KIMBERLY BURNS (NPI# 1104344506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104344506 |
Entity Type | Individual |
Full Name | KIMBERLY BURNS |
Credential | APRN |
Practice Address |
30 Holmes Ave Waterbury CT 06710-2412 |
Mailing Address |
465 Wood Hill Rd Cheshire CT 06410-4334 |
Practice Telephone | 2037725399 |
Enumeration Date | 2017-09-06 |
Last Update Date | 2019-11-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
12.007215 | CT | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154750800 | Kimberly Burns | Occupational Therapy Assistant | 545 W. Moonglo Rd, Scottsburg, IN 47170 | 2013-11-04 |
1720344294 | Kimberly A. Burns | Nurse Practitioner | 4700 E. Hale Parkway Suite 400, Denver, CO 80220 | 2012-04-09 |
1881855401 | Kimberly Kay Burns | Registered Nurse | 3721 S County Road D, Janesville, WI 53548-8526 | 2008-06-17 |
1700078813 | Kimberly Burns | Occupational Therapist | 1599 Main St, Sarasota, FL 34236-5802 | 2007-08-13 |
1104840024 | Kimberly A. Burns | Physical Therapist | 600 Nw 11th, Suite E-31, Hermiston, OR 97838-9696 | 2006-07-26 |
1275532913 | Kimberly Burns | Social Worker | 4200 N Cloverleaf Dr, Suite J - K, Saint Peters, MO 63376-6436 | 2005-07-15 |
1245850106 | Kimberly A. Burns | Nurse Practitioner | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2020-04-21 |
1033665807 | Kimberly Lynette Burns | Community Health Worker | 925 Highway Vv, Kennett, MO 63857 | 2016-08-31 |
1508226135 | Kimberly Burns | Developmental Therapist | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-6800 | 2016-02-24 |
1285009928 | Kimberly Paige Burns | Nurse Practitioner | 50 Medical Park Dr E, Birmingham, AL 35235-3401 | 2015-12-07 |
Street Address |
30 HOLMES AVE |
City | WATERBURY |
State | CT |
Zip Code | 06710-2412 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467813600 | Ashley Joseph | Counselor | 30 Holmes Ave, Waterbury, CT 06702 | 2016-03-16 |
1275032138 | David Ryan Shemanski | Social Worker | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2018-02-06 |
1992204994 | Cara Adams | Social Worker | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2018-02-05 |
1407201957 | Alexandria Smith | Nurse Practitioner | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2016-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417511718 | Michael A Mastroianni | Pharmacist | Stolls Pharmacy Inc, 185 Grove St, Waterbury, CT 06710 | 2019-04-23 |
1508127598 | Brenda Mcleod | Technician, Pathology | 150 Manhan St Bldg 8 Unit 5, Waterbury, CT 06710 | 2012-06-06 |
1659536936 | Michelle Gomes Ferreira-machado | Social Worker | 34 Murray St., Family Services of Greater Watebury, Waterbury, CT 06710 | 2008-07-25 |
1588699557 | Adriane Guerin | Physician Assistant | 179 Roseland Ave, Waterbury, CT 06710 | 2006-07-11 |
1013311554 | Chelsey Micciche | Student in an Organized Health Care Education/Training Program | 34 Murray Street, Waterbury, CT 06710 | 2014-10-13 |
1972905321 | Carmen Woodcock | Student in an Organized Health Care Education/Training Program | 34 Murray Street, Waterbury, CT 06710 | 2014-09-17 |
1841597663 | Avis Foster | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2011-02-14 |
1528364783 | Quiana Scott | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2011-02-07 |
1063716363 | Natalie Luciano | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2010-12-29 |
1134423437 | Mildred Figueroa | Social Worker | 34 Murray St., Waterbury, CT 06710 | 2010-12-29 |
Find all providers in zip 06710 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467072033 | Sarah Michelle Whalen | Nurse Practitioner | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2020-04-23 |
1720616246 | Susan Antoinette Pappas | Nurse Practitioner | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2020-03-30 |
1578022166 | Daedly Potusek | Nurse Practitioner | 80 Phoenix Ave, Waterbury, CT 06702-1418 | 2019-03-14 |
1124592274 | Deon Johnson-allen | Nurse Practitioner | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2019-01-11 |
1356818421 | Olanike Oyeyemi Idowu | Nurse Practitioner | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-10-26 |
1114462561 | Shantelle Brokaw | Nurse Practitioner | 128 Cedar Ave, Waterbury, CT 06705-2700 | 2016-12-21 |
1407201957 | Alexandria Smith | Nurse Practitioner | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2016-05-03 |
1134504715 | Nicholas James O'brien | Nurse Practitioner | 60 N Main St, 3rd Floor, Waterbury, CT 06702-1443 | 2015-07-24 |
1225461221 | Alyson Nicolosi | Nurse Practitioner | 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 | 2013-08-13 |
1780997601 | Barbara Kimble-goodman | Nurse Practitioner | 95 Thomaston Ave, Waterbury, CT 06702-1007 | 2010-07-20 |
Find all providers in WATERBURY |
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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.