KIMBERLY LYN MARSH (NPI# 1134634520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134634520 |
| Entity Type | Individual |
| Full Name | KIMBERLY LYN MARSH |
| Practice Address |
55 Lake Ave N Worcester MA 01655-0002 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 5083348329 |
| Mailing Telephone | 8002258885 |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
RN200749 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952667503 | Kimberly Anne Marsh | Internal Medicine | Mid-south Pulmonary Specialists, P.C., 5050 Poplar Ave., Suite 800, Memphis, TN 38157-0800 | 2012-04-09 |
| 1255667259 | Kimberly Marie Marsh | Behavioral Analyst | 9900 Bluff Dr Se, Huntsville, AL 35803-1702 | 2009-10-26 |
| 1326027905 | Kimberly O Marsh | Physical Therapist | 3054 Enterprise Dr, State College, PA 16801-2755 | 2006-01-12 |
| 1699318543 | Kimberly Kay Marsh | Social Worker | 1608 4th Ave Se, Decatur, AL 35601-4904 | 2019-10-23 |
| 1699161570 | Kimberly Marsh | Social Worker | 255 Route 108, Somersworth, NH 03878-1543 | 2015-04-08 |
| 1932599800 | Kimberly Latisha Marsh | Nurse's Aide | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2015-01-30 |
| 1174834774 | Kimberly Rachelle Marsh | Nurse Practitioner | 8200 Dodge St, Children's Hospital & Medical Center - Nicu, Omaha, NE 68114-4113 | 2010-06-29 |
| 1922322320 | Kimberly Marsh | Pharmacist | 1620 Century Center Pkwy, Memphis, TN 38134-0181 | 2010-03-15 |
| Street Address |
55 LAKE AVE N |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556587 | James E Liebmann | Internal Medicine | 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 | 2005-05-23 |
| 1518568732 | Justin Bullard | Psychologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-11-04 |
| 1346849825 | Meghan Moore | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-26 |
| 1174122899 | Jessica Goncalves Ferreira | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-23 |
| 1235746686 | Desiree Mytych | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-29 |
| 1659986248 | Rebecca Lynn Harris | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-10 |
| 1639781487 | Gabriella Kathleen Holland | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-21 |
| 1730791898 | Kerry Anne Benedict | Speech-Language Pathologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1902418999 | Natasha R. Turner | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1144830712 | Abbey Corsini | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205489713 | Darryl Sweeper Jr. | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-23 |
| 1225690530 | Ryan Zenevitch | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-08 |
| 1932688454 | Victoria Sayeg | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 | 2018-08-07 |
| 1114425675 | Judith Dio Wentzell | Social Worker | Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 | 2018-01-30 |
| 1861927386 | Muhammad Waqas Khan | Student in an Organized Health Care Education/Training Program | University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 | 2017-04-21 |
| 1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
| 1073858981 | Heidi Glover | Nurse Practitioner | 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 | 2012-12-04 |
| 1972867992 | Anna Bjornsdottir | Psychiatry & Neurology | 55 Lake Av N, Worcester, MA 01655 | 2012-06-25 |
| 1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
| 1851582951 | Robin I Davidson | Neurological Surgery | 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 | 2007-08-05 |
| Find all providers in zip 01655 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447659636 | Kevin Robert Doray | Nurse Practitioner | 123 Summer St, Worcester, MA 01608-1216 | 2014-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041491 | Taryn Trask | Nurse Practitioner | 37 Exeter St, Marlborough, MA 01752-3305 | 2020-01-01 |
| 1992867873 | Kristen T Proverb | Nurse Practitioner | 222 Merrimack St, Suite 300, Lowell, MA 01852 | 2006-12-15 |
| 1427683598 | Jill Elizabeth Rackliffe | Nurse Practitioner | 55 Fruit St # 8, Boston, MA 02114-2621 | 2020-03-09 |
| 1114565181 | Christina M Betances | Nurse Practitioner | 145 Ward Hill Ave, Bradford, MA 01835-5896 | 2019-12-20 |
| 1871152546 | Anja Marie Reed | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2696 | 2019-06-06 |
| 1730643321 | Anthony Charles Bueno | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2019-01-28 |
| 1336610062 | Natalia Sullivan Vragovic | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5491 | 2018-12-06 |
| 1215482518 | Peter Calvin Cohn | Nurse Practitioner | 101 Page St, New Bedford, MA 02740-3464 | 2016-08-17 |
| 1346616182 | Elyssa Rene Fitelson | Nurse Practitioner | 55 Fruit St, Lunder 6, Boston, MA 02114-2621 | 2015-08-17 |
| 1093068785 | Leanne Palmer Nygaard Szwaja | Nurse Practitioner | 211 Park St, Attleboro, MA 02703-3143 | 2012-10-18 |
| 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.