Kimberly Snell Blanchard
Nurse Practitioner (Adult Health)

Address: 600 S Paulina St Ste 130, Chicago, IL 60612-3806
Phone: 3129423333

Kimberly Snell Blanchard (NPI# 1366926347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1366926347
Entity Type Individual
Full Name Kimberly Snell Blanchard
Credential NP-C
Gender Female
Practice Address 600 S Paulina St Ste 130
Chicago
IL 60612-3806
Practice Telephone 3129423333
Mailing Address 600 S Paulina St Ste 130
Chicago
IL 60612-3806
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2018-09-17
Last Update Date 2018-09-17

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LA2200X Nurse Practitioner · Adult Health Physician Assistants & Advanced Practice Nursing Providers 209.017471 IL

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1073028304 Kimberly Blanchard Psychologist 80 Interstate 10 N Ste 205, Beaumont, TX 77702-2114 2017-12-08
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Physician Overview

NPI 1366926347
PAC ID by PECOS 3779827357
Professional Enrollment ID I20181208000264
Full Name Kimberly Snell Blanchard
Organization Legal Name RUSH UNIVERSITY MEDICAL CENTER
Phone Number 3129423333
Gender F
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 7911075775
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140119 RUSH UNIVERSITY MEDICAL CENTER
140063 RUSH OAK PARK HOSPITAL

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932724200 Tatyana Menaker Nurse Practitioner 2958 West Devon Ave, Chicago, IL 60659 2020-06-12
1942796123 Elizabeth R Reyna Nurse Practitioner 5841 S Maryland Ave # Mc7120, Chicago, IL 60637-1443 2018-07-10
1518475615 Kyla Lynn Musser Nurse Practitioner 2525 S Michigan Ave Ste 12, Chicago, IL 60616-2315 2018-01-11
1942717418 Madiha Khan Nurse Practitioner 3000 N Halsted St Ste 623, Chicago, IL 60657 2018-01-05
1952828980 Paulina Petrishka Nurse Practitioner 1115 N Crosby St # C, Chicago, IL 60610-2405 2017-08-30
1831639384 Ivory Rhymes Nurse Practitioner 8750 W Bryn Mawr Ave, Chicago, IL 60631-3655 2017-03-02
1265971204 Venus Liezl Basnillo- San Diego Nurse Practitioner 1628 N Bell Ave, Apt 1, Chicago, IL 60647-5289 2017-02-22
1093253718 Daniel Robert Mead Nurse Practitioner 1540 W Chicago Ave, Chicago, IL 60642-5236 2017-02-01
1992249585 Karen Panganiban Nurse Practitioner 4605 N Elston Ave, 3a, Chicago, IL 60630-4373 2016-12-15
1043769268 Michelle Moore Nurse Practitioner 458 N May St, Chicago, IL 60642-5819 2016-09-29
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Office Location

Street Address 600 S PAULINA ST STE 130
City CHICAGO
State IL
Zip Code 60612-3806

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649874561 Kimberly Krupa Tadros Pharmacist Vamc Outpatient Pharmacy, 820 S Damen Ave, Chicago, IL 60612 2020-11-23
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
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Competitor

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City CHICAGO
Zip Code 60612

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Dataset Information

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.