Moms Are US and Kids 2

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30003677 Issued in WA

Legal business name

MOMS ARE US AND KIDS 2

Practice address

207 N Dennis St
Kennewick, WA 99336-3129

Phone

(509) 586-6248

Fax

(509) 586-7928

NPI assigned

Jun 10, 2008

Organization subpart

No

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

Authorized official

Name

Jean A Kimerling

Title

Operations Manager

Phone

(509) 551-9981

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wild Rose Clinic Former legal business name

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1275793796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6762",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993360640",
            "telephone_number": "509-586-6248",
            "fax_number": "509-586-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N DENNIS ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363129",
            "telephone_number": "509-586-6248",
            "fax_number": "509-586-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMS ARE US AND KIDS 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "KIMERLING",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "509-551-9981"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30003677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9635319",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7900970",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wild Rose Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Angela Mohr, ARNP
• Morgan Mohs
• Crystal Mokuau, LMT
• Dianna Marie Moldovan, LICSW
• Dean Lowery Molen, D.D.S.
• Moms Are US and Kids 2 PLLC
• Linda Marie Monroe
• Bertha Montano
• Evalena Montejano
• Alicia Montes

• Family Nurse Practitioner in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.