KIM ANN ELDREDGE (NPI# 1033753520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033753520 |
| Entity Type | Individual |
| Full Name | KIM ANN ELDREDGE |
| Credential | NP |
| Practice Address |
10 Ferry St Ste 313 Concord NH 03301-5004 |
| Mailing Address |
3 Katie Ln Pelham NH 03076-2202 |
| Practice Telephone | 8607886404 |
| Mailing Telephone | 6035489065 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
059863-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10 FERRY ST STE 313 |
| City | CONCORD |
| State | NH |
| Zip Code | 03301-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558809335 | Tara Mcbride Afonso | Psychologist | 10 Ferry St Ste 313, Medoptions of New Hampshire, LLC., Concord, NH 03301-5004 | 2017-02-01 |
| 1619441946 | Vidhu Vinod Menon | Nurse Practitioner | 10 Ferry St Ste 313, Concord, NH 03301-5004 | 2019-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154988483 | Kelly Jean O'brien | Dental Hygienist | Nhti-concord's Community College, 31 College Drive, Concord, NH 03301 | 2019-05-22 |
| 1437640679 | Kyle Moore Thorne | Nurse Anesthetist, Certified Registered | 1 Pillsbury St Ste 202, Concord, NH 03301 | 2018-05-23 |
| 1730688789 | Ashley M Pinkham | Nurse Practitioner | 246 Pleasant St Ste 104, Concord, NH 03301 | 2018-02-06 |
| 1134645831 | D & B Medical Logistics LLC | Non-emergency Medical Transport (VAN) | 119 Old Turnpike Rd, Concord, NH 03301 | 2017-08-15 |
| 1821520727 | Julie Haejung Chang | Dentist | 273 Loudon Rd, Concord, NH 03301 | 2017-03-30 |
| 1407396500 | Oakmont Med Solutions | Durable Medical Equipment & Medical Supplies | 14 Centre Street, Concord, NH 03301 | 2017-03-08 |
| 1407210347 | Sherri Jean Perry | Nurse Practitioner | Medoptions Behavioral Health Services, 10 Ferry Street, Suite 313, Concord, NH 03301 | 2016-04-06 |
| 1922474428 | Optometric Associates of Nh, LLC | Optometrist | 273 Loudon Road, Suite 7, Concord, NH 03301 | 2015-08-19 |
| 1871969600 | Creative Counseling Center, Pllc | Counselor | 18 Kennedy Lane, Concord, NH 03301 | 2015-08-16 |
| 1376927087 | Families In Transition | Counselor | 9 Odd Fellows Ave, Concord, NH 03301 | 2015-07-13 |
| Find all providers in zip 03301 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306491816 | Stacie Leigh Pitts | Nurse Practitioner | 239 Pleasant St, Concord, NH 03301-7504 | 2019-08-02 |
| 1578125019 | Mary Anne Berry | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2019-07-05 |
| 1639681000 | Melissa Sue Clark | Nurse Practitioner | 2222 East St Ste 305, Concord, CA 94520-2066 | 2017-10-25 |
| 1225439128 | Lori Vaught | Nurse Practitioner | 100 Medical Park Dr, Ste 110, Concord, NC 28025-2948 | 2014-09-10 |
| 1194067546 | Kimberly Gann Burkhart | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2013-03-25 |
| 1821011792 | Genesis Eldercare Physician Services LLC | Nurse Practitioner | 239 Pleasant St, Pleasant View Nursing Center, Concord, NH 03301 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114674 | Alex Mutuku | Nurse Practitioner | 291 Wallace Rd, Bedford, NH 03110-4941 | 2020-11-02 |
| 1063030914 | Frederick Bon Maquito Colon | Nurse Practitioner | 37 Cornerstone Rd, Northfield, NH 03276-4004 | 2020-07-08 |
| 1942852769 | Cassidy Anne Abrahamson | Nurse Practitioner | 70 Campbell Rd, Bedford, NH 03110-4507 | 2019-07-11 |
| 1093000648 | Kathleen Anne Guilmain | Nurse Practitioner | 299 Country Land Dr, North Haverhill, NH 03774-5812 | 2011-06-12 |
| 1205933983 | Corey A Piper | Nurse Practitioner | Colonial Poplin Nursing Home, 442 Main St, Fremont, NH 03044-3434 | 2006-09-17 |
| 1306890843 | Lisa C Beaulieu | Nurse Practitioner | 40 Crosby St, Milford, NH 03055-4707 | 2006-05-20 |
| 1225017932 | Doris Fletcher Barratt | Nurse Practitioner | 5 Nursing Home Dr, Unity, NH 03743-7344 | 2006-01-11 |
| 1821633363 | Sarah Starkweather | Nurse Practitioner | 4 Alumni Dr, Exeter, NH 03833-2118 | 2019-11-07 |
| 1871062505 | Lorraine A Sutphin | Nurse Practitioner | One Medical Center Drive, Lebanon, NH 03756-0001 | 2018-11-26 |
| 1174061170 | Jade A O'donovan | Nurse Practitioner | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2017-02-09 |
| 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.