KIM M TREMBLAY (NPI# 1265429229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265429229 |
| Entity Type | Individual |
| Full Name | KIM M TREMBLAY |
| Credential | N.P. |
| Practice Address |
30 Northampton St Boston MA 02118-4098 |
| Mailing Address |
354 Merrimack St Lawrence MA 01843-1754 |
| Practice Telephone | 6174339601 |
| Practice Fax Number | 6174456538 |
| Mailing Telephone | 9786872321 |
| Mailing Fax Number | 9786857265 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 036506-21 | NH | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 147292 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
147292 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
147292 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBSMA | NP0790 | 01 |
| Street Address |
30 NORTHAMPTON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-4098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284796 | Kara Mears-billey | Registered Nurse | 30 Northampton St, Boston, MA 02118-4098 | 2020-08-04 |
| 1851944805 | Helen Pang | Registered Nurse | 30 Northampton St, Boston, MA 02118-4098 | 2019-07-18 |
| 1063974723 | Ashley Ratchford Gilliam | Registered Nurse | 30 Northampton St, Boston, MA 02118-4010 | 2019-04-02 |
| 1659832327 | Laura Maria Espinosa Loaiza | Nurse Practitioner | 30 Northampton St, Boston, MA 02118-4010 | 2019-03-26 |
| 1811475684 | Anne Patrice Tetrault | Licensed Practical Nurse | 30 Northampton St, Boston, MA 02118-4010 | 2018-08-02 |
| 1700376274 | Brett Patrick Huff | Licensed Practical Nurse | 30 Northampton St, Boston, MA 02118-4010 | 2018-05-10 |
| 1194227140 | Jennifer Smith Mcsheffrey | Nurse Practitioner | 30 Northampton St, Boston, MA 02118-4010 | 2018-03-06 |
| 1225538226 | Christina J Bailey | Registered Nurse | 30 Northampton St, Boston, MA 02118-4010 | 2018-02-15 |
| 1629504188 | Miriam Maria Velardo | Licensed Practical Nurse | 30 Northampton St, Boston, MA 02118-4010 | 2017-05-03 |
| 1700338183 | Colleen Senterfitt | Advanced Practice Midwife | 30 Northampton St, Boston, MA 02118-4010 | 2016-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116133 | Riva Stephens | Nurse Practitioner | 281 Beacon St Apt 12, Boston, MA 02116-1273 | 2019-07-22 |
| 1548736077 | Shashi Narayan Uhlmann | Nurse Practitioner | 360 Huntington Ave Bldg 135, Boston, MA 02115-5000 | 2018-10-23 |
| 1669973244 | Teresa Morreale | Nurse Practitioner | 243 Charles St 712, Boston, MA 02114 | 2018-02-28 |
| 1790159697 | Malgorzata E Smas | Nurse Practitioner | 16 Anderson St Apt 2, Boston, MA 02114-3645 | 2015-11-16 |
| 1881083152 | Phuong My Ho | Nurse Practitioner | 72 E Concord St # 2, Boston, MA 02118-2307 | 2015-01-09 |
| 1285837336 | Rebecca Koeniger Donohue | Nurse Practitioner | 94 Pilgrim Rd, Boston, MA 02215-4127 | 2007-06-07 |
| 1184238438 | Michele Newman | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-09-03 |
| 1023628468 | Bryar Hasenjaeger | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-31 |
| 1659925907 | Jacqueline Suzanne Roman | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2696 | 2019-07-25 |
| 1912563180 | Julian Allroth Dormitzer | Nurse Practitioner | 1340 Boylston St, Boston, MA 02215-4302 | 2019-05-14 |
| Find all providers in BOSTON | ||||
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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.