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KIMBERLEY PROFFITT NPI 1649748583


NPI Information

NPI: 1649748583
Provider Name: KIMBERLEY PROFFITT
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
3754 W INDIAN TRAIL RD
SPOKANE, WA
ZIP 99208
Phone: (509) 328-7041
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Kimberley Proffitt is a peer specialist in Spokane, WA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Kimberley Proffitt NPI is 1649748583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3754 W INDIAN TRAIL RD
SPOKANE, WA
ZIP 99208-736
Phone: (509) 328-7041

The enumeration date for this NPI number is 11/8/2018 and was last updated on 11/8/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1175T00000XPeer SpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CG60539714OTHERWASHINGTONDEPARTMENT OF HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.