KIMBERLY SIMONEAUX (NPI# 1811930951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811930951 |
| Entity Type | Individual |
| Full Name | KIMBERLY SIMONEAUX |
| Credential | CPNP |
| Practice Address |
15695 Professional Plz Hammond LA 70403 |
| Mailing Address |
42440 Pelican Professional Park Hammond LA 70403-2403 |
| Practice Telephone | 9855422599 |
| Practice Fax Number | 9853450880 |
| Mailing Telephone | 9855424950 |
| Mailing Fax Number | 9853186400 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2018-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP04904 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1370908 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 721 Avenue G, Kentwood, LA 704442601 | 9852295501 |
| Street Address |
15695 PROFESSIONAL PLZ |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| Find all providers in zip 70403 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293878 | Cornerstone Childrens Clinic LLC | Nurse Practitioner | 44546 S Airport Rd Ste F, Hammond, LA 70403-0312 | 2020-07-24 |
| 1285802785 | Children First Kidmed LLC | Nurse Practitioner | 1828 W Thomas St, Hammond, LA 70401-2958 | 2008-02-19 |
| 1710445432 | Amanda K Meyer | Nurse Practitioner | 1828 W Thomas St, Hammond, LA 70401-2958 | 2019-03-12 |
| 1831628320 | Rebecca Braughton | Nurse Practitioner | 6750 Calumet Ave, Hammond, IN 46324-1646 | 2017-06-08 |
| 1376934695 | Michelle Emery | Nurse Practitioner | 42440 Pelican Professional Park, Hammond, LA 70403-2403 | 2015-02-09 |
| 1265823637 | Collin Thomas | Nurse Practitioner | 42440 Pelican Professional Park, Hammond, LA 70403-2403 | 2015-02-06 |
| 1306281605 | Sherry L Mitchell | Nurse Practitioner | 42124 Veterans Ave, Hammond, LA 70403-1427 | 2013-05-01 |
| 1942573373 | Lesley Schaff Palisi | Nurse Practitioner | 42440 Pelican Professional Park, Hammond, LA 70403-2403 | 2012-02-15 |
| 1760660682 | Melissa Schillage | Nurse Practitioner | 42440 Pelican Professional Park, Hammond, LA 70403-2403 | 2008-02-01 |
| 1871697094 | Jessica Hale Verburg | Nurse Practitioner | 42440 Pelican Professional Park, Hammond, LA 70403 | 2006-09-08 |
| Find all providers in HAMMOND | ||||
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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.