MS. KIMBERLY A MARRS (NPI# 1962963868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962963868 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY A MARRS |
| Other Name | MS. KIMBERLY A SMITH |
| Credential | CA SLPA LICENSE |
| Practice Address |
803 Russell Blvd Davis CA 95616-3426 |
| Mailing Address |
1818 Moore Blvd Apt 202 Davis CA 95618-7684 |
| Practice Telephone | 5303918670 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
5432 | CA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3498 Green Valley Rd, Rescue, CA 956729625 | 5303918670 |
| Street Address |
803 RUSSELL BLVD |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639675994 | Carissa Stenzel | Speech-Language Pathologist | 803 Russell Blvd, Davis, CA 95616-3426 | 2018-04-04 |
| 1689290538 | Kristine Denise Vucurovich | Occupational Therapist | 803 Russell Blvd, Davis, CA 95616-3426 | 2020-06-16 |
| 1598397200 | Chrisyl Mary Jaison | Specialist/Technologist | 803 Russell Blvd, Davis, CA 95616-3426 | 2020-02-11 |
| 1548813280 | Kellie Nielsen | Physical Therapist | 803 Russell Blvd, Davis, CA 95616-3426 | 2019-07-22 |
| 1619457645 | Annelise Kathryn Haile | Occupational Therapy Assistant | 803 Russell Blvd, Davis, CA 95616-3426 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598397200 | Chrisyl Mary Jaison | Specialist/Technologist | 803 Russell Blvd, Davis, CA 95616-3426 | 2020-02-11 |
| 1710228341 | Natasha Caitlin Ann Baker | Specialist/Technologist | 750 F St Ste 2, Davis, CA 95616-3738 | 2013-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434552 | Onneka Taitano | Specialist/Technologist | 18743 Pioneer Blvd Ste 203, Artesia, CA 90701-5662 | 2020-10-09 |
| 1366058505 | Amanda Lauren Ramos Liberto Mcnamara | Specialist/Technologist | 7525 Metropolitan Drive, 308, San Diego, CA 92108-4412 | 2020-09-22 |
| 1851907679 | Samantha Gutierrez-curran | Specialist/Technologist | 12582 Naples Way, Rancho Cucamonga, CA 91739-2631 | 2020-09-17 |
| 1912513904 | Jenifer G Camargo | Specialist/Technologist | 11284 Mountain Ave, Riverside, CA 92505-2633 | 2020-09-16 |
| 1508471186 | Rachael Catherine Stankey | Specialist/Technologist | 7 Seton Ct, Rancho Mirage, CA 92270-3714 | 2020-09-10 |
| 1104431774 | Andrea Marie Gonzalez | Specialist/Technologist | 1202 Kingsdale Dr, Corona, CA 92878-7708 | 2020-09-10 |
| 1316551302 | Taylor Kami Hirata | Specialist/Technologist | 21515 Hawthorne Blvd Ste Gl-100, Torrance, CA 90503-6501 | 2020-09-07 |
| 1811501166 | Carla Rita Rambo | Specialist/Technologist | 14772 Pineline Ave, Chino Hills, CA 91709 | 2020-09-03 |
| 1205449576 | Blind Children's Learning Center | Specialist/Technologist | 18542 Vanderlip Ave, Santa Ana, CA 92705-8201 | 2020-08-26 |
| 1922618867 | Jennifer Chan | Specialist/Technologist | 1281 Calle Cecilia, San Dimas, CA 91773-4435 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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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.