KIM A CONNOLLY (NPI# 1790237469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790237469 |
| Entity Type | Individual |
| Full Name | KIM A CONNOLLY |
| Credential | NP |
| Practice Address |
162 Cordaville Rd Southborough MA 01772-1838 |
| Mailing Address |
67 Union St Fl 2 Child Development Unit Natick MA 01760-6089 |
| Practice Telephone | 5082298811 |
| Mailing Telephone | 5086507733 |
| Mailing Fax Number | 5086507807 |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN155278 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144415688 | Kim Sedgwick Connolly | Marriage & Family Therapist | 300 Sunnyhills Dr, San Anselmo, CA 94960-1909 | 2007-09-07 |
| Street Address |
162 CORDAVILLE RD |
| City | SOUTHBOROUGH |
| State | MA |
| Zip Code | 01772-1838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922065499 | Peter Alan Blanchard | Dentist | 162 Cordaville Rd, Suite 175, Southborough, MA 01772-1838 | 2006-04-28 |
| 1124152988 | Dental Health Center | Dentist | 162 Cordaville Rd, Suite 175, Southborough, MA 01772-1838 | 2007-03-15 |
| 1467584235 | Michael Paul Monopoli | Dentist | 162 Cordaville Rd, Town Center Plaza, Suite 175, Southborough, MA 01772-1838 | 2007-03-09 |
| 1992800957 | Town Center Pediatrics | Pediatrics | 162 Cordaville Rd, Suite 185, Southborough, MA 01772-1838 | 2006-09-14 |
| 1992800924 | Angela Dawn Hunt | Pediatrics | 162 Cordaville Rd, Suite185, Southborough, MA 01772-1838 | 2006-09-14 |
| 1043267735 | Karen Ellen Rednor | Pediatrics | 162 Cordaville Rd, Suite 185, Southborough, MA 01772-1838 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854391 | Hiral Patel | Pharmacist | 150 Northnoro Road, Suite 4, Southborough, MA 01772 | 2019-10-30 |
| 1588188544 | Jennifer Foran | Behavior Technician | 33 Turnkpike Road, Southborough, MA 01772 | 2017-08-01 |
| 1588184402 | Lise Mary Gallo | Behavioral Analyst | 16 Clifford St, Southborough, MA 01772 | 2017-06-21 |
| 1437508322 | Kristen Lomker | Pharmacist | 155 Northborough Rd, Southboro, MA 01772 | 2016-06-10 |
| 1679841829 | Scott Adam Canter | Acupuncturist | 64 William Onthank Lane, Southborough, MA 01772 | 2011-12-02 |
| 1396966206 | Umer Sayeed Shah | Surgery | 2 Parkcentral Drive Suite 210, Avc / Acc, Southborough, MA 01772 | 2007-05-01 |
| 1982636411 | Armineh Mirzabegian | Internal Medicine | Southboro Medical Group, 24 Newton Street, Southboro, MA 01772 | 2006-07-07 |
| 1336197508 | Lisa M Hassler | Pediatrics | 24 Newton Street, Southboro Medical Group, Southboro, MA 01772 | 2006-05-04 |
| 1295714640 | Robin K Morgan | Physical Therapist | 28 Newton St, Southborough, MA 01772 | 2006-01-13 |
| 1528562998 | Emily Marie Bagley | Student in an Organized Health Care Education/Training Program | 33 Turnpike Rd, Southborough, MA 01772 | 2018-03-21 |
| Find all providers in zip 01772 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861850885 | Janice Metzger | Nurse Practitioner | 33 Turnpike Rd, Southborough, MA 01772-2108 | 2016-02-04 |
| 1750501508 | Jean A Waitneight | Nurse Practitioner | 33 Turnpike Rd, Southborough, MA 01772-2108 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666203 | Eileen Whyte O'holleran | Nurse Practitioner | 12 Autumn Ln, South Hamilton, MA 01982-1400 | 2020-10-14 |
| 1356948525 | Kaylee Woods | Nurse Practitioner | 85 Seaport Blvd Unit 714, Boston, MA 02210-2157 | 2020-10-01 |
| 1063026946 | Alexandra Louise Lester | Nurse Practitioner | 7 Doris Cir, Newton, MA 02458-1929 | 2020-09-08 |
| 1023627833 | Jennifer Suxin Yu | Nurse Practitioner | 63 Cedar St, Malden, MA 02148-3647 | 2020-07-28 |
| 1417566563 | Julianna Marie Roberts | Nurse Practitioner | 5 Helen Dr, Peabody, MA 01960-1235 | 2020-07-24 |
| 1144838384 | Amanda Rose Bakos | Nurse Practitioner | 218 Marion St, Boston, MA 02128-1758 | 2020-07-14 |
| 1710504949 | Angela Vu | Nurse Practitioner | 83 Nightingale Ave # 1l, Quincy, MA 02169-6413 | 2020-07-03 |
| 1083236749 | Mubina M Rhee | Nurse Practitioner | 170 Brookline Ave Unit 215, Boston, MA 02215-3921 | 2020-05-15 |
| 1841823911 | Rachel N Mick | Nurse Practitioner | 77 Winsor St Ste 103, Ludlow, MA 01056-3470 | 2020-02-18 |
| 1326670803 | Ashley Laverdiere | Nurse Practitioner | 1 Ferncroft Rd, Danvers, MA 01923-4017 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHBOROUGH |
| Zip Code | 01772 |
Please comment or provide details below to improve the information on KIM A CONNOLLY.
| 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.