STEPHANIE KIMBROUGH (NPI# 1912378902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912378902 |
| Entity Type | Individual |
| Full Name | STEPHANIE KIMBROUGH |
| Practice Address |
914 Harrison Ave Panama City FL 32401-2528 |
| Mailing Address |
3112 E 2nd St Panama City FL 32401-5635 |
| Practice Telephone | 8507475411 |
| Mailing Telephone | 8502766168 |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144295528 | Stephanie Thompson Kimbrough | Physician Assistant | 121 Park Central Dr, 200, Columbia, SC 29203-6469 | 2006-02-21 |
| Street Address |
914 HARRISON AVE |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32401-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154429009 | Deanna J Nettles | Counselor | 914 Harrison Ave, Panama City, FL 32401-2528 | 2006-09-21 |
| 1609317601 | Sonia Pham | Case Management | 914 Harrison Ave, Panama City, FL 32401-2528 | 2017-03-10 |
| 1386189041 | Robert Earl Sanders | Student in an Organized Health Care Education/Training Program | 914 Harrison Ave, Panama City, FL 32401-2528 | 2017-01-04 |
| 1295279008 | Scarlett Anderson Dunn | Social Worker | 914 Harrison Ave, Panama City, FL 32401-2528 | 2016-12-13 |
| 1386090785 | Madeline Garrett | Social Worker | 914 Harrison Ave, Panama City, FL 32401-2528 | 2016-05-04 |
| 1992169031 | Shawna Anderson | Case Manager/Care Coordinator | 914 Harrison Ave, Panama City, FL 32401-2528 | 2016-04-05 |
| 1326401878 | Ashleigh Sauder | Counselor | 914 Harrison Ave, Panama City, FL 32401-2528 | 2016-04-01 |
| 1912368895 | Ashley Nicole Bowers | Social Worker | 914 Harrison Ave, Panama City, FL 32401-2528 | 2016-03-18 |
| 1235596917 | Elizabeth Clark | Case Manager/Care Coordinator | 914 Harrison Ave, Panama City, FL 32401-2528 | 2016-01-26 |
| 1629443395 | Children's Home Society | Community Based Residential Treatment Facility, Mental Illness | 914 Harrison Ave, Panama City, FL 32401-2528 | 2015-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760946727 | Panama City Drugs | Pharmacy | 3127 East Bus 98, Panama City, FL 32401 | 2019-01-24 |
| 1154813418 | Karl Roger Metzger | Pharmacist | 306 S Macarthur Ave, Panama City, FL 32401 | 2018-06-03 |
| 1942703905 | Muhammad Eckhaus | Acupuncturist | 2401 West 15th Street, Panama City, FL 32401 | 2018-03-15 |
| 1922534171 | Wolford Family Practice Inc | Nurse Practitioner | 1027 E Business Hwy 98, Panama City, FL 32401 | 2017-05-10 |
| 1508397381 | Shoreline Medical Solutions & Dme, LLC | Durable Medical Equipment & Medical Supplies | 405 W Oak Ave Ste B, Panama City, FL 32401 | 2017-03-23 |
| 1679027189 | David Lawrence Angier | Behavioral Analyst | 904 Flower Ave, Panama City, FL 32401 | 2016-08-12 |
| 1427422369 | Kathy Purdessy | Nurse Practitioner | 801 E 6th St Ste 604, Panama City, FL 32401 | 2015-11-16 |
| 1881015154 | Anesthesia Unlimited Inc | Nurse Anesthetist, Certified Registered | 801 E 6th Stret, Ste 205, Panama City, FL 32401 | 2014-01-03 |
| 1598193765 | Lashunda Sherese Thomas | Social Worker | 2711 W. 15th St., Panama City, FL 32401 | 2013-10-24 |
| 1144654153 | Raymond Dretti Pacheco | Licensed Practical Nurse | 509 N Center Ave, Panama City, FL 32401 | 2013-08-27 |
| Find all providers in zip 32401 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356744676 | Amber Finley | Counselor | 3913 Pisa Dr, Apt G7, Panama City, FL 32405-3452 | 2014-10-01 |
| 1194073601 | Jason Glenn Tucker | Counselor | 2711 W. 15th Street, Florida Therapy Services, Panama City, FL 32401 | 2012-08-15 |
| 1144367194 | Lolita Ann Smith | Counselor | 648 Florida Ave, Panama City, FL 32401-6311 | 2007-01-31 |
| 1457386831 | Life Management Center of Northwest Florida Inc. | Counselor | 2936 Ormond Ave, Panama City, FL 32405-6986 | 2006-07-12 |
| 1730632142 | Jordan Camba | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2016-08-02 |
| 1962955880 | Renata L Chambers | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2016-07-27 |
| 1326401878 | Ashleigh Sauder | Counselor | 914 Harrison Ave, Panama City, FL 32401-2528 | 2016-04-01 |
| 1043679210 | Regina Cox | Counselor | 102 Springhill Cir, Panama City, FL 32405-3546 | 2016-02-17 |
| 1003287772 | Samantha Ashley Morrison | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2015-10-07 |
| 1164891230 | Lisa Herring | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2015-09-18 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32401 |
Please comment or provide details below to improve the information on STEPHANIE KIMBROUGH.
| 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.