SALLY IMBIMBO (NPI# 1053830141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053830141 |
| Entity Type | Individual |
| Full Name | SALLY IMBIMBO |
| Credential | MA |
| Practice Address |
108 N Main St Sunderland MA 01375-9502 |
| Mailing Address |
91 North Rd Westhampton MA 01027-9691 |
| Practice Telephone | 4133665871 |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
108 N MAIN ST |
| City | SUNDERLAND |
| State | MA |
| Zip Code | 01375-9502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283055 | Raenette Marie Kramer | Registered Nurse | 108 N Main St, Sunderland, MA 01375-9502 | 2018-08-01 |
| 1295221513 | Christine Anne Coughlin | Specialist | 108 N Main St, Sunderland, MA 01375-9502 | 2018-07-10 |
| 1376039990 | Claudia P. Hernandez | Community Health Worker | 108 N Main St, Sunderland, MA 01375-9502 | 2018-07-06 |
| 1114410438 | Pamela Cavanaugh | Community Health Worker | 108 N Main St, Sunderland, MA 01375-9502 | 2018-06-11 |
| 1467944165 | Joan Ringrose Sellers | Community Health Worker | 108 N Main St, Sunderland, MA 01375-9502 | 2018-05-30 |
| 1578062519 | Michelle Marie Kelly | Community Health Worker | 108 N Main St, Sunderland, MA 01375-9502 | 2018-02-05 |
| 1598277477 | Laura Margaret Sheedy | Community Health Worker | 108 N Main St, Sunderland, MA 01375-9502 | 2017-10-31 |
| 1265942684 | Maddison Pirner | Community Health Worker | 108 N Main St, Sunderland, MA 01375-9502 | 2017-10-11 |
| 1811424898 | Anna Butler | Specialist | 108 N Main St, Sunderland, MA 01375-9502 | 2017-05-22 |
| 1881146173 | Susan Kranz | Community Health Worker | 108 N Main St, Sunderland, MA 01375-9502 | 2016-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922597053 | Samantha Lynn Brand | Occupational Therapist | 108 A North Main St, Sunderland, MA 01375 | 2018-05-03 |
| 1245619147 | Rebecca Tremblay | Community Health Worker | 108a North Main St, Sunderland, MA 01375 | 2015-05-26 |
| 1659767424 | Rachna Kapoor | Internal Medicine | 279 Amherst Rd, Sunderland, MA 01375 | 2015-04-08 |
| 1447648944 | Michelle Staryos | Community Health Worker | 108a North Main Street, Sunderland, MA 01375 | 2015-01-06 |
| 1548528409 | Karen M.s. Michaels | Massage Therapist | 240 S. Silver Lane, Sunderland, MA 01375 | 2012-04-30 |
| 1316438864 | Jasmine Louise Ribeiro | Speech-Language Pathologist | 108a N Main St, Sunderland, MA 01375 | 2018-05-21 |
| 1235519844 | William Lawrie | Community Health Worker | 108a North Main Street, Sunderland, MA 01375 | 2015-06-09 |
| 1346376704 | Town of Sunderland | Ambulance | 105 River Rd, Sunderland, MA 01375-6901 | 2007-02-27 |
| 1467449546 | Cozy Corner Nursing Home Inc | Skilled Nursing Facility | 61 Old Amherst Rd, Sunderland, MA 01375-7501 | 2005-10-04 |
| 1396229951 | Kelsey O'brien | Occupational Therapist | 61 Old Amherst Rd, Sunderland, MA 01375-7501 | 2018-09-19 |
| Find all providers in zip 01375 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114426988 | Louise Berit Homstead | Specialist | 108 N Main St Ste A, Sunderland, MA 01375-9502 | 2018-02-07 |
| 1770977274 | Rebecca Jane Lees | Specialist | 108 N Main St # Ma, A, Sunderland, MA 01375-9502 | 2015-03-23 |
| 1740530260 | Paula J Fredericks | Specialist | 8b E Plumtree Rd, Sunderland, MA 01375-9467 | 2012-09-12 |
| 1295221513 | Christine Anne Coughlin | Specialist | 108 N Main St, Sunderland, MA 01375-9502 | 2018-07-10 |
| 1811424898 | Anna Butler | Specialist | 108 N Main St, Sunderland, MA 01375-9502 | 2017-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275760 | Heather Audra Wickham | Specialist | 19 Lukes Way, Plymouth, MA 02360-4717 | 2020-11-04 |
| 1811595440 | Elite Upper Extremity and Plastic Surgery, Pllc | Specialist | 123 Summer St Ste 550, Worcester, MA 01608-1216 | 2020-10-15 |
| 1285272559 | Michael Anthony Mandella | Specialist | 615 Reservoir Rd, Lunenburg, MA 01462-1540 | 2019-12-17 |
| 1003372996 | Pic A Nit LLC | Specialist | 111 Worcester Street, North Grafton, MA 01536 | 2019-02-15 |
| 1427513738 | Arlene L Casassa | Specialist | 271 Pond St, Hopkinton, MA 01748-1509 | 2019-01-31 |
| 1851881767 | Cheryl Ann Borden | Specialist | 51 Country Club Way, Ipswich, MA 01938-3000 | 2018-05-16 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1356859425 | Tanya Elaine Lachowicz | Specialist | 19 Agassiz St Apt 1, Cambridge, MA 02140-2826 | 2018-01-11 |
| 1083126338 | Kailash Nagrath | Specialist | 33 Sequattom Road, Harwich, MA 02645 | 2017-10-26 |
| 1417467507 | Stacy Noel Hartso | Specialist | 478 Winthrop St, Winthrop, MA 02152-1901 | 2017-10-03 |
| Find all providers with the same taxonomy | ||||
| City | SUNDERLAND |
| Zip Code | 01375 |
Please comment or provide details below to improve the information on SALLY IMBIMBO.
| 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.