KIMBERLY HARRIS (NPI# 1811481153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811481153 |
| Entity Type | Individual |
| Full Name | KIMBERLY HARRIS |
| Credential | MSN, FNP |
| Practice Address |
19600 E 39th St S Independence MO 64057-2301 |
| Mailing Address |
3112 S Viking Ct Independence MO 64057-1878 |
| Practice Telephone | 8166987000 |
| Mailing Telephone | 8168062787 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2018020390 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1144706557 | Kimberly Harris | Specialist/Technologist | 3221 Havenwood Ct, Palatine, IL 60067-9054 | 2018-07-18 |
| 1114437852 | Kimberly Zella Harris | Social Worker | 1841 Fairmount Ave, Cincinnati, OH 45214-1224 | 2017-10-09 |
| 1043751449 | Kimberly Harris | Nurse Practitioner | 4805 Purdue Dr, Boynton Beach, FL 33436-7721 | 2017-03-17 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1609262351 | Kimberly Harris | Dietitian, Registered | 191 Brassie Ln, Summerfield, NC 27358-8612 | 2015-04-09 |
| 1952795940 | Kimberly Harris | Contractor | 23044 Crossley Ave, Hazel Park, MI 48030-1602 | 2015-03-27 |
| 1356731947 | Kimberly Malcomb Harris | Speech-Language Pathologist | 1056 S. Hwy 27, Suite 9, Somerset, KY 42501 | 2015-02-03 |
| 1124432729 | Kimberly Michele Harris | Licensed Practical Nurse | 1711 Newton Ave, Dayton, OH 45406-4044 | 2014-06-12 |
| 1033558861 | Kimberly A Harris | Nurse Practitioner | 1100 Northmeadow Parkway, Suite 108, Roswell, GA 30076-3871 | 2013-06-14 |
| Street Address |
19600 E 39TH ST S |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194717223 | Terry Eugene Lienhop | Emergency Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2005-08-16 |
| 1710511357 | Kyle James Koerner | Chiropractor | 19600 E 39th St S, Independence, MO 64057-2301 | 2020-02-22 |
| 1306477096 | Kelsie Rhea Town | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2020-01-31 |
| 1669002515 | Charleen Brianne Sims | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2020-01-20 |
| 1033671243 | Sol Allan Enriquez | Hospitalist | 19600 E 39th St S, Independence, MO 64057-2301 | 2019-04-05 |
| 1275098972 | Alfonso J Martinez Md LLC | Internal Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2019-02-06 |
| 1821522186 | Rachel Anne Mcdonald | Family Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-04-13 |
| 1326572876 | Joseph Sayegh | Family Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-04-11 |
| 1144752767 | Erin Waldron | Registered Nurse | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-04-02 |
| 1346788247 | Alison Marsh | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-02-10 |
| Find all providers in the same location | ||||
| 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 | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891217923 | Cheryl Ann Thompson | Nurse Practitioner | 19550 E 39th St S Ste 210, Independence, MO 64057-0013 | 2017-07-11 |
| 1730500430 | Susan Michelle Brock | Nurse Practitioner | Lifeline Community Healthcare, 6150 Oak Tree Blvd Ste 200, Independence, OH 44131 | 2013-12-23 |
| 1730400888 | Kate E. Coniglio | Nurse Practitioner | 19600 E 39th St, C/o Centerpoint Medical Center, Independence, MO 64057-2301 | 2010-06-11 |
| 1356674675 | Libby A Sorosiak | Nurse Practitioner | 6100 Rockside Woods Blvd N Ste 425, Independence, OH 44131-2340 | 2009-09-18 |
| 1184853780 | Patricia W Travis | Nurse Practitioner | 6801 Brecksville Rd Ste 10, Independence, OH 44131-5057 | 2009-07-06 |
| 1043246812 | Tara M Nash | Nurse Practitioner | 19550 E 39th St S Ste 200, Independence, MO 64057-2358 | 2006-06-24 |
| 1336184654 | Jane E. Garney | Nurse Practitioner | 1638 W Us Highway 24, Mailstop No. Inde-01-01, Independence, MO 64050-2346 | 2006-06-19 |
| 1679514871 | Debra D Khalid-abasi | Nurse Practitioner | 52579 Highway South, Lallie Kemp Hospital, Independence, LA 70443 | 2006-06-09 |
| 1275573842 | Sherry Paretti | Nurse Practitioner | Lallie Kemp Hospital, 52579 Highway 51 South, Independence, LA 70443 | 2006-06-08 |
| 1215989181 | Harriet L Yurkovich | Nurse Practitioner | 1900 E. Eastland Center Court, # 200, Independence, MO 64055 | 2006-05-17 |
| 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.