KIMBERLY BROOKE RIVERA BOURKE (NPI# 1992129142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992129142 |
| Entity Type | Individual |
| Full Name | KIMBERLY BROOKE RIVERA BOURKE |
| Credential | PA-C |
| Practice Address |
100 N Queen St Ste 200 Lancaster PA 17603-3550 |
| Practice Telephone | 7175447500 |
| Practice Fax Number | 7177357825 |
| Mailing Telephone | 7175447500 |
| Mailing Fax Number | 7177357825 |
| Enumeration Date | 2014-02-08 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA057178 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083854608 | Kimberly Bourke | Speech-Language Pathologist | 255 Executive Dr, Plainview, NY 11803-1718 | 2009-02-22 |
| Street Address |
100 N QUEEN ST STE 200 |
| City | LANCASTER |
| State | PA |
| Zip Code | 17603-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757311 | Meadow Grove Counseling, LLC | Counselor | 822 Marietta Avenue, Lancaster, PA 17603 | 2020-07-06 |
| 1386274355 | Bristeena K Peter | Registered Nurse | 122 Broadstone St, Lancaster, PA 17603 | 2020-01-18 |
| 1164926457 | Kelly Fickett | Registered Nurse | 100 Rohrstown Rd, Suite A, Lancaster, PA 17603 | 2018-03-21 |
| 1063929115 | Lancaster Behavioral Health Hospital LLC | Psychiatric Hospital | 333 Harrisburg Ave, Lancaster, PA 17603 | 2018-01-10 |
| 1659880458 | Young Men's Christian Association of Lancaster County | Health Educator | 265 Harrisburg Ave, Lancaster, PA 17603 | 2017-09-25 |
| 1447779228 | Joshua Michael Saez | Licensed Practical Nurse | 410 N Prince St., Lancaster, PA 17603 | 2017-09-13 |
| 1689190126 | Leeann Koch | Audiologist | 2160 Noll Drive, Suite 100, Lancaster, PA 17603 | 2017-08-16 |
| 1972950327 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 354 N. Prince Street, Suite 120, Lancaster, PA 17603 | 2016-05-16 |
| 1366804833 | Yesenia Colon Rivera | Psychologist | 812 North Prince St., Lancaster, PA 17603 | 2016-03-24 |
| 1073975959 | Laura Morse | Counselor | 48 N Queen St, Lancaster, PA 17603 | 2016-03-22 |
| Find all providers in zip 17603 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223022 | Shelly J Kasik | Physician Assistant | 1629 Cloverdale Dr, Lancaster, OH 43130-8109 | 2020-04-08 |
| 1043843550 | Caitlin Lee Evans | Physician Assistant | 618 Pleasantville Rd Ste 202, Lancaster, OH 43130-3346 | 2020-02-13 |
| 1932745999 | Laurice Dominick Ingram | Physician Assistant | 838 W Meeting St Ste H, Lancaster, SC 29720-6261 | 2019-11-25 |
| 1831731629 | Jenna Elizabeth Stover | Physician Assistant | 930 Red Rose Ct Ste 301, Lancaster, PA 17601-1981 | 2019-10-13 |
| 1750939021 | Kayla Nicole Smith | Physician Assistant | 838 W Meeting St Bldg 5, Lancaster, SC 29720-6233 | 2019-08-29 |
| 1548725666 | Simarjeet Singh Manocha | Physician Assistant | 44215 15th St W Ste 315, Lancaster, CA 93534-5505 | 2019-02-02 |
| 1134503782 | Lien B Trinh | Physician Assistant | 2600 W Pleasant Run Rd Ste 340, Lancaster, TX 75146-1114 | 2015-07-14 |
| 1821470659 | Emily Ann Norris | Physician Assistant | 1625 Oregon Pike Ste 102, Lancaster, PA 17601-4335 | 2015-06-29 |
| 1699171843 | Shanna Rutty Beyah | Physician Assistant | 44451 16th St W, Suite #101, Lancaster, CA 93534-2882 | 2014-11-17 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| Find all providers in LANCASTER | ||||
Please comment or provide details below to improve the information on KIMBERLY BROOKE RIVERA BOURKE.
| 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.