Kristen Jo Timmerman

Primary specialty

PharmacistTaxonomy code 183500000X

License

21519 Issued in IA

Practice address

1690 Elm St
Dubuque, IA 52001-3686

Phone

(563) 291-9151

NPI assigned

May 8, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crescent Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Dubuque, IA
  • NPI 1720146319
  NPD (past)
• Mercy Family Pharmacy

  • Long Term Care Pharmacy
  • Dubuque, IA
  • NPI 1669569521
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1144589417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 ELM ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013641",
            "telephone_number": "563-583-7379",
            "fax_number": "563-583-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 ELM ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013686",
            "telephone_number": "563-291-9151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1789 Elm St",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "520012256",
            "country_code": "US",
            "telephone_number": "563-690-2850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMMERMAN",
        "first_name": "KRISTEN",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.295164",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "21519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Throgmorton, DPT
• Craig JJ Tiernan, CRNA
• Kristin A. Tiernan, A.R.N.P.
• Alisha Tigges
• Sydney Tigges, PT, DPT
• Timothy G Timmerman, M.D.
• Tyler Timmerman
• Heyo H Tjarks, DDS
• Jean M Tobin, PA-C
• Shawna Lee Tobin

• Pharmacist in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.