MS. KIMBERLY LYNNE SCHLAGEL (NPI# 1760601967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760601967 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY LYNNE SCHLAGEL |
| Credential | WHCNP |
| Practice Address |
1200 N State St Ste 430 Jackson MS 39202-2027 |
| Practice Telephone | 6018747141 |
| Practice Fax Number | 6014877140 |
| Mailing Telephone | 6018747141 |
| Mailing Fax Number | 6014877140 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
857552 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02975334 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5352 Lakeland Drive, Suite 800, Flowood, MS 392326001 | 6012147958 |
| Street Address |
1200 N STATE ST STE 430 |
| City | JACKSON |
| State | MS |
| Zip Code | 39202-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861963373 | Grace Ann Mayne | Nurse Practitioner | 1200 N State St Ste 430, Jackson, MS 39202-2027 | 2018-12-10 |
| 1558878983 | Krestina Suzanne Banck | Nurse Practitioner | 1200 N State St Ste 430, Jackson, MS 39202-2027 | 2018-01-08 |
| 1124279245 | Bloom Health Services for Women | Nurse Practitioner | 1200 N State St Ste 430, Jackson, MS 39202-2027 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225675952 | Victoria Delores Brown | Nurse Practitioner | 5155 Keele St Apt 22d, Jackson, MS 39206-4331 | 2019-12-02 |
| 1609255520 | Neta J Roby | Nurse Practitioner | Hwy 36, Georgia Diagnostic Classification Prison, Jackson, GA 30233 | 2015-05-26 |
| 1346652377 | Rachel Nichole Ford | Nurse Practitioner | 5963 I 55 N, Jackson, MS 39213-9722 | 2014-05-26 |
| 1134117963 | Gloria Lee Kent | Nurse Practitioner | 100 Mission Boulevard, Suite 2800, Jackson, CA 95642-2147 | 2005-10-06 |
| 1265966634 | Tayler M Johnston | Nurse Practitioner | 72 Physicians Dr, Jackson, TN 38305 | 2017-04-12 |
| 1891236725 | Christina Purviance | Nurse Practitioner | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2017-03-11 |
| 1407273071 | Lisa Rudd | Nurse Practitioner | 3305 Spring Arbor Rd, Jackson, MI 49203-3794 | 2014-03-21 |
| 1447689799 | Jessica L Rider | Nurse Practitioner | 244 Coatsland Dr, Jackson, TN 38301-3948 | 2013-11-07 |
| 1154669786 | Lakendria Zollicoffer | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2013-01-16 |
| 1659615557 | Zenotha Larry | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2012-11-15 |
| Find all providers in JACKSON | ||||
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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.