BARBARA KIMBLE-GOODMAN


Address: 95 Thomaston Ave, Waterbury, CT 06702-1007
Phone: 2038055300

BARBARA KIMBLE-GOODMAN (NPI# 1780997601) 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) 1780997601
Entity Type Individual
Full Name BARBARA KIMBLE-GOODMAN
Practice Address 95 Thomaston Ave
Waterbury
CT 06702-1007
Mailing Address 703 Meriden Waterbury Tpke
Southington
CT 06489-4154
Practice Telephone 2038055300
Enumeration Date 2010-07-20
Last Update Date 2010-07-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
003974 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT APRN LICENSE 003974 01

Office Location

Street Address 95 THOMASTON AVE
City WATERBURY
State CT
Zip Code 06702-1007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295820074 Blanche J Gronowski Social Worker 95 Thomaston Ave, Waterbury, CT 06702-1007 2006-10-04
1003369778 Patricia Ann Dupree-bautista Social Worker 95 Thomaston Ave, Waterbury, CT 06702-1007 2016-07-29
1083031520 Jocelyne Martin-karam Nurse Practitioner 95 Thomaston Ave, Waterbury, CT 06702-1007 2014-03-22
1407106446 Melinda M Silva Social Worker 95 Thomaston Ave, Waterbury, CT 06702-1007 2012-09-18
1124387972 Amanda R. Griffin-sergel Social Worker 95 Thomaston Ave, Waterbury, CT 06702-1007 2012-05-15
1194021758 Daisy Santiago-levasseur Social Worker 95 Thomaston Ave, Waterbury, CT 06702-1007 2011-01-31
1245549815 Melanie A. Watkins-griffin Social Worker 95 Thomaston Ave, Waterbury, CT 06702-1007 2010-09-30
1225367287 Man-ching Mandy Yeh Counselor 95 Thomaston Ave, Waterbury, CT 06702-1007 2009-12-21
1093048555 Arlene Marie Garcia Social Worker 95 Thomaston Ave, Western Ct Mental Health Network, Waterbury, CT 06702-1007 2009-09-15
1851536544 Tran Tu Social Worker 95 Thomaston Ave, Waterbury, CT 06702-1007 2008-12-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780120295 Melitza Velez Counselor 80 Prospect St., Waterbury, CT 06702 2017-01-09
1467813600 Ashley Joseph Counselor 30 Holmes Ave, Waterbury, CT 06702 2016-03-16
1649662313 Lori Arens Social Worker 141 E Main St Fl 4, Waterbury, CT 06702 2015-03-04
1265725584 Zelda Shleifer Audiologist 21 W Main St Fl Place-3, Waterbury, CT 06702 2011-05-19
1700024585 Charlene Angela Jurgaitis Durable Medical Equipment & Medical Supplies 102 Grand Street, Waterbury, CT 06702 2009-02-02
1518090570 Nathan Z Imre Pharmacist 161 East Main St Central Pharmacy, Waterbury, CT 06702 2007-03-13
1922149467 Rachael A Petitti Social Worker 402 East Main Street, Waterbury, CT 06702 2007-02-09
1710024484 Abbot Terrace Health Center Assisted Living Facility 44 Abbott Terrace, Waterbury, CT 06702 2007-01-31
1205994555 Michael Arcangel Padilla Social Worker Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 2006-12-05
1205902723 Colette M Anderson Social Worker 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 2006-11-27
Find all providers in zip 06702

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467072033 Sarah Michelle Whalen Nurse Practitioner 100 Jefferson Sq, Waterbury, CT 06706-1109 2020-04-23
1720616246 Susan Antoinette Pappas Nurse Practitioner 88 Grandview Ave, Waterbury, CT 06708-2509 2020-03-30
1578022166 Daedly Potusek Nurse Practitioner 80 Phoenix Ave, Waterbury, CT 06702-1418 2019-03-14
1124592274 Deon Johnson-allen Nurse Practitioner 88 Grandview Ave, Waterbury, CT 06708-2509 2019-01-11
1356818421 Olanike Oyeyemi Idowu Nurse Practitioner 64 Robbins St, Waterbury, CT 06708-2613 2018-10-26
1104344506 Kimberly Burns Nurse Practitioner 30 Holmes Ave, Waterbury, CT 06710-2412 2017-09-06
1114462561 Shantelle Brokaw Nurse Practitioner 128 Cedar Ave, Waterbury, CT 06705-2700 2016-12-21
1407201957 Alexandria Smith Nurse Practitioner 30 Holmes Ave, Waterbury, CT 06710-2412 2016-05-03
1134504715 Nicholas James O'brien Nurse Practitioner 60 N Main St, 3rd Floor, Waterbury, CT 06702-1443 2015-07-24
1225461221 Alyson Nicolosi Nurse Practitioner 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 2013-08-13
Find all providers in WATERBURY

Competitor

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City WATERBURY
Zip Code 06702

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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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