| Kimberlee Elizabeth Poole, | |
|
1550 S Pioneer Way Ste 200, Moses Lake, WA 98837-4614 | |
| (509) 793-9787 | |
| (509) 764-3263 |
| Full Name | Kimberlee Elizabeth Poole |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1550 S Pioneer Way Ste 200, Moses Lake, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275539256 | NPI | - | NPPES |
| 1275539256 | Medicaid | WA | |
| 0235658 | Other | WA | L&I |
| 314892 | Other | WA | L&I POST 7/21/13 |
| P01256552 | Other | WA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP30006565 (Washington) | Primary |
| Entity Name | Grant County Public Hospital District 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619086766 PECOS PAC ID: 9931095692 Enrollment ID: O20040227000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberlee Elizabeth Poole, 660 S Coolidge St, Moses Lake, WA 98837-1872 Ph: (509) 793-9715 | Kimberlee Elizabeth Poole, 1550 S Pioneer Way Ste 200, Moses Lake, WA 98837-4614 Ph: (509) 793-9787 |
Shawta Sackett, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 Fax: 509-764-0344 | |
Braeden R Cook, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 | |
Leona M Hays, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Coolidge Dr, Moses Lake, WA 98837 Phone: 509-765-0674 | |
Mr. Garrett Clay Wistisen, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1550 S Pioneer Way Ste 100, Moses Lake, WA 98837 Phone: 509-793-9770 | |
Ms. Ioly Tabita Lewis, PMHNP/ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 | |
Sheryl A Russell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216 |