Look up the most recent NPI and PECOS records

Kimberly Ann Gill

Community Health Worker

Other Service Providers

327 W Gordon Ave Ste 2, Layton, UT 84041-2381

PECOS Enrollment

Based on the most recent information from CMS, provider Kimberly Ann Gill does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:51 AM.

Profile Details

Provider ID
1467972794
Provider Type
Individual
Full Name
Gill, Kimberly Ann
Gender
Female

Sole Proprietor
Yes
Enumeration Date
6/27/2017
Last Updated
11/21/2023

Contact Information

Practice Location

327 W Gordon Ave Ste 2, Layton, UT 84041-2381

(801) 683-1062

Unlisted Fax

Mailing Location

862 S Main St, Brigham City, UT 84302-3320

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 172V00000X Primary	Description Community Health Worker Other Service Providers	License Unlisted Issuer
Code 101Y00000X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 106S00000X	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer Utah

Kimberly Ann Gill

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Dille, Jonathon

Barrera, Janely Marie

Kassing, Gabrielle

Pierce, Taylor

Bratsch, Tammie Lee

Oberhansly, John Jensen

Newbold, Jacqueline

Beckstead, Madison

Powers, Kortney Marie

Cook, Sandra