KIMBERLY WATSON


Address: 3536 W Moon Lake St, Meridian, ID 83646-8304
Phone: 2088900341

KIMBERLY WATSON (NPI# 1760025639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760025639
Entity Type Individual
Full Name KIMBERLY WATSON
Practice Address 3536 W Moon Lake St
Meridian
ID 83646-8304
Practice Telephone 2088900341
Mailing Telephone 2088900341
Enumeration Date 2019-10-23
Last Update Date 2019-10-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner CNP62991 ID Physician Assistants & Advanced Practice Nursing Providers

Other Providers KIMBERLY WATSON

NPI Name Taxonomy Address Enumeration
1477190668 Kimberly Mcraney Watson Physician Assistant 907 Oakhill Cir, Clinton, MS 39056-3743 2019-12-06
1104255900 Kimberly Watson Community Health Worker 5380 Bahama Ter, Cincinnati, OH 45223-2836 2013-11-02
1295870327 Kimberly Marie Watson Physical Therapy Assistant 501 N. Sarah Deel Dr. #324, Webster, TX 77598-2308 2007-02-20
1922167097 Kimberly Watson Chiropractor 2711 W State Road 434, Longwood, FL 32779-4880 2006-12-06
1396208393 Kimberly Lauren Watson Social Worker 425 Broadway St, Paducah, KY 42001-0713 2019-04-08
1689139834 Kimberly Watson Case Manager/Care Coordinator 105 Highway 9 N, Oxford, AR 72565-7256 2019-02-01
1447798632 Kimberly Ann Watson Speech-Language Pathologist 500 S Madison St, Raymore, MO 64083-9007 2017-02-07
1952772451 Kimberly Jo Watson Licensed Practical Nurse 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 2015-10-12
1255717724 Kimberly Watson Licensed Practical Nurse 1560 Grand Concourse, Bronx, NY 10457-8402 2015-08-06
1366840373 Kimberly Watson Counselor 2275 Arlington Dr, San Leandro, CA 94578-1132 2014-12-08

Office Location

Street Address 3536 W MOON LAKE ST
City MERIDIAN
State ID
Zip Code 83646-8304

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982202743 Jayson Paul Smith Nurse Practitioner 1545 East Leighfield Dr., Meridian, ID 83646 2020-10-14
1356977466 Tanabell Health Services Inc Assisted Living Facility 2584 E Magic View Dr, Meridian, ID 83646 2020-03-20
1801351176 Tanabell Health Services, Inc. Skilled Nursing Facility 2656 E Magicview Dr, Meridian, ID 83646 2019-01-31
1306314323 Cr Smiles - Meridian Dental Care LLC Clinic/Center 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 2018-11-07
1639644107 Joseph Anomalay Counselor 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 2018-10-10
1275015950 Mcmillan Family Dental Pllc Clinic/Center 1720 W. Mcmillan, Meridian, ID 83646 2018-08-30
1609327022 Finding Home Healthcare, Inc. Clinic/Center 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 2016-10-20
1952857161 Mitchell Truong Pharmacist 622 E. Ustick Road, Caldwell, ID 83646 2016-08-28
1134511264 Brittany Laub Massage Therapist 2572 N Stokesberry Pl #300, Meridian, ID 83646 2015-02-26
1194117366 Westfall Ventures, Inc Health Maintenance Organization 2572 N. Stokesberry Pl, Meridian, ID 83646 2015-02-25
Find all providers in zip 83646

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164043162 Slavik Osipchuk Nurse Practitioner 2329 W Root Creek St, Meridian, ID 83646-4678 2020-04-30
1649824277 Bryana Michel Hinck Nurse Practitioner 150 W Broderick Dr, Meridian, ID 83646-0009 2019-07-31
1457846206 Teri Ann Meadows Nurse Practitioner 520 S Eagle Rd Ste 3211, Meridian, ID 83642-6356 2018-06-25
1871017855 Robbyn Lee Nurse Practitioner 4715 24th Place, Meridian, MS 39305 2017-08-01
1326584640 Kyle Joseph Ronnau Nurse Practitioner 1672 S Woodsage Avenue, Suite #120, Meridian, ID 83642 2017-01-10
1720522436 Jennifer Robinson Nurse Practitioner 2985 S Meridian Rd Ste 100, Meridian, ID 83642-8051 2016-12-14
1366733164 Erica Glover Nurse Practitioner 10641 Highway 80 W, Meridian, MS 39307-9256 2011-04-27
1568545556 Angela Mcdonald Nurse Practitioner Nbhc Meridian 1801 Fuller St Bldg 367, Meridian, MS 39309-3107 2006-10-23
1275631244 Cherese R Tarter Nurse Practitioner 1560 N Crestmont Dr Ste A, Meridian, ID 83642-2178 2006-09-21
1457456022 Tammy Lee Hadfield Nurse Practitioner 1943 N Locust Grove Rd, Meridian, ID 83646-1829 2006-09-14
Find all providers in MERIDIAN

Competitor

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City MERIDIAN
Zip Code 83646

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Dataset Information

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.

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