DR. KIMBERLY R GAMBINO (NPI# 1730343393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730343393 |
Entity Type | Individual |
Full Name | DR. KIMBERLY R GAMBINO |
Credential | APRN |
Practice Address |
220 Interstate Plaza Rd Ste D Munfordville KY 42765-8400 |
Mailing Address |
3647 Falling Springs Rd Bonnieville KY 42713-7407 |
Practice Telephone | 2705241767 |
Practice Fax Number | 2705240423 |
Mailing Telephone | 2705241767 |
Mailing Fax Number | 2705240423 |
Enumeration Date | 2008-07-14 |
Last Update Date | 2019-04-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 3005702 | KY | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3005702 | KY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | LICENSE | 3005702 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225166648 | Kimberly Gambino | Chiropractor | 6030 Santo Rd Ste D, San Diego, CA 92124-1196 | 2007-02-28 |
Street Address |
220 INTERSTATE PLAZA RD STE D |
City | MUNFORDVILLE |
State | KY |
Zip Code | 42765-8400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417511973 | Kimberly Gambino LLC | Community/Behavioral Health | 220 Interstate Plaza Rd Ste D, Munfordville, KY 42765-8400 | 2019-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174132997 | All Smiles Therapy, LLC | Speech-Language Pathologist | 114 W Union Street, Munfordville, KY 42765 | 2020-07-28 |
1922385129 | Wanda Sexton | Counselor | 103 E. South St., Munfordville, KY 42765 | 2011-11-16 |
1215217328 | Brandy Gayle Pierce | Registered Nurse | 117 West South St., Munfordville, KY 42765 | 2011-08-19 |
1447588488 | Jackie A. Pandeya | Nurse Practitioner | 950 Main St., Munfordville, KY 42765 | 2009-12-03 |
1295955961 | Jill Lynn Humphrey | Speech-Language Pathologist | 3316 Macon Kessinger Rd, Munfordville, KY 42765 | 2007-04-26 |
1790801694 | Christina L Johns | Counselor | 118 West Union St., Munfordville, KY 42765 | 2007-03-22 |
1083741326 | Louisville Optometric Center, IIi, Psc | Optometrist | 815 Main St., Munfordville, KY 42765 | 2007-02-27 |
1245365527 | Anastasia Stacy Wyatt | Counselor | 118 West Union Street, Munfordville, KY 42765 | 2007-02-23 |
1306987847 | Laura A Gaines | Social Worker | 118 West Union St, Munfordville, KY 42765 | 2007-02-09 |
1427015890 | Hart County Ambulance Service,taxing District | Ambulance | 20 Ambulance Drive, Munfordville, KY 42765 | 2006-04-28 |
Find all providers in zip 42765 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
1861099269 | Bowling Green Psychiatry | Nurse Practitioner | 1911 Scottsville Rd Ste B, Bowling Green, KY 42104-3303 | 2020-10-08 |
1811594385 | Christine Young | Nurse Practitioner | 6804 Bainbridge Ct, Louisville, KY 40228-2335 | 2020-10-07 |
1578170890 | Rebecca O'hair | Nurse Practitioner | 500 Thames Cir, Nicholasville, KY 40356-9219 | 2020-09-30 |
1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
1235749581 | Melissa K Young-flynn | Nurse Practitioner | 713 Millpond Rd, Lexington, KY 40514-1570 | 2020-08-02 |
1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
1649889932 | Hannah Rose Wilson Gibbs | Nurse Practitioner | 326 Roland Avenue, Owenton, KY 40359 | 2020-07-23 |
1962020875 | Sheryl List | Nurse Practitioner | 2103 Madison Dr, Hebron, KY 41048-7399 | 2020-07-07 |
1619594751 | Whitney Mariah Rizzo | Nurse Practitioner | 2774 Petros Browning Rd, Rockfield, KY 42274-9762 | 2020-07-05 |
Find all providers with the same taxonomy |
City | MUNFORDVILLE |
Zip Code | 42765 |
Please comment or provide details below to improve the information on DR. KIMBERLY R GAMBINO.
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.