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KIMBERLY SUE MCNELLY CERTIFIED PEER
NPI 1083199673
Peer Specialist in Spokane, WA

Active since September 28, 2018
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208(509) 559-3100 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2025, Sep 28, 2018 (2 updates tracked since 2018).

About Kimberly Sue Mcnelly Certified Peer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY SUE MCNELLY CERTIFIED PEER (NPI 1083199673) is an individual peer specialist in Spokane, Washington and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1083199673
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKIMBERLY SUE MCNELLYCredential: CERTIFIED PEER
Location Address3754 W INDIAN TRAIL RDSpokane, WA 99208-4736
Mailing Address3754 W Indian Trail RdSpokane, WA 99208-4736 · (509) 559-3100
Phone(509) 559-3100
Sole ProprietorNo
Enumeration DateSeptember 28, 2018
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1083199673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
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.
3754 W INDIAN TRAIL RD, Spokane, WA 99208
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Other Identifiers 1

Medicaid175T00000XWA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTONIO RAMIREZ RAMIREZ LCSWA
Social Worker
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Spokane County (509) 866-4112
CONNIE E O'NEEL MA
Counselor (Addiction (Substance Use Disorder))
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Spokane County (509) 328-7041
ANGELA JEWELL
Nurse's Aide
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Spokane County (509) 328-7041
LESLIE EMELY CORNEJO PEER SPECIALIST
Peer Specialist
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Spokane County (509) 559-3100
JESSICA LYNN ARENDS PEER SUPPORT SPECIAL
Peer Specialist
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Spokane County (509) 559-3100
ROCHELLE ELISE DANIELSON MA COUNSELING INTERN
Counselor
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Spokane County (509) 559-3100
CHRISTIE ANN RENNER
Peer Specialist
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Spokane County (509) 559-3100
DEMARCUS GARNER
Behavior Technician
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Spokane County (509) 559-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Mcnelly's NPI number?

The NPI number for Kimberly Mcnelly is 1083199673. It was assigned to this individual provider in the NPPES registry on September 28, 2018.

Where is Kimberly Mcnelly located?

Kimberly Mcnelly practices at 3754 W Indian Trail Rd, Spokane, WA 99208. The listed phone number is (509) 559-3100.

What is Kimberly Mcnelly's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Mcnelly was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.