KIMBERLY L VETAL (NPI# 1942407069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942407069 |
| Entity Type | Individual |
| Full Name | KIMBERLY L VETAL |
| Credential | F.N.P. |
| Practice Address |
255 E Old Sturbridge Rd Brimfield MA 01010-9647 |
| Practice Telephone | 4132453389 |
| Practice Fax Number | 4132454553 |
| Mailing Telephone | 4132450966 |
| Mailing Fax Number | 4132454553 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2011-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
195415 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0379191 | 05 | |
| MD | BCBS | NP3934 | 01 |
| Street Address |
255 E OLD STURBRIDGE RD |
| City | BRIMFIELD |
| State | MA |
| Zip Code | 01010-9647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154393940 | Shannon Elizabeth Graley | Family Medicine | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2006-02-06 |
| 1023463924 | Deborah A Hanchek | Family Medicine | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2016-04-28 |
| 1851711329 | Ruth G Benet | Family Medicine | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2014-04-23 |
| 1811246275 | Kayla Elise Capizzano Cross | Nurse Practitioner | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2012-08-31 |
| 1578597456 | Charles E Cavagnaro IIi | Internal Medicine | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2006-07-10 |
| 1780646927 | Brimfield Family Health Center, P.C. | Family Medicine | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2006-04-04 |
| 1821062407 | Katarzyna Pomianowski | Family Medicine | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447526694 | Gustavo Enrique Cosenza | Psychiatry & Neurology | 3a. Calle A 8-51 Zona 10, Guatemala, GUATEMALA 01010 | 2012-03-31 |
| 1396932612 | Elizabeth M. Smola | Emergency Medicine | 1529 Dunhamtown Brimfield Road, Brimfield, MA 01010 | 2007-10-01 |
| 1902264724 | Colleen Ann Burque | Physical Therapy Assistant | 45 Dean Pond Rd, Brimfield, MA 01010-2012 | 2016-02-08 |
| 1225527369 | Tina R. Adams | Psychologist | 12 St Clair Rd, Brimfield, MA 01010-2120 | 2018-05-03 |
| 1740815018 | Bianca Venezia Gonynor | Registered Nurse | 19 2nd St, Brimfield, MA 01010-9600 | 2020-03-07 |
| 1295346849 | Alexander Hellyar | Physician Assistant | 145 Little Alum Rd, Brimfield, MA 01010-9632 | 2020-08-16 |
| 1649635673 | Sylvia Forcier | Occupational Therapy Assistant | 62 6th St, Brimfield, MA 01010-9663 | 2015-12-17 |
| 1639354814 | Elizabeth Ortiz | Counselor | 22 Wales Rd, Brimfield, MA 01010-9678 | 2008-01-07 |
| 1770578767 | Brimfield Ambulance Service Inc | Ambulance | 34 Wales Rd, Brimfield, MA 01010-9678 | 2005-09-15 |
| 1053525717 | Rebecca Jeanne Butler | Registered Nurse | 145 Paige Hill Rd, Brimfield, MA 01010-9777 | 2007-05-10 |
| Find all providers in zip 01010 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609330596 | Andrea Jane Hoerr | Nurse Practitioner | 111 E Knoxville St, Brimfield, IL 61517-8022 | 2019-01-25 |
| 1811246275 | Kayla Elise Capizzano Cross | Nurse Practitioner | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2012-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821885 | Tanya Lee Bailey | Nurse Practitioner | 185 Vining Hill Rd, Southwick, MA 01077-9413 | 2020-11-07 |
| 1134720964 | Arliomey Ambroise | Nurse Practitioner | 2216 Summit Dr, Bridgewater, MA 02324-2178 | 2020-11-06 |
| 1184225161 | Christina Chan Sok | Nurse Practitioner | 24 Hartwell Ave # 204, Lexington, MA 02421-3132 | 2020-11-05 |
| 1871194381 | Stacie Rose | Nurse Practitioner | 131 Hartwell Ave, Lexington, MA 02421-3105 | 2020-11-03 |
| 1881295145 | Heather Thomas | Nurse Practitioner | 39 Brock St Apt 1, Brighton, MA 02135-2661 | 2020-11-03 |
| 1427659069 | Jenna Gunnell | Nurse Practitioner | 700 Greendale Ave Unit 11203, Needham, MA 02492-4362 | 2020-11-02 |
| 1336749936 | Julia Monroe | Nurse Practitioner | 7 Atwood St, Cherry Valley, MA 01611-3332 | 2020-11-01 |
| 1730789744 | Polyana F Barbosa | Nurse Practitioner | 491 Maple St Ste 208, Danvers, MA 01923-4025 | 2020-10-28 |
| 1053910257 | Lauren Michele Flynn | Nurse Practitioner | 173 Sumner St, Quincy, MA 02169-7003 | 2020-10-20 |
| 1043819196 | Kimberly S Christie | Nurse Practitioner | 107 Sheraton Ave, Somerset, MA 02725-1150 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.