # 1666, Palo Alto, CA 94301-2543 | 2019-12-28 |
| 1467919324 | Ovester Armstrong Jr. | Counselor | 3801 Miranda Ave # 5a, Palo Alto, CA 94304-1207 | 2019-02-27 |
| 1922581446 | Jean G Hamilton | Counselor | 560 Oxford Ave Ste 5, Palo Alto, CA 94306-1139 | 2018-09-11 |
| 1417321084 | Sonica Thakur | Counselor | 825 San Antonio Rd Ste 102, Palo Alto, CA 94303-4620 | 2015-11-19 |
| 1518340645 | Alan Poey | Counselor | 1203 Clark Way, Palo Alto, CA 94304-2310 | 2015-07-07 |
| 1639578602 | Adriana Rodriguez | Counselor | 845 Ramona St Apt 711, Palo Alto, CA 94301-2773 | 2014-08-15 |
| 1083052831 | Roxanne Lolita Clarke | Counselor | 934 Curlew Ln, Palo Alto, CA 94303-4258 | 2013-06-13 |
| 1811277239 | Jamie Diane Giannotti | Counselor | 3412 Ross Rd, Palo Alto, CA 94303-4411 | 2011-08-17 |
| Find all providers in PALO ALTO | ||||
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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.