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KIMBERLY TILLMAN
NPI 1679989172
Licensed Practical Nurse in Cleveland, OH

Active since July 03, 2014
11410 ASHBURY AVE, CLEVELAND, OH 44106(216) 246-8014 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Tillman NPPES

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

KIMBERLY TILLMAN (NPI 1679989172) is an individual licensed practical nurse in Cleveland, Ohio, licensed in Ohio (PN.143666M-IV) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1679989172
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKIMBERLY TILLMAN
Location Address11410 ASHBURY AVECleveland, OH 44106
Mailing Address11410 Ashbury AveCleveland, OH 44106 · (216) 246-8014
Phone(216) 246-8014
Sole ProprietorYes
Enumeration DateJuly 3, 2014
Last NPPES UpdateSeptember 11, 2020
NPPES CertifiedSeptember 11, 2020
✔ NPI 1679989172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · PN.143666M-IV
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
11410 ASHBURY AVE, Cleveland, OH 44106
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Other Identifiers 1

MedicaidPN.143666-M-IVOH

Other Providers at the Same Location NPPES 2

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

DENICE C TILLMAN
Home Health
11410 ASHBURY AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 421-1477
KIMBERLY L TILLMAN
Licensed Practical Nurse
11410 ASHBURY AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 246-8014

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 Tillman's NPI number?

The NPI number for Kimberly Tillman is 1679989172. It was assigned to this individual provider in the NPPES registry on July 3, 2014.

Where is Kimberly Tillman located?

Kimberly Tillman practices at 11410 Ashbury Ave, Cleveland, OH 44106. The listed phone number is (216) 246-8014.

What is Kimberly Tillman's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Tillman was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.