KIMBERLY EVANS (NPI# 1962969816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962969816 |
| Entity Type | Individual |
| Full Name | KIMBERLY EVANS |
| Practice Address |
921 S 8th Ave Pocatello ID 83209-0002 |
| Mailing Address |
2540 Butte St Pocatello ID 83201-1804 |
| Practice Telephone | 2082824441 |
| Mailing Telephone | 2082201188 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417418567 | Kimberly R Evans | Student in an Organized Health Care Education/Training Program | 7615 Kennedy Hl, San Antonio, TX 78235-4437 | 2019-03-29 |
| 1497233324 | Kimberly S Evans | Specialist/Technologist, Other | 7016 Oak Cove Dr, Biloxi, MS 39532-5013 | 2018-08-02 |
| 1225531734 | Kimberly Evans | Massage Therapist | 75-5597 Palani Rd Ste B-1, Kailua Kona, HI 96740-1661 | 2018-03-10 |
| 1164950309 | Kimberly J Evans | Counselor | 1409 Kirkman Street, Lake Charles, LA 70601-5344 | 2017-06-01 |
| 1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
| 1942509195 | Kimberly Dawn Evans | Pharmacist | 101 Laurel Ave, Coeburn, VA 24230-3529 | 2011-03-26 |
| 1033391933 | Kimberly L Evans | Counselor | 3401 Holmes Ave Nw, Huntsville, AL 35816-4107 | 2007-12-03 |
| 1619164118 | Kimberly A Evans | Dietitian, Registered | 68 Folsham Hollow Rd, South Burlington, VT 05403-5613 | 2007-09-28 |
| 1003007667 | Kimberly Anne Evans | Counselor | 219 Applebee St, Barrington, IL 60010-3036 | 2007-08-07 |
| 1962587337 | Kimberly Lee Evans | Obstetrics & Gynecology | 1441 Highway 6 Ste 200, Sugar Land, TX 77478-4951 | 2006-10-26 |
| Street Address |
921 S 8TH AVE |
| City | POCATELLO |
| State | ID |
| Zip Code | 83209-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699869354 | Chris A. Sanford | Audiologist | 921 S 8th Ave, Mail Stop 8116, Pocatello, ID 83209-8116 | 2006-10-03 |
| 1710482500 | Ashley Letson | Specialist/Technologist | 921 S 8th Ave, Mcintosh Manor D9, Pocatello, ID 83209 | 2018-03-26 |
| 1285003954 | Michelle Metcalf | Dentist | 921 S 8th Ave, Campus Box 8088, Pocatello, ID 83209-8088 | 2015-09-23 |
| 1114285996 | Idaho State University | Local Education Agency (LEA) | 921 S 8th Ave, Mail Stop 8219, Pocatello, ID 83209-8219 | 2012-04-30 |
| 1326340324 | Rachel Erin Geoghegan | Specialist/Technologist | 921 S 8th Ave, Pocatello, ID 83209-8173 | 2010-11-23 |
| 1679794788 | Brooke Pugmire | Pharmacist | 921 S 8th Ave, Stop 8333, Pocatello, ID 83209-0002 | 2007-05-02 |
| 1336201342 | Mark West Roberts | Psychologist | 921 S 8th Ave, Garrison Hall 525 Stop 8021, Pocatello, ID 83209-0002 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093097081 | Eydie Kendall | Physical Therapist | 1400 Terry Drive, Pocatello, ID 83209 | 2011-09-15 |
| 1548548589 | Corrie Elizabeth Holmes | Audiologist | 650 Memorial Drive Building 68, Pocatello, ID 83209 | 2011-07-25 |
| 1730351081 | Idaho State University | Pharmacy | 990 South 8th, Pocatello, ID 83209 | 2008-03-27 |
| 1922204551 | Melody Ann Weaver | Nurse Practitioner | 921 S 8th Ave Stop 8101, Pocatello, ID 83209 | 2007-06-21 |
| 1407261407 | Stephen B Grandy | Dentist | 465 Memorial Drive, Pocatello, ID 83209-0000 | 2014-06-27 |
| 1811595929 | Idaho State University | Counselor | 1400 E Terry Dr Bldg 63, Pocatello, ID 83209-0001 | 2020-10-12 |
| 1174149389 | Santiago A Segura Barron | Specialist/Technologist | Holt Arena 550 Memorial Drive Building 50, Pocatello, ID 83209-0001 | 2020-06-23 |
| 1639658248 | Luis Rodriguez | Psychologist | 1400 Eas Terry Dr Bldg 63 Garrison Hall 5th Floor, Pocatello, ID 83209-0001 | 2018-08-14 |
| 1205384484 | Max Esposito | Physical Medicine & Rehabilitation | 1400 E Terry Dr, Pocatello, ID 83209-0001 | 2016-09-15 |
| 1306022041 | Kelly Elizabeth Thompson | Occupational Therapist | Department of Physical and Occupational Therapy, Mail Stop 8045, Pocatello, ID 83209-0001 | 2008-01-11 |
| Find all providers in zip 83209 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366948614 | Sarah Zamora | Student in an Organized Health Care Education/Training Program | 428 S Hayes Ave, Pocatello, ID 83204-3309 | 2018-04-04 |
| 1003980210 | Victoria Eleanor Ryan | Student in an Organized Health Care Education/Training Program | 990 Cesar Chavez Ave, Pocatello, ID 83209-0001 | 2006-11-20 |
| 1164596128 | Angharad Supe Lyon | Student in an Organized Health Care Education/Training Program | Isu Student Health Ctr, 921 S. 8th St., Pocatello, ID 83209-0001 | 2006-11-20 |
| 1043874324 | Marcos D Valdez | Student in an Organized Health Care Education/Training Program | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2019-04-23 |
| 1821652199 | Jessica J Rolynn | Student in an Organized Health Care Education/Training Program | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2019-04-23 |
| 1437713716 | Tyson Alan Torgersen | Student in an Organized Health Care Education/Training Program | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2019-04-23 |
| 1689237752 | Colby Ray Brower | Student in an Organized Health Care Education/Training Program | 465 Memorial Dr, Pocatello, ID 83201-4098 | 2019-04-15 |
| 1003479171 | Jonathan James Bennett | Student in an Organized Health Care Education/Training Program | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2019-04-15 |
| 1639732704 | Robert C Courtney | Student in an Organized Health Care Education/Training Program | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2019-04-15 |
| 1710540885 | Logan Reed Jones | Student in an Organized Health Care Education/Training Program | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2019-04-15 |
| Find all providers in POCATELLO | ||||
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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.