KIMBERLY BLOMGREN (NPI# 1679125306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679125306 |
| Entity Type | Individual |
| Full Name | KIMBERLY BLOMGREN |
| Credential | RN |
| Practice Address |
526 Old Liverpool Rd Ste 9 Liverpool NY 13088-6285 |
| Mailing Address |
79 Glenridge Rd Glenville NY 12302-4523 |
| Practice Telephone | 3154533911 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2020-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 508303 | NY | Nursing Service Providers |
| Street Address |
526 OLD LIVERPOOL RD STE 9 |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088-6285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679805329 | Lori Ann Sobotka | Registered Nurse | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2010-02-05 |
| 1205475522 | Mia Martans | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2020-01-03 |
| 1356980122 | Shannen Clark | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-12-27 |
| 1609421288 | Tori Marie Hastings | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-08-09 |
| 1225690878 | Cody Ashton Ryan Bowser | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-07-03 |
| 1407415979 | Lorraine Ann Bushnell | Licensed Practical Nurse | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-06-10 |
| 1770141749 | Gabrielle Mary Parrow | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-06-04 |
| 1043779929 | Lori Ann Barrett | Registered Nurse | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-03-19 |
| 1841759560 | Craig Garay Jones | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-03-13 |
| 1437613940 | Lena May | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| Find all providers in zip 13088 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134760572 | Ann Sadowski | Registered Nurse | 112 Ruby Rd, Liverpool, NY 13088-5432 | 2019-10-07 |
| 1720555824 | Patsy Anne Aversa | Registered Nurse | 4110 Balboa Dr, Liverpool, NY 13090-1610 | 2018-10-26 |
| 1316489222 | Barbara Ann Scala | Registered Nurse | 417 Electronics Pkwy, Liverpool, NY 13088-6001 | 2016-11-09 |
| 1700339322 | Kathleen Wertman | Registered Nurse | 106 Gillis Ave, Liverpool, NY 13088-6018 | 2016-07-31 |
| 1952766420 | Melinda Correia | Registered Nurse | 108 Parker Ave, Liverpool, NY 13088-4318 | 2015-12-28 |
| 1679947915 | Ericka Williams | Registered Nurse | 4202 Sampan Way, Liverpool, NY 13090-6888 | 2015-11-24 |
| 1245603737 | Kathleen Anderson | Registered Nurse | 5027 Astilbe Path, Liverpool, NY 13088-2181 | 2015-11-05 |
| 1245609031 | Maureen Woods | Registered Nurse | 4215 Halfmoon Cir, Liverpool, NY 13090-6836 | 2015-09-22 |
| 1952770885 | Amanda Lynn Fiori | Registered Nurse | 118 Kings Park Dr Apt C, Liverpool, NY 13090-2718 | 2015-09-22 |
| 1184092165 | Christine Mathews | Registered Nurse | 7714 Black Willow, Liverpool, NY 13090-3600 | 2015-09-09 |
| Find all providers in LIVERPOOL | ||||
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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.