KIMBERLY ANNE ROULEAU (NPI# 1528067501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528067501 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANNE ROULEAU |
| Other Name | KIMBERLY ANNE ROULEAU |
| Credential | ARNP |
| Practice Address |
706 Riverway Pl Bedford NH 03110-6768 |
| Practice Telephone | 6036233516 |
| Practice Fax Number | 6036233580 |
| Mailing Telephone | 6036233516 |
| Mailing Fax Number | 6036233580 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
041762-23-05 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | CIGNA | 4522244 | 01 |
| NH | HARVARD PILGRIM | RONH1361 | 01 |
| NH | 30011686 | 05 | |
| NH | ANTHEM | 4000801Y0NH01 | 01 |
| Street Address |
706 RIVERWAY PL |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427057454 | Robert Cameron Brethauer | Internal Medicine | 706 Riverway Pl, Bedford, NH 03110-6768 | 2005-07-20 |
| 1790090017 | Elliot Professional Services | Internal Medicine | 706 Riverway Pl, Bedford, NH 03110-6768 | 2010-08-11 |
| 1306807102 | Joshua Dion | Nurse Practitioner | 706 Riverway Pl, Bedford, NH 03110-6768 | 2006-03-31 |
| 1740280536 | Stephen Francis Rowe | Internal Medicine | 706 Riverway Pl, Bedford, NH 03110-6768 | 2005-07-22 |
| 1740289776 | Peter Edward Corrigan | Internal Medicine | 706 Riverway Pl, Bedford, NH 03110-6768 | 2005-07-20 |
| 1942209945 | Pulmonary Medicine Associates, PC | Internal Medicine | 706 Riverway Pl, Bedford, NH 03110-6768 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740769173 | Annette Theresa Pohlchuck | Nurse Practitioner | 44 Blaine Ave Fl 4, Bedford, OH 44146-2709 | 2018-08-07 |
| 1831335173 | Kimberly Ann Koch | Nurse Practitioner | 1305 Airport Fwy Ste 405, Bedford, TX 76021-6607 | 2008-12-16 |
| 1205912995 | Lisa A Kleindorfer | Nurse Practitioner | 2424 Q St, Bedford, IN 47421-4734 | 2006-10-27 |
| 1629175146 | Ann Louise Paladin | Nurse Practitioner | Edith North Hospital, 200 Springs Rd, Bedford, MA 01730-1198 | 2006-09-19 |
| 1548282718 | Elizabeth Mary Cullity | Nurse Practitioner | 300 Springs Road, Bedford, MA 01730 | 2006-07-24 |
| 1942204540 | Judy A Custer | Nurse Practitioner | 342 Richard St, Bedford, PA 15522 | 2005-06-10 |
| 1770587024 | Gloria Just | Nurse Practitioner | 217 Washington Street, Bedford, VA 24523 | 2005-06-02 |
| 1851905970 | Kortney Nicole Curtis | Nurse Practitioner | 2811 Washington Ave, Bedford, IN 47421-5310 | 2020-09-04 |
| 1750912960 | Stephanie Holdcroft | Nurse Practitioner | 3251 Shawnee Dr S, Bedford, IN 47421-5277 | 2020-01-28 |
| 1104348903 | Nidish Jose | Nurse Practitioner | 2700 Tibbets Dr Ste 300, Bedford, TX 76022-5938 | 2017-07-13 |
| Find all providers in BEDFORD | ||||
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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.