MRS. KIMBERLY OWEN LOE (NPI# 1881928315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881928315 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY OWEN LOE |
| Credential | NURSE PRACTITIONER |
| Practice Address |
4290 Lakeland Dr Suite A Flowood MS 39232-9571 |
| Mailing Address |
Po Box 23666 Jackson MS 39225-3666 |
| Practice Telephone | 6019320083 |
| Practice Fax Number | 6019328124 |
| Mailing Telephone | 6012004880 |
| Mailing Fax Number | 6012000988 |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2018-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R862120 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4290 LAKELAND DR SUITE A |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417913211 | Mcnamed Inc | Durable Medical Equipment & Medical Supplies | 4290 Lakeland Dr, Ste D, Flowood, MS 39232 | 2006-04-21 |
| 1033530134 | Ms Hma Dme LLC | Durable Medical Equipment & Medical Supplies | 4290 Lakeland Dr, Suite B, Flowood, MS 39232-9571 | 2013-12-17 |
| 1669767984 | Mississippi Hma Dme, LLC | Durable Medical Equipment & Medical Supplies | 4290 Lakeland Dr, Suite D, Flowood, MS 39232-9571 | 2011-06-15 |
| 1891080289 | Mississippi Hma Dme, LLC | Durable Medical Equipment & Medical Supplies | 4290 Lakeland Dr, Suite D, Flowood, MS 39232-9571 | 2011-06-14 |
| 1669542353 | Good Samaritan Pediatrics Specialists | Clinic/Center | 4290 Lakeland Dr, Suite B, Flowood, MS 39232-9571 | 2006-11-09 |
| 1750477063 | Andrew P Achord | Dentist | 4290 Lakeland Dr, Suite C, Flowood, MS 39232-9571 | 2006-10-05 |
| 1275647232 | Mcnamed Pharmacy LLC | Pharmacy | 4290 Lakeland Dr, Ste D, Flowood, MS 39232-9571 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265924807 | Christina Perkins | Nurse Practitioner | 1006 Treetops Blvd Ste 101, Flowood, MS 39232-7645 | 2018-05-30 |
| 1457854408 | Leticia Fay Stribling | Nurse Practitioner | 2605 Courthouse Cir, Flowood, MS 39232-9521 | 2018-03-15 |
| 1316479124 | Christine Newman | Nurse Practitioner | 204 Woodgreen Cv, Flowood, MS 39232-7510 | 2017-03-30 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| 1326437740 | Jeremy David Hudson | Nurse Practitioner | 1710 Old Fannin Rd, Flowood, MS 39232-9004 | 2015-01-22 |
| 1144668146 | Kimberly Elizabeth Strong | Nurse Practitioner | 252 Katherine Dr, Ste A, Flowood, MS 39232-9024 | 2013-06-12 |
| 1538497334 | Melissa Harrell Mckissack | Nurse Practitioner | 4213 Lakeland Dr, Flowood, MS 39232-9212 | 2009-12-07 |
| 1205870706 | Cynthia Johnson Dean | Nurse Practitioner | 1080 River Oaks Dr Ste B103, Flowood, MS 39232-7602 | 2006-06-15 |
| 1013514553 | Jordan Claire Smith | Nurse Practitioner | 2550 Flowood Dr Ste 300, Flowood, MS 39232-9306 | 2020-10-07 |
| 1922615293 | Maria Katherine Townsend | Nurse Practitioner | 2506 Lakeland Dr Ste 300, Flowood, MS 39232-7640 | 2020-09-30 |
| Find all providers in FLOWOOD | ||||
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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.