KIMBERLY WYATT (NPI# 1245719079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245719079 |
| Entity Type | Individual |
| Full Name | KIMBERLY WYATT |
| Practice Address |
10 Tsienneto Rd Derry NH 03038-1505 |
| Practice Telephone | 6034341577 |
| Mailing Telephone | 6034341577 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223947 | Kimberly Lashawn Wyatt | Licensed Practical Nurse | 180 Autumn Chapel Way, Rochester, NY 14624-5304 | 2020-04-10 |
| 1538492301 | Kimberly Rene Wyatt | Massage Therapist | 3229 Broadway St Ste G, North Bend, OR 97459-2203 | 2009-09-11 |
| 1326024902 | Kimberly Sue Wyatt | Internal Medicine | 509 Se Riverside Dr Ste 303, Stuart, FL 34994-2579 | 2005-12-15 |
| 1770116394 | Kimberly Wyatt | Social Worker | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-02-21 |
| 1194269019 | Kimberly Saphaire-dawn Wyatt | Counselor | 209 Milwaukee St, Mount Vernon, WA 98273 | 2016-12-12 |
| 1336579622 | Kimberly Wyatt | Chiropractor | 1670 Mckendree Church Rd, Suite 400 B, Lawrenceville, GA 30043-4107 | 2013-11-22 |
| 1538490297 | Kimberly Anne Wyatt | Physician Assistant | 707 Hollybrook Dr, Longview, TX 75605-2410 | 2010-01-20 |
| Street Address |
10 TSIENNETO RD |
| City | DERRY |
| State | NH |
| Zip Code | 03038-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154374452 | Heather J Souther | Counselor | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2006-05-18 |
| 1710592977 | Lamprey Health Care Inc | Physician Assistant | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2020-09-14 |
| 1548822679 | Kristen Mccrady | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2019-06-28 |
| 1023675824 | Alex Reardon | Nurse Practitioner | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2019-05-28 |
| 1245795301 | Emily Coco | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2019-02-04 |
| 1972074698 | Irina Horodincu | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-12-06 |
| 1366910754 | Carol Early | Registered Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-11-05 |
| 1083181283 | Crystal Higgins | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-10-26 |
| 1306320999 | The Mental Health Ctr for Southern New Hampshire | Community/Behavioral Health | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-09-19 |
| 1578044673 | Michele Saunders | Community Health Worker | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750922142 | Derry Surgical Center, LLC | Clinic/Center | 15 Tsienneto Road, Derry, NH 03038 | 2019-10-07 |
| 1265941769 | Shireen Kirata | Physician Assistant | Lahey Institute of Urology, Derry, 44 Birch Street, Derry, NH 03038 | 2017-09-27 |
| 1538615133 | Louise Dinsmore | Pharmacist | 48 East Broadway, Derry, NH 03038 | 2016-09-01 |
| 1295188852 | Lauren Manney | Pharmacist | 48 E. Broadway, Derry, NH 03038 | 2016-07-19 |
| 1396104857 | Simply Orthodontics, Nh, PC | Dentist | 8 Crystal Ave, Derry, NH 03038 | 2016-02-12 |
| 1659766996 | Beverly Stasia Weston | Adult Companion | 60 Frost Rd, Derry, NH 03038 | 2015-04-03 |
| 1639580038 | Tricia Lane | Nurse Practitioner | 1 Parkland Drive, Derry, NH 03038 | 2014-05-20 |
| 1841620382 | Rothenwitz Dental Partnership | Dentist | 19d Manchester Rd, Suite 3, Derry, NH 03038 | 2013-11-20 |
| 1184934978 | Colleen Summers | Nurse Practitioner | 6 Tsiennto Road, Suite 101ll, Derry, NH 03038 | 2010-10-14 |
| 1609016922 | Bethany Lynne Layne | Physical Therapist | 8 White Oak Lane, Derry, NH 03038 | 2009-02-26 |
| Find all providers in zip 03038 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780164459 | Sarah Paullis | Case Manager/Care Coordinator | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-08-21 |
| 1083194534 | Sabrina Mercurio | Case Manager/Care Coordinator | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-08-15 |
| 1386123412 | Brittany Stringfellow | Case Manager/Care Coordinator | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-08-09 |
| 1639658958 | Jamie Intoppa | Case Manager/Care Coordinator | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-08-08 |
| 1326527656 | Margaret Gallaher | Case Manager/Care Coordinator | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-08-08 |
| 1720567050 | Delia Foley | Case Manager/Care Coordinator | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-08-08 |
| 1205315561 | Lisi Leccese | Case Manager/Care Coordinator | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-08-08 |
| 1194204487 | Krystal Marquez | Case Manager/Care Coordinator | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-08-08 |
| 1003395393 | Catherine Bolduc | Case Manager/Care Coordinator | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-08-08 |
| 1497234744 | Elyse Bourcier | Case Manager/Care Coordinator | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-08-08 |
| Find all providers in DERRY | ||||
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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.