KIMBERLY RUTH HALLER (NPI# 1558987560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558987560 |
Entity Type | Individual |
Full Name | KIMBERLY RUTH HALLER |
Credential | AGPCNP-BC |
Practice Address |
1 Medical Center Drive Lebanon NH 03756 |
Practice Telephone | 6036505402 |
Mailing Telephone | 6036505402 |
Enumeration Date | 2020-06-25 |
Last Update Date | 2020-06-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
082510-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1 MEDICAL CENTER DRIVE |
City | LEBANON |
State | NH |
Zip Code | 03756 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306409818 | Kyle Lance Holsted | Physician Assistant | 1 Medical Center Drive, Department of Surgery, Lebanon, NH 03756-0001 | 2019-04-19 |
1639643919 | Michael Patrick Gaffney | Physician Assistant | 1 Medical Center Drive, Dartmouth Hitchcock - Otolaryngology, Lebanon, NH 03756 | 2019-01-19 |
1780189134 | Hannah Louise Duane | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Dhmc-dept of Internal Medicine, Lebanon, NH 03756-1000 | 2018-03-28 |
1295239135 | Erica Katherine Gotow | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Dhmc Department of Psychiatry, Lebanon, NH 03756-0001 | 2018-03-23 |
1427597012 | Evan C Bick | Psychologist | 1 Medical Center Drive, 5d-psychiatry, Lebanon, NH 03756 | 2017-02-16 |
1447614391 | James Harvey Elder Iv | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Emergency Medicine Residency Office, Lebanon, NH 03766 | 2016-04-07 |
1669866596 | Elizabeth Schwartz | Psychiatry & Neurology | 1 Medical Center Drive, Psychiatry Department, Lebanon, NH 03756-1000 | 2015-03-28 |
1841618899 | Minda A Gowarty | Internal Medicine | 1 Medical Center Drive, Dartmouth Hitchcock - Internal Medicine, Lebanon, NH 03756 | 2014-04-06 |
1952747446 | Kerrilynn Carney Hennessey | Internal Medicine | 1 Medical Center Drive, Department of Cardiology, Lebanon, NH 03756 | 2013-05-11 |
1043575277 | Vinca Wing Kar Chow | Anesthesiology | 1 Medical Center Drive, Dartmouth Hitchcock-anesthesiology & Pain Medicine, Lebanon, NH 03756 | 2012-07-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790277796 | Sindri Aron Viktorsson | Student in an Organized Health Care Education/Training Program | Dartmouth- Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756 | 2018-06-05 |
1376078501 | Robert G.p. Murray | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Pediatric Residency Program, Children's Hospital At Dartmouth-hitchcock, Dartmouth H, Lebanon, NH 03756 | 2017-04-25 |
1063946242 | Keira Kilmartin | Student in an Organized Health Care Education/Training Program | One Medical Centre Drive, Pediatric Residency Program, Lebanon, NH 03756 | 2017-04-14 |
1194120691 | Clearchoicemd | Clinic/Center | 422 Miracle Mile Rd, Lebanon, NH 03756 | 2014-10-27 |
1629380159 | Rattanaporn Mahatanan | Internal Medicine | One Meical Center Drive, Dhmc Infectious Disease Department, Lebanon, NH 03756 | 2010-07-13 |
1780803833 | Kenneth W Travis | Anesthesiology | Darmouth Hitchock Med Ct, One Medical Ctre Drive, Lebanon, NH 03756 | 2007-04-25 |
1295950657 | Jillian R Ozmore | Genetic Counselor, MS | Dartmouth Hitchcock, One Medical Center Drive, Lebanon, NH 03756 | 2007-04-13 |
1609961119 | Athos John Rassias | Anesthesiology | Critical Care Medicine 1 Medical Center Drive, Dhmc, Lebanon, NH 03756 | 2006-10-03 |
1679592067 | Martha J Allen | Physician Assistant | Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-07-18 |
1194765768 | Joseph Livin Perras II | Internal Medicine | Dartmouth-hitchcock Clinic, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-06-08 |
Find all providers in zip 03756 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932525839 | Lindsay Schommer | Nurse Practitioner | 1 Medical Center Dr - Neurology, Dartmouth-hitchcock Medical Center, Lebanon, NH 03756-0001 | 2014-03-16 |
1598016958 | Kevin P Kalnoski | Nurse Practitioner | 864 Jay St, Lebanon, PA 17046-1924 | 2012-09-26 |
1891965927 | Dana Michelle Logsdon | Nurse Practitioner | 727 W. Main St., Lebanon, KY 40033 | 2008-03-05 |
1184785826 | Jane Shelby Pierce | Nurse Practitioner | 1432 W Main St, Suite 700, Lebanon, TN 37087-1323 | 2006-12-13 |
1932276466 | Jennifer Ann Petty | Nurse Practitioner | 1123 North Castleheights Avenue, Suite H, Lebanon, TN 37087-1510 | 2006-11-29 |
1124645536 | Christina Lynne Cohee | Nurse Practitioner | 2505 N Lebanon St Ste 220, Lebanon, IN 46052-8611 | 2020-07-01 |
1477180552 | Catherine Anton | Nurse Practitioner | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-03-26 |
1043772932 | Connesuala Powers | Nurse Practitioner | 115 Winwood Dr Ste 205, Lebanon, TN 37087-1399 | 2019-04-01 |
1033692850 | Alexa Ruppert Holleran | Nurse Practitioner | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2018-09-07 |
1811487630 | Elaine Walker | Nurse Practitioner | One Medical Center Drive, 4m Wound Care Center, Lebanon, NH 03756-0001 | 2018-05-17 |
Find all providers in LEBANON |
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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.