MRS. KIMBERLY Y WILLIS (NPI# 1164601514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164601514 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY Y WILLIS |
| Credential | NP-C, BSN |
| Practice Address |
51 Performance Dr Weymouth MA 02189-3104 |
| Practice Telephone | 7813319091 |
| Mailing Telephone | 7813319091 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 232381 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649756826 | Kimberly Willis | Technician | 714 Jefferson Street, Bancroft, WV 25011 | 2018-07-11 |
| 1992201115 | Kimberly Nichelle Willis | Rehabilitation Practitioner | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2018-04-05 |
| 1629581251 | Kimberly A Willis | Counselor | 101 Dehler Dr, Sartell, MN 56377-4407 | 2017-11-06 |
| 1104279785 | Kimberly Renee Willis | Counselor | 9401 Southwest Fwy, Houston, TX 77074-1407 | 2016-07-19 |
| 1275925794 | Kimberly Willis | Nurse Practitioner | 700 W Market St, Athens, AL 35611-2457 | 2015-02-19 |
| 1568898393 | Kimberly Yvette Willis | Social Worker | 9401 Southwest Fwy, Houston, TX 77074-1407 | 2013-09-25 |
| 1255692729 | Kimberly Willis | Home Health Aide | 2004 Rhode Island Ave Ne, Suite 400, Washington, DC 20018 | 2012-05-31 |
| 1275869125 | Kimberly Deborah Willis | Adult Companion | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2009-10-28 |
| 1992990923 | Kimberly Renee Willis | Physical Therapist | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2007-09-12 |
| 1487852562 | Kimberly Rachelle Willis | Family Medicine | 2609 Medical Office Pl, Goldsboro, NC 27534-9428 | 2007-07-10 |
| Street Address |
51 PERFORMANCE DR |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02189-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821099110 | Shannon Dee Fullerton | Obstetrics & Gynecology | 51 Performance Dr, Entry 2, Weymouth, MA 02189-3141 | 2005-08-09 |
| 1043537400 | Kristin Elizabeth Gold | Obstetrics & Gynecology | 51 Performance Dr, Weymouth, MA 02189 | 2010-04-26 |
| 1437382447 | Kristen Dasilva Darland | Obstetrics & Gynecology | 51 Performance Dr, Weymouth, MA 02189 | 2009-08-25 |
| 1326282252 | South Shore Orthopedics LLC | Occupational Therapist | 51 Performance Dr, Weymouth, MA 02189-3141 | 2009-04-22 |
| 1699937524 | Harvard Vanguard Medical Associates | Radiology | 51 Performance Dr, Radiation Oncology, Weymouth, MA 02189-3104 | 2008-07-01 |
| 1407038177 | Physical Therapy Management, Inc. | Physical Therapist | 51 Performance Dr, Weymouth, MA 02189-3104 | 2007-12-04 |
| 1972796050 | Arthur J. Bowman Jr Md PC | Orthopaedic Surgery | 51 Performance Dr, Suite 300, Weymouth, MA 02189-3104 | 2007-08-22 |
| 1356562573 | Lisa Gioni | Obstetrics & Gynecology | 51 Performance Dr, Weymouth, MA 02189-3141 | 2007-05-02 |
| 1730307588 | Benjamin Powell Christian | Plastic Surgery | 51 Performance Dr, Weymouth, MA 02189-3141 | 2007-04-24 |
| 1669507141 | Thomas Patrick O'connor Jr. | Internal Medicine | 51 Performance Dr, Suite #110, Weymouth, MA 02189-3141 | 2007-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205300985 | M. Taylor Fontneau | Nurse Practitioner | 90 Libbey Industrial Pkwy Ste 106, Weymouth, MA 02189 | 2019-01-16 |
| 1336668011 | Svetlana Chentsova | Nurse Practitioner | 51 Performance Dr Fl Drive, Weymouth, MA 02189 | 2017-09-14 |
| 1518487818 | Dana Shepherd | Specialist/Technologist | 163 Libbey Industrial Parkway, Suite 302, Weymouth, MA 02189 | 2017-06-27 |
| 1063867802 | Gerald F. Finerty IIi | Nurse Anesthetist, Certified Registered | 163 Libbey Pkwy Ste 301, Weymouth, MA 02189 | 2016-04-29 |
| 1417326604 | Ocean State Urgent Care | Physician Assistant | 119 Liberty Bell Cir, Weymouth, MA 02189 | 2015-09-18 |
| 1558746636 | Jaime Hill | Nurse Practitioner | 31 Charles Street, Weymouth, MA 02189 | 2015-07-30 |
| 1780865337 | James Tyler Carpenter | Psychologist | Neurobehavioral Associates, 169 Libbey Parkway, 2nd Floor, Weymouth, MA 02189 | 2007-11-23 |
| 1508054248 | Anita Nathan Shukla | Ophthalmology | 97 Libbey Industrial Parkway, Suite 100, E. Weymouth, MA 02189 | 2007-10-09 |
| 1164618757 | Mahesh Pandey | Internal Medicine | Dana Farber Community Cancer Care, 51 Performance Drive, Suite 110, Weymouth, MA 02189 | 2007-09-18 |
| 1750573887 | Michele Donlon | Speech-Language Pathologist | 163 Libbey Industrial Pkwy Ste 302, Weymouth, MA 02189 | 2007-08-13 |
| Find all providers in zip 02189 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366570483 | Amanda Zambuto | Nurse Practitioner | 90 Libbey Industrial Pkwy Ste 100, Weymouth, MA 02189-3130 | 2007-03-01 |
| 1568494607 | Therese M Hanley | Nurse Practitioner | 70 Pleasant Street, Weymouth, MA 02190 | 2006-07-07 |
| 1518920321 | Leslie A Leveille | Nurse Practitioner | 2 West St, Weymouth, MA 02190-1861 | 2006-04-11 |
| 1821068354 | Jo-ann E Lee | Nurse Practitioner | 51 Performance Drive, Suite 300, Weymouth, MA 02189-1650 | 2006-01-26 |
| 1710965553 | Kathleen T Cumming | Nurse Practitioner | 90 Libbey Ind Parkway, Weymouth, MA 02189 | 2006-01-03 |
| 1316928013 | Donna J Gensheimer | Nurse Practitioner | 90 Libbey Pkwy, Suite 200, Weymouth, MA 02189-3129 | 2005-11-09 |
| 1730739947 | Justine Malone | Nurse Practitioner | 330 Washington St, Weymouth, MA 02188-2932 | 2019-09-19 |
| 1538715206 | Kristina Wallace Barbone | Nurse Practitioner | 1515 Commercial St, Weymouth, MA 02189-3082 | 2019-08-17 |
| 1043477607 | Lynne C Smith | Nurse Practitioner | 90 Libbey Industrial Pkwy, Weymouth, MA 02189-3129 | 2008-05-21 |
| 1881747194 | Florence Enere | Nurse Practitioner | 1515 Commercial St, Weymouth, MA 02189-3060 | 2007-01-19 |
| Find all providers in WEYMOUTH | ||||
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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.