KIMBERLY BRADSHAW MCNULTY (NPI# 1285138651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285138651 |
| Entity Type | Individual |
| Full Name | KIMBERLY BRADSHAW MCNULTY |
| Practice Address |
910 Gladway Rd Middle River MD 21220-1900 |
| Practice Telephone | 4107906619 |
| Mailing Telephone | 4107906619 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| 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 |
R156860 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437612785 | Kimberly Mcnulty | Dietitian, Registered | 106 Carnie Blvd, Voorhees, NJ 08043-4515 | 2019-04-12 |
| Street Address |
910 GLADWAY RD |
| City | MIDDLE RIVER |
| State | MD |
| Zip Code | 21220-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881164119 | Sian Crosby | Speech-Language Pathologist | Glenmar Elementrary School, 9700 Community Drive, Middle River, MD 21220 | 2018-11-29 |
| 1336545029 | Andrea Tuck | Counselor | 24 Granny Smith Ct, Baltimore, MD 21220 | 2014-11-07 |
| 1356762959 | Johns Hopkins Hospital | General Acute Care Hospital | 11550 Crossroad Circle, Unit 606, Middle River, MD 21220 | 2013-12-27 |
| 1770693392 | Costco Wholesale Corporation | Pharmacy | 9919 Pulaski Hwy, Baltimore, MD 21220 | 2006-08-30 |
| 1255393344 | James Wallace Carpenter | Physician Assistant | 10 North Green St, Va Med Center Ward 6b, Baltimore, MD 21220 | 2006-04-04 |
| 1386624427 | Allen F Clowers | Family Medicine | 107 Beacon Road, Baltimore, MD 21220 | 2006-01-17 |
| 1306229794 | Dorcas Lwanga | Dietitian, Registered | 201 Ballard Ave, Middle River, MD 21220 | 2015-07-02 |
| 1437550761 | Eastern Avenue Dental, LLC | Dentist | 12412 Eastern Ave, Baltimore, MD 21220 | 2014-09-05 |
| 1366857617 | Suprina Kaur | Dentist | 12412 Eastern Ave, Middle River, MD 21220 | 2014-06-25 |
| 1316905227 | Chienyenwa E. Nwachinemere | Internal Medicine | 201 Ballard Ave, Middle River, MD 21220 | 2006-05-02 |
| Find all providers in zip 21220 | ||||
| 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 |
|---|---|---|---|---|
| 1043820301 | Nicole Troiani | Nurse Practitioner | 721 S Rose St, Baltimore, MD 21224-3738 | 2020-08-03 |
| 1750861910 | Honorine Mbaoua | Nurse Practitioner | Walter Reed Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20814 | 2018-08-17 |
| 1538526074 | Titilola Iyun | Nurse Practitioner | 5900 Millrace Ct, Apt A204, Columbia, MD 21045-5288 | 2016-01-27 |
| 1629340906 | Josephine Moore | Nurse Practitioner | 20816 Clear Morning Ct, Germantown, MD 20874-3942 | 2012-02-02 |
| 1386967545 | Rita Abu-jaber | Nurse Practitioner | Johns Hopkins Outpatient Ctr, 601 N. Caroline St. Rm 5240, Baltimore, MD 21287-0001 | 2010-03-02 |
| 1417589748 | Meredith Peiffer | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-02-05 |
| 1558909176 | Michelle Shannon | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2019-12-13 |
| 1972089589 | Jamie Danielle Bowman | Nurse Practitioner | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2018-07-17 |
| 1912495938 | Laura Anne Trumpower | Nurse Practitioner | 74 Thomas Johnson Dr, Frederick, MD 21702-4501 | 2018-04-25 |
| 1710400999 | Scott Alan Cook | Nurse Practitioner | 100 E Carroll St, Salisbury, MD 21801-5422 | 2017-07-19 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLE RIVER |
| Zip Code | 21220 |
Please comment or provide details below to improve the information on KIMBERLY BRADSHAW MCNULTY.
| 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.