MRS. KIMBERLY R HENRIQUES (NPI# 1770964728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770964728 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY R HENRIQUES |
| Credential | APRN-AGACNP |
| Practice Address |
85 Herrick Street Beverly MA 01915 |
| Practice Telephone | 9789223000 |
| Mailing Telephone | 9789223000 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2018-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN64322 | ME | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
CNP151201 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
85 HERRICK STREET |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497741045 | James Chafey | Radiology | 85 Herrick Street, Radiology Department, Beverly, MA 01915-1790 | 2005-09-20 |
| 1275010977 | Brynn Thompson | Social Worker | 85 Herrick Street, Beverly Hospital, Beverly, MA 01915 | 2018-07-25 |
| 1407355878 | Rachelle Marcella Garcia | Advanced Practice Midwife | 85 Herrick Street, North Shore Birth Center, Beverly, MA 01915 | 2018-02-12 |
| 1558816249 | Paige Elizabeth Casperson | Physician Assistant | 85 Herrick Street, Beverly Hospital Emergency Department, Beverly, MA 01915 | 2016-08-23 |
| 1760704233 | Robin C Downing | Registered Nurse | 85 Herrick Street, C/o Beverly Hospital, Beverly, MA 01915 | 2010-02-24 |
| 1679807226 | Northeast Hospital Corportation | Psychiatry & Neurology | 85 Herrick Street, Medical Staff Office, Beverly, MA 01915 | 2009-09-30 |
| 1821236019 | Beverly Hospital | General Acute Care Hospital | 85 Herrick Street, Beverly Hospital, Beverly, MA 01915-1777 | 2009-01-27 |
| 1396991709 | Northeast Hospital Corporation | Clinic/Center | 85 Herrick Street, Beverly, MA 01915 | 2008-08-18 |
| 1700032471 | Collins A. Tabiri | Internal Medicine | 85 Herrick Street, Beverly, MA 01915 | 2008-08-14 |
| 1871755132 | Northeast Hospital Corporation | Internal Medicine | 85 Herrick Street, Medical Staff Office, Beverly, MA 01915 | 2008-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427153584 | Judy E Feener | Nurse Practitioner | 75 Brimbal Ave, Beverly, MA 01915-6009 | 2006-09-13 |
| 1316206352 | Jane Wagema-johnson | Nurse Practitioner | 100 Cummings Ctr, Suite 222c, Beverly, MA 01915-6115 | 2012-05-11 |
| 1285642942 | Christine R Cyr | Nurse Practitioner | 800 Cummings Ctr Ste 266t, Beverly, MA 01915-6172 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018370 | Ashley Erin Dimauro | Nurse Practitioner | 155 Federal St Ste 700, Boston, MA 02110-1727 | 2019-11-18 |
| 1780228924 | Jeffrey J Benoit | Nurse Practitioner | 103 Upper Rd, Deerfield, MA 01342-9739 | 2019-10-31 |
| 1962064626 | Katharine Kingsley Campbell | Nurse Practitioner | 50 Orchardhill Rd, Jamaica Plain, MA 02130-3725 | 2019-07-02 |
| 1124502737 | Rebecca Gaffney | Nurse Practitioner | 200 Mill Rd Ste 190, Fairhaven, MA 02719-5259 | 2018-09-19 |
| 1154821114 | Caroline Namuzinda Mawanda | Nurse Practitioner | 8 Baron Park Ln Apt 20, Burlington, MA 01803-5453 | 2018-02-16 |
| 1205334588 | Mary Torkornoo | Nurse Practitioner | 430 Massasoit Rd, Worcester, MA 01604-3546 | 2018-01-31 |
| 1508374406 | Kristin Tyrrell Chouinard | Nurse Practitioner | Home Md, 75 Sylvan St., Danvers, MA 01923-0192 | 2018-01-14 |
| 1962921379 | Krysta L Doucette | Nurse Practitioner | 47 High Street Suite 101, North Andover, MA 01845-5201 | 2017-09-18 |
| 1366961310 | Christine Anna Corallino | Nurse Practitioner | 14 Foster Street, #3, Boston, MA 02109 | 2017-09-11 |
| 1922546407 | Lisa Marie Joyce | Nurse Practitioner | 321 Manley St, West Bridgewater, MA 02379 | 2017-02-06 |
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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.