MS. KIMBERLY BETH ABDOW (NPI# 1003007477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003007477 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY BETH ABDOW |
| Credential | N.P. |
| Practice Address |
435 Shrewsbury St Worcester MA 01609-2265 |
| Mailing Address |
202 Russell St Worcester MA 01609-2265 |
| Practice Telephone | 5087535554 |
| Practice Fax Number | 5087527245 |
| Mailing Telephone | 5087535554 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2019-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN206918 | MA | Nursing Service Providers |
| N | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
206917 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
435 SHREWSBURY ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01609-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528168135 | Stacey Jenee Rutherford | Social Worker | 435 Shrewsbury St, Worcester, MA 01604-1638 | 2006-09-24 |
| 1811532724 | Yveda Brutus | Registered Nurse | 435 Shrewsbury St, Worcester, MA 01604-1689 | 2019-11-14 |
| 1710469549 | Kevin Phillipp Nardone | Nurse Practitioner | 435 Shrewsbury St, Worcester, MA 01604-1689 | 2018-08-29 |
| 1093985970 | Michael S Pizza | Registered Nurse | 435 Shrewsbury St, Worcester, MA 01604-1689 | 2008-03-06 |
| 1346397437 | Behavioral Healthcare Services | Psychiatry & Neurology | 435 Shrewsbury St, Worcester, MA 01604-1689 | 2007-01-04 |
| 1952413460 | Christine M. Macwade | Counselor | 435 Shrewsbury St, Worcester, MA 01604-1689 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018388 | Alyssa Lynne Szymkowicz | Counselor | 2b Pelham Street, Apartment 3, Worcester, MA 01609 | 2019-11-19 |
| 1295200848 | Carmen P Rivera Martinez | Counselor | 20 Irving Street, Worcester, MA 01609 | 2018-10-10 |
| 1386126704 | Sarah J Macdonald | Psychologist | 27 Sever St, Worcester, MA 01609 | 2018-09-01 |
| 1437641107 | Christopher Quoc-duy Nguyen | Dentist | 111 Elm Street Suite 203, Worcester, MA 01609 | 2018-05-30 |
| 1396190096 | Dasa Home Health Inc | Home Health | 255 Park Ave Ste 1101a, Worcester, MA 01609 | 2016-04-30 |
| 1912306135 | Neighborhood Dental Group, PC | Dentist | 111 Elm St Suite 203, Worcester, MA 01609 | 2014-08-14 |
| 1306254875 | Brenda Mccarthy-trayah | Counselor | 198 Russell St., Worcester, MA 01609 | 2014-07-29 |
| 1386052009 | Allene Rizzolo | Early Intervention Provider Agency | 548 Park Ave., South Bay Early Intervention, Worcester, MA 01609 | 2014-07-25 |
| 1477849032 | Diversified Staffing | Nursing Care | 39 Salisbury Street, Worcester, MA 01609 | 2011-06-22 |
| 1508195140 | 64 Highland Dental | Dentist | 64 Highland Street, Worcester, MA 01609 | 2009-12-10 |
| Find all providers in zip 01609 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134755028 | Ademola Solomon Obele | Registered Nurse | 11 Paper Birch Path, Worcester, MA 01605-3372 | 2020-03-23 |
| 1104225341 | Grace Mbuya | Registered Nurse | 997 Millbury St, Worcester, MA 01607-2105 | 2014-08-13 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1255445532 | Paula L Diperri | Registered Nurse | 45 Jacques Ave, Worcester, MA 01610-0000 | 2006-08-17 |
| 1073166112 | Justin Eusebio | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2019-07-18 |
| 1639677917 | Jamaal C Hedrington | Registered Nurse | 1183 Main St, Worcester, MA 01603-2012 | 2018-02-01 |
| 1477909836 | Stephen Bunting | Registered Nurse | 72 Jacques Ave, Worcester, MA 01610 | 2016-05-04 |
| 1598123432 | Robert C Metzger | Registered Nurse | 411 Chandler St, Worcester, MA 01602-3339 | 2016-02-07 |
| 1184016537 | Michael Kenneth Culver | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2015-02-23 |
| 1972930550 | Sharyn Dilauro | Registered Nurse | 55 Lake Ave N, Umass Memorial Medical Center, Psychiatry, Worcester, MA 01655-0002 | 2013-09-27 |
| Find all providers in WORCESTER | ||||
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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.