MS. KIMBERLY ANTOINETTE SPEARS (NPI# 1801138755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801138755 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY ANTOINETTE SPEARS |
| Credential | LPN |
| Practice Address |
47 Titus Ave Buffalo NY 14212-1829 |
| Practice Telephone | 7168308619 |
| Mailing Telephone | 7168308619 |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 287602-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154685048 | Kimberly A Spears | Counselor | 1900 Crossfield Dr, Edmond, OK 73025-1202 | 2012-06-26 |
| 1124347596 | Kimberly Spears | Occupational Therapy Assistant | 709 Taylor St, Dayton, OH 45404-1633 | 2010-05-25 |
| 1285878199 | Kimberly Renee Spears | Case Manager/Care Coordinator | 5560 Ackerfield Ave., Long Beach, CA 90805-4958 | 2009-04-22 |
| 1811212806 | Kimberly Joan Spears | Licensed Practical Nurse | 175 Central Ave, Albany County Support Center, Albany, NY 12206-2937 | 2010-04-01 |
| 1558564138 | Kimberly Spears | Nurse Practitioner | 1902 Judith Ln, Suite 110, Boise, ID 83705-5235 | 2007-06-08 |
| 1518032440 | Kimberly Michelle Spears | Rehabilitation Practitioner | 3751 Stocker St, Los Angeles, CA 90008-5101 | 2006-11-24 |
| Street Address |
47 TITUS AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14212-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508349283 | Lj Transportation Service | Taxi | 123 Sobieski St, Buffalo, NY 14212 | 2018-09-10 |
| 1598157463 | Safiya Haamid | Registered Nurse | 135 Loepere St, Buffalo, NY 14212 | 2015-03-02 |
| 1124345426 | Matthew Michael Peunil Jr. | Pharmacist | 975 Broadway, Buffalo, NY 14212 | 2010-04-26 |
| 1265404982 | Christopher Schaeffer | Internal Medicine | 1021 Broadway St, Buffalo, NY 14212 | 2006-02-06 |
| 1639697279 | Sara Kathleen Lis | Counselor | 1131 Broadway St, Buffalo, NY 14212 | 2017-09-05 |
| 1770022212 | Jeremy Michael Tomaino | Counselor | 1131 Broadway Ave, Buffalo, NY 14212 | 2017-02-16 |
| 1689033441 | Latajana Hall | Counselor | 1131 Broadway Ave, Buffalo, NY 14212 | 2016-02-22 |
| 1336549831 | James Maska | Physical Therapist | 1021 Broadway St, Buffalo, NY 14212 | 2014-09-03 |
| 1871934398 | Mark John Harrigan | Registered Nurse | 1384 Broadway, Buffalo, NY 14212 | 2013-07-12 |
| 1740542299 | Xika Zhao | Registered Nurse | 1500 Broadway, Buffalo, NY 14212 | 2012-06-11 |
| Find all providers in zip 14212 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546963 | Tawanda Johnson | Licensed Practical Nurse | 333 S Division St, Buffalo, NY 14204-1715 | 2020-10-23 |
| 1740889195 | Jailyn Dickson | Licensed Practical Nurse | 298 E Delavan Ave, Buffalo, NY 14208-1313 | 2020-10-17 |
| 1972100493 | Bernadette Harrison | Licensed Practical Nurse | 352 Glenwood Ave, Buffalo, NY 14208-1817 | 2020-10-07 |
| 1225644727 | Stephanie Danielle Fuller | Licensed Practical Nurse | 22 Montclair Ave, Buffalo, NY 14215-2124 | 2020-09-20 |
| 1417567959 | Leisha Lett | Licensed Practical Nurse | 12 Midland St, Buffalo, NY 14220-1020 | 2020-08-07 |
| 1073131934 | Jaimontae Jeannette Mcduffie | Licensed Practical Nurse | 370 Wyoming Ave, Buffalo, NY 14215-3120 | 2020-07-08 |
| 1710500129 | Altricia Glisson | Licensed Practical Nurse | 511 Winslow Ave Uppr, Buffalo, NY 14211-1361 | 2020-05-20 |
| 1073134714 | Sharina Janee Morris | Licensed Practical Nurse | 354 Katherine St, Buffalo, NY 14210-2019 | 2020-05-05 |
| 1154952307 | Natalie Marie Jones | Licensed Practical Nurse | 110 Wood Ave, Buffalo, NY 14211-2550 | 2020-01-27 |
| 1073153128 | Keisha Samuels | Licensed Practical Nurse | 2092 Bailey Ave, Buffalo, NY 14211-2057 | 2020-01-07 |
| Find all providers in BUFFALO | ||||
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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.