MS. KIMBERLY A MALONE (NPI# 1659545754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659545754 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY A MALONE |
| Credential | RDLD |
| Practice Address |
163 Van Buren Rd Caribou ME 04736-3567 |
| Practice Telephone | 2074983111 |
| Practice Fax Number | 2074962631 |
| Mailing Telephone | 2074983111 |
| Mailing Fax Number | 2074962631 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | D1938 | ME | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093147050 | Kimberly Jo Malone | Nurse Practitioner | Emile @ 42nd St, Omaha, NE 68198-0001 | 2013-08-01 |
| 1578836961 | Kimberly Malone | Counselor | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2012-02-15 |
| 1801973532 | Kimberly Dawn Malone | Anesthesiology | 555 E Hardy St, Inglewood, CA 90301-4011 | 2006-11-01 |
| Street Address |
163 VAN BUREN RD |
| City | CARIBOU |
| State | ME |
| Zip Code | 04736-3567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548402 | Robert Bassett | Orthopaedic Surgery | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2005-09-15 |
| 1215541479 | Cameron Ryan Hartford | Physical Therapy Assistant | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2020-09-04 |
| 1740892322 | Letisha Leman | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2020-08-17 |
| 1083256150 | Ian Blake Sotomayor | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-10 |
| 1396387577 | Katelyn Marie Chapman | Physical Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1144862335 | Joshua Ellis Turbide | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1922640101 | Victoria Marilyn Mcintyre | Physical Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1750923942 | Mitchell Vaughn Wheeler | Physical Therapy Assistant | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1265910723 | Dimas Yusuf | Internal Medicine | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2018-08-06 |
| 1386150571 | Renee Richards | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2017-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073849998 | Eastern Aroostook Regional School | Local Education Agency (LEA) | 75 Glenn St, Caribou, ME 04736 | 2009-10-28 |
| 1992933675 | Philip St. Peter | In Home Supportive Care | 77 Grimes Rd, Caribou, ME 04736 | 2009-07-01 |
| 1063646982 | Cheri Melody Hayes | Occupational Therapist | 50 Page Ave, Caribou, ME 04736 | 2009-05-06 |
| 1003059189 | Maureen N. Murchison | Rehabilitation Counselor | 159 Bennett Dr Ste 201, Caribou, ME 04736 | 2009-04-20 |
| 1083864441 | Amy L. Deprey | Counselor | 43 Hatch Dr Ste 210, Caribou, ME 04736 | 2008-09-23 |
| 1043467079 | Julie M Bouchard | Physical Therapist | 118 Bennett Dr Ste 140, Caribou, ME 04736 | 2008-08-21 |
| 1770746448 | Andrea L Reid | Social Worker | 20 Old Van Buren Road, Caribou, ME 04736 | 2008-07-03 |
| 1265627863 | Aimee Victoria Mcclellan | Social Worker | 92 Bennett Drive, Caribou, ME 04736 | 2007-09-07 |
| 1245421387 | David Terry Letourneau | Specialist/Technologist | 7 Russ Street, Center for Integrated Neuro-rehab, Caribou, ME 04736 | 2007-08-05 |
| 1851512024 | Lisa Brigitte Deschenes | Physical Therapist | 10 Bernadette Street, Caribou, ME 04736 | 2007-05-02 |
| Find all providers in zip 04736 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740454644 | Marthe E Pelletier | Dietitian, Registered | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2008-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403454 | Jacqueline Robilliard Rd Cde LLC Nutrition Care Center | Dietitian, Registered | 219 Cony Rd, Augusta, ME 04330-0502 | 2020-10-07 |
| 1891392312 | Donna Lynn Walsh | Dietitian, Registered | 10 Stagecoach Rd, Liberty, ME 04949-3133 | 2020-10-07 |
| 1407463888 | Ria Kathleen Saunders | Dietitian, Registered | 219 Cony Rd # 1, Augusta, ME 04330-0502 | 2020-09-29 |
| 1164048260 | Katherine Alexis Davenport | Dietitian, Registered | 126 Wiley Rd Apt B2, Greene, ME 04236-3477 | 2020-06-24 |
| 1407476351 | Tara Gould | Dietitian, Registered | 6 State St Ste 607, Bangor, ME 04401-5140 | 2020-04-21 |
| 1497395081 | Common Beet Nutrition Counseling, LLC | Dietitian, Registered | 21 Simpson Rd, Saco, ME 04072-9554 | 2020-01-10 |
| 1245873868 | Lori A Kaley | Dietitian, Registered | 689 Wings Mills Rd, Mount Vernon, ME 04352-3807 | 2019-10-27 |
| 1225688195 | Brianna Nicole Fortin | Dietitian, Registered | 120 Main St # 113, Saco, ME 04072-3527 | 2019-09-12 |
| 1629636725 | Andrea Paul | Dietitian, Registered | 33 Tucker Ave, Portland, ME 04103-1422 | 2019-06-03 |
| 1477018430 | Kim David | Dietitian, Registered | 13 Buds Trl, Cumberland, ME 04021-3162 | 2019-02-04 |
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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.