KIMBERLY RUTH HALLER


Address: 1 Medical Center Drive, Lebanon, NH 03756
Phone: 6036505402

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1 MEDICAL CENTER DRIVE
City LEBANON
State NH
Zip Code 03756

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City LEBANON
Zip Code 03756

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Dataset Information

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.

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