KIM BEVERLY (NPI# 1144864224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144864224 |
| Entity Type | Individual |
| Full Name | KIM BEVERLY |
| Practice Address |
16 Tamidan Road Poughkeepsle NY 12601 |
| Practice Telephone | 2152519168 |
| Mailing Telephone | 2152519168 |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
16 TAMIDAN ROAD |
| City | POUGHKEEPSLE |
| State | NY |
| Zip Code | 12601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| 1386165819 | Ekta N Pandya | Dentist | 22 Ibm Rd Ste 203b, Poughkeepsie, NY 12601 | 2017-07-06 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885666 | Carole Jane Pelaia | Technician | 100 Forrestal Hts, Beacon, NY 12508-3733 | 2020-09-15 |
| 1194340950 | Barbara Dore Russell | Technician | 43 Hillsboro Dr, Orchard Park, NY 14127-3433 | 2020-06-08 |
| 1316560105 | Baw Su | Technician | 341 Oliver St, N Tonawanda, NY 14120-7227 | 2020-05-27 |
| 1255953782 | Tina Marie Loucks | Technician | 6294 Fulford Hill Rd, Bath, NY 14810-8156 | 2020-05-06 |
| 1508487240 | Jacqueline Marshall | Technician | 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 | 2020-05-05 |
| 1891324240 | Crystal Lynn Booth | Technician | 5510 Fortuna Pkwy, Clay, NY 13041-8929 | 2020-04-07 |
| 1366076788 | Patricia Metznik Garcia | Technician | 1660 S Ivy Trl, Baldwinsville, NY 13027-9051 | 2020-02-25 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1588204317 | Jeanie L Phillips | Technician | 1837 Us Highway 11 Lot 34, Marathon, NY 13803-2360 | 2020-01-09 |
| 1568001972 | William B Love | Technician | 2050 Frederick Douglas Blvd #2-10, New York, NY 10026-3236 | 2020-01-02 |
| Find all providers with the same taxonomy | ||||
| City | POUGHKEEPSLE |
| Zip Code | 12601 |
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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.