Kimberly Haines (NPI# 1194185009, PAC ID# 3072804384) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194185009 |
| PAC ID by PECOS | 3072804384 |
| Professional Enrollment ID | I20160616001498 |
| Full Name | Kimberly Haines |
| Organization Legal Name | SANFORD CLINIC |
| Address |
640 E Sioux Ave 2 Child Spec Clin Pierre SD 57501-3300 |
| Phone Number | 6052242010 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0244143824 |
| Number of Group Practice Members | 345 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 430015 | AVERA ST MARY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 640 E Sioux Ave, 2 Child Spec Clin, Pierre, SD 57501-3300 | 6052242010 | SANFORD CLINIC |
| Organization Legal Name | SANFORD CLINIC |
| Physicians | 392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mackenzie M Mertz | Psychiatry | Sanford Clinic | 2400 W 49th St, Psych Clinic, Sioux Falls, SD 57105-6581 |
| Andrew J Erie | Diagnostic Radiology | Sanford Clinic | 1210 W 18th St, Suite Ll03, Sioux Falls, SD 57104-4654 |
| Evan M Wiersma | Physical Therapy | Sanford Clinic | 104 Buncombe Dr, Rock Rapids, IA 51246-1003 |
| Shauna M Jacobs | Nurse Practitioner | Sanford Clinic | 1309 W 17 St, Radiation Oncology, Sioux Falls, SD 57104-4663 |
| Kylee B Whitney | Nurse Practitioner | Sanford Clinic | 1508 W 22nd St, Suite 101, Sioux Falls, SD 57105-1506 |
| Rachel M Lynde | Nurse Practitioner | Sanford Clinic | 922 22nd Ave S, Brookings, SD 57006-2830 |
| Lori L Thom | Clinical Social Worker | Sanford Clinic | 308 8th N St, Mountain Lake, MN 56159-1568 |
| Cari A Folkens | Nurse Practitioner | Sanford Clinic | 600 W Cedar St, Beresford, SD 57004-1125 |
| Nichole R Krier | Nurse Practitioner | Sanford Clinic | 900 E 54th N St, Suite 100, Sioux Falls, SD 57104-0681 |
| Lyndsie A Deragisch | Nurse Practitioner | Sanford Clinic | 900 E 54th St N, Suite 200, Sioux Falls, SD 57105-0686 |
| Street Address |
640 E SIOUX AVE 2 CHILD SPEC CLIN |
| City | PIERRE |
| State | SD |
| Zip | 57501-3300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denette K Eisnach | Optometry | Central Dakota Eyecare LLP | 640 E Sioux Ave, Suite 3, Pierre, SD 57501-3300 |
| Jeffrey L Rausch | Optometry | Central Dakota Eyecare LLP | 640 E Sioux Ave, Suite 3, Pierre, SD 57501-3300 |
| Jill M Hart | Optometry | Central Dakota Eyecare LLP | 640 E Sioux Ave, Suite 3, Pierre, SD 57501-3300 |
| Nicholas R Marso | Optometry | Central Dakota Eyecare LLP | 640 E Sioux Ave, Suite 3, Pierre, SD 57501-3300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shon A Weaver | Optometry | Beemer and Bartlett Eye Clinic, LLC | 100 W Capitol Ave, Pierre, SD 57501-2036 |
| Michael Bartlett | Optometry | Beemer and Bartlett Eye Clinic, LLC | 100 W Capitol Ave, Pierre, SD 57501-2036 |
| Douglas C Beemer | Optometry | Beemer and Bartlett Eye Clinic, LLC | 100 W Capitol Ave, Pierre, SD 57501-2036 |
| Anthony R Blake | Chiropractic | 1205 N Harrison Ave, 203 Oahe Chiropractic and Wellness, Pierre, SD 57501-2397 | |
| Mark A Steiner | Chiropractic | Steiner Chiropractic, P.C. | 110 W Dakota Ave, Pierre, SD 57501-2413 |
| Laura E Prunty | Chiropractic | Prunty Chiropractic P.C. | 420 W Sioux Ave, 1 Prunty Chiropractic, Pierre, SD 57501-2481 |
| Shane V Prunty | Chiropractic | Prunty Chiropractic P.C. | 420 W Sioux Ave, 1 Prunty Chiropractic, Pierre, SD 57501-2481 |
| Ryan R Bales | Chiropractic | Bales Chiropractic | 200 E Dakota, Suite 3, Pierre, SD 57501-3199 |
| Therese Heyer | Clinical Social Worker | Capital Area Counseling Service, Inc | 803 E Dakota Ave, Pierre, SD 57501-3312 |
| Ulises J Pesce | Psychiatry | Capital Area Counseling Service, Inc | 803 E Dakota Ave, Pierre, SD 57501-3312 |
| Find all physicians in zip 57501 | |||
| City | PIERRE |
| Zip Code | 57501 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PIERRE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly Haines.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.