KENNETH HENRY HILBORNE JR. (NPI# 1346218773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346218773 |
| Entity Type | Individual |
| Full Name | KENNETH HENRY HILBORNE JR. |
| Credential | NP |
| Practice Address |
4 Commerce Lane Canton NY 13617 |
| Mailing Address |
605 Elizabeth St Ogdensburg NY 13669 |
| Practice Telephone | 3153868191 |
| Practice Fax Number | 3153861410 |
| Mailing Telephone | 3153934728 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2009-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F330919 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 161568985LAI | 01 | |
| NY | 01995615 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144741158 | Kenneth Hilborne | Nurse Practitioner | 3 Lyon Pl, Ogdensburg, NY 13669-2590 | 2017-06-29 |
| Street Address |
4 COMMERCE LANE |
| City | CANTON |
| State | NY |
| Zip Code | 13617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184618084 | Muhammad U Saleem | Psychiatry & Neurology | 4 Commerce Lane, Canton, NY 13617-3739 | 2005-09-07 |
| 1881948966 | Shannon Marie Mayette | Dental Hygienist | 4 Commerce Lane, Canton, NY 13617-3739 | 2012-10-29 |
| 1477806693 | Danielle E Poste | Dental Hygienist | 4 Commerce Lane, Canton, NY 13617 | 2012-10-25 |
| 1871843193 | Christine R Thrasher | Nurse Practitioner | 4 Commerce Lane, Canton, NY 13617 | 2012-09-13 |
| 1750669958 | Kimberly Elizabeth Murray | Dental Hygienist | 4 Commerce Lane, Canton, NY 13617-3739 | 2011-07-22 |
| 1861703266 | Michael Joseph Herzog | Social Worker | 4 Commerce Lane, Canton, NY 13617-3739 | 2010-06-30 |
| 1568785228 | Judith Ann Chase | Dental Hygienist | 4 Commerce Lane, Canton, NY 13617 | 2010-03-10 |
| 1598904195 | Julie W Catling | Social Worker | 4 Commerce Lane, Canton, NY 13617-3739 | 2009-02-05 |
| 1831344704 | United Cerebral Palsy Assoc of The North Country Inc | Dental Hygienist | 4 Commerce Lane, Canton, NY 13617 | 2008-11-19 |
| 1104072388 | Jesse J Kibert | Physician Assistant | 4 Commerce Lane, Canton, NY 13617-3739 | 2008-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
| 1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
| 1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
| Find all providers in zip 13617 | ||||
| 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 |
|---|---|---|---|---|
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1891286928 | Joseph Vincent Bautista Doromal | Nurse Practitioner | 111 Mountain Brook Dr, Canton, GA 30115-9045 | 2018-05-24 |
| 1245748060 | Renita Roychelle Strickland | Nurse Practitioner | 498 Chattin Dr, Canton, GA 30115-8240 | 2018-01-15 |
| 1487176921 | Nguyet Tran Tyler | Nurse Practitioner | 1558 Riverstone Pkwy, Canton, GA 30114-2898 | 2017-07-15 |
| 1255865820 | Mercedita Ungab-canete | Nurse Practitioner | 4019 Sarah Ann Dr, Canton, MI 48188-2193 | 2017-04-20 |
| 1720447477 | Shafiq U Rehman | Nurse Practitioner | 41667 Quail Ct, Canton, MI 48188-5228 | 2016-02-22 |
| 1396119145 | Marie Posy | Nurse Practitioner | 506 Blue Mountain Rise, Canton, GA 30114-5713 | 2015-11-17 |
| 1407231202 | Advanced Wound and Ostomy Solutions | Nurse Practitioner | 203 River Green Ave, Canton, GA 30114-5846 | 2015-07-22 |
| 1427474527 | Stephen Collins | Nurse Practitioner | 1684 Fallen Timber St Ne, Canton, OH 44721-3858 | 2014-03-13 |
| 1992030712 | Cheryl Lynn Belopotosky | Nurse Practitioner | 733 Market Ave. Sw, Canton, OH 44702-1018 | 2009-10-13 |
| Find all providers in CANTON | ||||
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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.