CAITLIN ANN KIMBERLY (NPI# 1043848575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043848575 |
| Entity Type | Individual |
| Full Name | CAITLIN ANN KIMBERLY |
| Practice Address |
40 Avalon Dr Unit 6331 Milford CT 06460-8956 |
| Practice Telephone | 8143816368 |
| Mailing Telephone | 8143816368 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 80 Seymour St, Hartford, CT 061063315 | 8605455000 |
| Street Address |
40 AVALON DR UNIT 6331 |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-8956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137097 | Page Renee Burns | Physician Assistant | 40 Bertrose Ave, Milford, CT 06460-5906 | 2020-06-05 |
| 1386138402 | Brett Ritenour | Physician Assistant | 14 Prospect St, Milford, MA 01757-3003 | 2018-06-21 |
| 1306217211 | Kelsey L Welsh | Physician Assistant | 329 Mullet Run, Milford, DE 19963-5373 | 2015-10-19 |
| 1598018723 | Alexandra C Cox | Physician Assistant | 310 Mullet Run, Milford, DE 19963-5371 | 2012-10-25 |
| 1760629018 | Kimberly Anne Murray | Physician Assistant | 1068 State Route 28, Milford, OH 45150-2095 | 2009-01-08 |
| 1023117447 | Charles E Dufromont II | Physician Assistant | 14 Prospect St, Milford, MA 01757-3003 | 2006-09-22 |
| 1992803332 | Judith Ann Loonie | Physician Assistant | 14 Prospect St, Milford, MA 01757-3003 | 2006-09-20 |
| 1083640817 | Holly Driscoll | Physician Assistant | 14 Prospect Street, Milford, MA 01757-3003 | 2006-06-23 |
| 1487601092 | Susan Norcross | Physician Assistant | 14 Prospect St, Milford, MA 01757-3003 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798362 | Brandon H Kusako | Physician Assistant | 34 Maple St Dept Of, Norwalk, CT 06850-3815 | 2020-10-26 |
| 1699307199 | Lindy Carelli | Physician Assistant | 330 Washington St Ste 410, Norwich, CT 06360-2700 | 2020-02-12 |
| 1174166722 | Jacqueline Clarizio | Physician Assistant | 5520 Park Ave Ste 300, Trumbull, CT 06611-3465 | 2019-10-25 |
| 1699260109 | Kristen Jean Mosher | Physician Assistant | 31 Cloverdale Ave, Shelton, CT 06484-2538 | 2018-06-27 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1962920561 | Eugenie Cho | Physician Assistant | 34 Maple St., Norwalk, CT 06856 | 2017-09-03 |
| 1134536311 | Allyson E Kubasek | Physician Assistant | 32 Seymour Street, Hartford Hospital Orthopedics Dept, Hartford, CT 06102-5037 | 2014-07-19 |
| 1477964344 | Samuel Silva | Physician Assistant | 226 White St., Danbury, CT 06810 | 2014-05-14 |
| 1902238207 | Katherine Anne Swan | Physician Assistant | 148 East Ave Ste 3d, Norwalk, CT 06851-5733 | 2013-08-08 |
| 1629345053 | Michelle Grosso | Physician Assistant | 107 Newtown Rd Ste 2c, Danbury, CT 06810 | 2011-11-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.