KIMBERLY ANN MCDONOUGH (NPI# 1568635829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568635829 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN MCDONOUGH |
| Practice Address |
1081 Eagle Lake Road Mount Desert ME 04660-0060 |
| Mailing Address |
Po Box 60 Mount Desert ME 04660-0060 |
| Practice Telephone | 2072885037 |
| Mailing Telephone | 2072885037 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2010-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171W00000X | Contractor | OT1632 | ME | Other Service Providers |
| Y | 171W00000X | Contractor | OT1362 | ME | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192153 | Kimberly Boren Mcdonough | Pharmacist | 4300 West 7th Street, St 119/lr, Little Rock, AR 72205 | 2020-10-19 |
| 1366853434 | Kimberly Mcdonough | Dietitian, Registered | 17505 N 79th Ave, Suite 407, Glendale, AZ 85308-8725 | 2014-05-12 |
| 1164861175 | Kimberly Ann Mcdonough | Nurse Practitioner | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2013-06-24 |
| Street Address |
1081 EAGLE LAKE ROAD |
| City | MOUNT DESERT |
| State | ME |
| Zip Code | 04660-0060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083821144 | Town of Mount Desert | Local Education Agency (LEA) | 1081 Eagle Lake Rd, Mt. Desert, ME 04660 | 2007-05-17 |
| 1790162592 | Acadia Integrative Medicine Inc PC | Family Medicine | 1049 Main St, Mount Desert Island, ME 04660 | 2015-04-30 |
| 1861770166 | Kati M Derevere | Registered Nurse | 1049 Main Street, Unit 2s, Mount Desert, ME 04660 | 2011-08-03 |
| 1952501231 | Eyes, P.a. | Optometrist | 1049 Main Street, Mount Desert, ME 04660-0232 | 2007-07-24 |
| 1093182065 | Carla Lee Tanguay | Music Therapist | 12 Dragonfly Way, Mount Desert, ME 04660-6233 | 2015-08-26 |
| 1659423119 | Daniel Johnson | Counselor | 20 Oak Ridge Rd, Mount Desert, ME 04660-6315 | 2007-01-17 |
| 1417431297 | Acadia Integrative Medicine and Primary Care PC | Family Medicine | 1049 Main St, Mount Desert, ME 04660-6318 | 2018-09-18 |
| 1881129799 | Coastal Family Services | Social Worker | 1049 Main St, Mount Desert, ME 04660-6318 | 2017-04-28 |
| 1932479417 | Kristina Minott | Social Worker | 1049 Main St, Mount Desert, ME 04660-6318 | 2011-12-30 |
| 1063780252 | Jessica Ann Greenbaum | Massage Therapist | 364 Sound Dr, Mount Desert, ME 04660-6612 | 2011-12-02 |
| Find all providers in zip 04660 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275004996 | Christopher Malloy | Contractor | 85 Sequoia Ln, North Waterboro, ME 04061-4946 | 2018-12-06 |
| 1851835995 | Heather Ripley | Contractor | 11 Academy Pl, Apt 33, Saco, ME 04072-2874 | 2016-12-08 |
| 1396299046 | Amanda Griffin | Contractor | 380 East Ave, Lewiston, ME 04240-4736 | 2016-08-11 |
| 1962862573 | Catherin Coneita | Contractor | 25 Third St, Rockland, ME 04841-2173 | 2016-02-25 |
| 1194158311 | Denise Toppi | Contractor | 1193 Methodist Rd, Westbrook, ME 04092-3224 | 2013-08-12 |
| 1619247632 | Multicultural Development Resources | Contractor | 74 Pike St., Biddeford, ME 04405 | 2012-01-06 |
| 1457638942 | Cathy A. White | Contractor | 311 Cottrell Rd, Dixmont, ME 04932-3242 | 2011-11-10 |
| 1851608541 | Brenda Joy Lapoint | Contractor | 107 Brown Rd, Durham, ME 04222-5213 | 2010-09-02 |
| 1538476205 | Kathryn Leonard Morrill | Contractor | 45 Lily Ln, Gorham, ME 04038-2661 | 2010-09-01 |
| 1386961209 | Nichole Marie Tremblay | Contractor | 13 Brock Ave, Sanford, ME 04073-1927 | 2010-05-03 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT DESERT |
| Zip Code | 04660 |
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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.