Kimberly Creswell, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN00150413 Issued in WA

Practice address

322 S Birch St
McCleary, WA 98557-9522

Phone

(360) 205-4750

NPI assigned

Feb 27, 2023

Last updated

Feb 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1649979816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S BIRCH ST",
            "city": "MCCLEARY",
            "state": "WA",
            "postal_code": "985579522",
            "telephone_number": "360-205-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S BIRCH ST",
            "city": "MCCLEARY",
            "state": "WA",
            "postal_code": "985579522",
            "telephone_number": "360-205-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESWELL",
        "first_name": "KIMBERLY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN00150413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcreswell@telecarecorp.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "322 S Birch St",
            "city": "McCleary",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985579522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linsy Bryson, COUNSELOR
• May Jean Palaca Chuatico
• Kyla Clark, COUNSELING
• Ginger Coble, REGISTERED NURSE
• Christopher Paul Cook
• Tina Mae Davis
• Jason Kelly Dick
• Tyson Robert Dick
• Amelia Donofrio, COUNSELOR
• Brian Drake, RN

• Psychiatric/Mental Health Registered Nurse in McCleary, WA
• Providers in McCleary, WA by specialty
• Psychiatric/Mental Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.