MRS. TIFFANY KIMBROUGH (NPI# 1801347448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801347448 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY KIMBROUGH |
| Credential | COTA |
| Practice Address |
3980 South Jackson Drive Independence MO 64057 |
| Mailing Address |
33909 E Jenkins Rd Lone Jack MO 64070-9155 |
| Practice Telephone | 8164785605 |
| Mailing Telephone | 8166169566 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | 2011015347 | MO | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154613172 | Tiffany Nicole Kimbrough | Pediatrics | 1250 E Marshall St, Pediatrics, Richmond, VA 23298-5051 | 2011-05-10 |
| Street Address |
3980 SOUTH JACKSON DRIVE |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912327610 | Marcia Clapp | Physical Therapy Assistant | 3980 South Jackson Drive, Independence, MO 64057 | 2014-04-21 |
| 1407498181 | Brooke Renee Jehle | Speech-Language Pathologist | 3980 South Jackson Drive, Independence, MO 64057 | 2019-10-14 |
| 1861983157 | Olga Kulbatskaya | Nurse Practitioner | 3980 South Jackson Drive, Independence, MO 64057 | 2018-05-23 |
| 1770034571 | Molly Jane Murray | Speech-Language Pathologist | 3980 South Jackson Drive, Independence, MO 64057-2205 | 2016-10-18 |
| 1275925182 | Missouri Caris Healthcare LLC | Hospice Care, Community Based | 3980 South Jackson Drive, Independence, MO 64057 | 2015-03-02 |
| 1538579602 | Anna Patterson | Physical Therapist | 3980 South Jackson Drive, Independence, MO 64057-2205 | 2014-04-29 |
| 1699195198 | Krysten Michelle Ballard | Physical Therapy Assistant | 3980 South Jackson Drive, Independence, MO 64057 | 2014-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173546 | Judith Mary Topola | Community Health Worker | 6594 Wood Avene, Independence, OH 44131-4413 | 2020-10-29 |
| 1568098259 | Michelle Bradley | Community Health Worker | 3514 S Liberty St, Independence, MO 64055-3256 | 2020-03-13 |
| 1952876385 | Angelina Franklin Foster | Community Health Worker | 13165 C.g. Whitaker Dr, Independence, LA 70443-7044 | 2018-10-12 |
| 1598193062 | Life Line Community Healthcare | Community Health Worker | 6111 Oak Tree Blvd Ste 301, Independence, OH 44131-2585 | 2013-10-21 |
| 1588914808 | Laura Ellen O'dell | Community Health Worker | 2216 N Blue Mills Rd, Independence, MO 64058-2019 | 2012-09-13 |
| 1093019796 | Linda Lee Moore | Community Health Worker | 1717 3rd St. N.e., Independence, IA 50644-1717 | 2011-01-10 |
| 1962641423 | Charlotte Lathers | Community Health Worker | 14085 Lathers Lane, Independence, LA 70443-0594 | 2009-02-06 |
| 1598184616 | Life Line Community Healthcare New Jersey LLC | Community Health Worker | 6150 Oak Tree Blvd Ste 200, Independence, OH 44131-2569 | 2014-04-16 |
| 1467746750 | Kerry Kathleen Light | Community Health Worker | 4511 Rockside Rd, Independence, OH 44131-2199 | 2011-06-03 |
| 1033361860 | L A Homecare 1 Inc | Community Health Worker | 146 Hwy 40, Suite C, Independence, LA 70443 | 2008-10-10 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
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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.