KIMBERLY DIANE NELSON (NPI# 1962058362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962058362 |
| Entity Type | Individual |
| Full Name | KIMBERLY DIANE NELSON |
| Practice Address |
35 Congress St Ste 225 Salem MA 01970-5529 |
| Mailing Address |
1 Drake Way Unit 6 Peabody MA 01960-8404 |
| Practice Telephone | 9785421951 |
| Practice Fax Number | 9785421954 |
| Mailing Telephone | 9045763992 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2274752 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182669 | Kimberly Joan Nelson | Occupational Therapist | 23 Red Gate Ln, Franklin, MA 02038-1365 | 2020-10-21 |
| 1477036234 | Kimberly Paige Nelson | Licensed Practical Nurse | 218 Indian Creek Rd, Jacksboro, TN 37757-3018 | 2018-09-07 |
| 1760835565 | Kimberly Nelson | Massage Therapist | 202 Desoto Dr, Nashville, TN 37210-5108 | 2016-07-16 |
| 1689084766 | Kimberly Nelson | Chiropractor | 5301 Longley Ln Ste 43, Reno, NV 89511-1807 | 2014-04-29 |
| 1275838773 | Kimberly Anne Nelson | Physical Therapy Assistant | 5800 Sun Perch Dr, Newalla, OK 74857-6432 | 2011-01-14 |
| 1033308424 | Kimberly Nelson | Occupational Therapist | 3609 146th Ave Ne, Ham Lake, MN 55304-6415 | 2007-10-22 |
| 1558554477 | Kimberly R Nelson | Developmental Therapist | 3037 Coral Strip Pkwy, Gulf Breeze, FL 32563-2773 | 2007-08-23 |
| 1518157924 | Kimberly Suezanne Nelson | Mechanotherapist | 4220 Shasta Way, Klamath Falls, OR 97603-4842 | 2007-07-31 |
| 1356497325 | Kimberly Lane Nelson | Counselor | 140 Kimel Park Dr Ste 101, Winston Salem, NC 27103-6185 | 2007-01-25 |
| 1750430708 | Kimberly Nelson | Social Worker | 97 Woodsvale Rd, Madison, CT 06443-1749 | 2007-01-09 |
| Street Address |
35 CONGRESS ST STE 225 |
| City | SALEM |
| State | MA |
| Zip Code | 01970-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184261034 | Theresa F. Rutledge | Counselor | 35 Congress St Ste 225, Salem, MA 01970-5529 | 2019-12-10 |
| 1376189597 | Amanda Dry | Social Worker | 35 Congress St Ste 225, Salem, MA 01970-5529 | 2019-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| Find all providers in zip 01970 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073421 | Aspire Telepsychiatry | Nurse Practitioner | 1910 24th St Ne, Salem, OR 97301-8150 | 2020-01-28 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1235493495 | Sarah Frances Robbins | Nurse Practitioner | 1595 Roosevelt St Ne, Salem, OR 97301 | 2012-07-02 |
| 1700155538 | Vanessa Anne Underwood | Nurse Practitioner | 1595 Cottage St Ne, Salem, OR 97301-7123 | 2011-12-22 |
| 1134364524 | Sharon Vaden Karn | Nurse Practitioner | 870 Commercial St Se, Salem, OR 97302-4108 | 2008-12-12 |
| 1861605768 | Barbara S Miller | Nurse Practitioner | Odoc, 2605 State St, Salem, OR 97310-0001 | 2007-05-07 |
| 1538225818 | Aleyna Cecile Reed | Nurse Practitioner | 685 Cottage St Ne, Salem, OR 97301-2419 | 2006-12-29 |
| 1407915408 | James Ben Newman | Nurse Practitioner | 1235 Woodrow St Ne, Salem, OR 97303-3214 | 2006-12-06 |
| 1033285713 | Rita Herlong | Nurse Practitioner | 4035 12th Street Cutoff, Suit120, Salem, OR 97302-1764 | 2006-11-27 |
| 1073688446 | Linda L Morley | Nurse Practitioner | 4035 12th St Cut-off, Suite 140, Salem, OR 97302-1764 | 2006-11-21 |
| Find all providers in SALEM | ||||
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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.