KIMBERLY MARIE O NEIL (NPI# 1912257627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912257627 |
| Entity Type | Individual |
| Full Name | KIMBERLY MARIE O NEIL |
| Credential | NP-C |
| Practice Address |
3500 Main Street Suite 201 Springfield MA 01107-1137 |
| Mailing Address |
280 Chestnut St 2nd Floor Springfield MA 01199-1001 |
| Practice Telephone | 4137942273 |
| Practice Fax Number | 4137942996 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN2262988 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2262988 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3300 Main St, 2nd Floor, Suite A, Springfield, MA 011071112 | 4137942273 | 4137940198 |
| Street Address |
3500 MAIN STREET SUITE 201 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760440267 | Bertrand Janne D'othee | Radiology | 3500 Main Street, Suite 201, Springfield, MA 01107-1137 | 2006-05-03 |
| 1619233699 | Matthew D Kronick | Surgery | 3500 Main Street, Suite 201, Springfield, MA 01107-1137 | 2012-04-04 |
| 1104927250 | Lauren A Flink | Physician Assistant | 3500 Main Street, Ste 201, Springfield, MA 01107-1137 | 2006-09-25 |
| 1154339612 | Zubin D Irani | Radiology | 3500 Main Street, Suite 201, Springfield, MA 01199 | 2006-08-03 |
| 1225067200 | Mark S Bean | Radiology | 3500 Main Street, Suite 201, Springfield, MA 01199 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
| 1962906552 | Caroline Mcgarr Butler | Nurse Practitioner | 368 River St Ste 160, Springfield, VT 05156-2242 | 2018-03-20 |
| 1578070561 | Claudia Franc Williams | Nurse Practitioner | Springfield Medical Care Systems, Inc. 25 Ridgewood Rd, Springfield, VT 05156 | 2017-12-29 |
| 1598298457 | Summer Tipton | Nurse Practitioner | 2140 S Hillcrest Ave, Springfield, MO 65807-2108 | 2017-04-07 |
| 1417406489 | Amy L Peters | Nurse Practitioner | 1242 E Independence St, #200, Springfield, MO 65804-4284 | 2016-10-01 |
| 1679833271 | Sentew Care Nurse Practitioner LLC | Nurse Practitioner | 8322 Bark Tree Ct, Springfield, VA 22153-3828 | 2012-05-17 |
| 1508157140 | Springfield Internal Medicine Group | Nurse Practitioner | 1435 E Bradford Pkwy, Suite 105, Springfield, MO 65804-6563 | 2011-05-01 |
| 1043533128 | Keri Lynn Sutton | Nurse Practitioner | 1730 E Republic Rd Ste K, Springfield, MO 65804-6519 | 2010-03-03 |
| 1093967630 | Maire Alexander | Nurse Practitioner | 7939 Lake Pleasant Dr, Springfield, VA 22153-2750 | 2008-10-15 |
| 1790937498 | Marlene Karen Schmitz | Nurse Practitioner | 385 Morris Ave Ste 100, Springfield, NJ 07081-1100 | 2008-10-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
Please comment or provide details below to improve the information on KIMBERLY MARIE O NEIL.
| 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.