MS. KIMBERLY LEARY (NPI# 1063888121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063888121 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY LEARY |
| Credential | PMHNP-BC |
| Practice Address |
1185 Falmouth Rd Centerville MA 02632-3066 |
| Mailing Address |
200 Ter Heun Dr Falmouth MA 02540-2525 |
| Practice Telephone | 5088629929 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN2292365 | MA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2292365 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598822256 | Kimberly Leary | Counselor | 111 W Ash Ave, El Dorado, KS 67042-3401 | 2007-01-02 |
| 1386904084 | Kimberly Renae Leary | Registered Nurse | 3101 Burnet Ave, Cincinnati, OH 45229-3014 | 2012-05-29 |
| 1760754824 | Kimberly Leary | Student in an Organized Health Care Education/Training Program | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2012-02-06 |
| 1790913671 | Kimberly Monique Leary | Psychologist | 2080 Child St, Jacksonville, FL 32214-5005 | 2009-06-30 |
| Street Address |
1185 FALMOUTH RD |
| City | CENTERVILLE |
| State | MA |
| Zip Code | 02632-3066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124352026 | Courtney Poignand | Counselor | 1185 Falmouth Rd, Centerville, MA 02632-3066 | 2009-09-24 |
| 1154936433 | Holly Anne Knight | Counselor | 1185 Falmouth Rd, Centerville, MA 02632-3066 | 2020-09-13 |
| 1407477037 | Kristen Kania | Counselor | 1185 Falmouth Rd, Centerville, MA 02632-3066 | 2020-05-05 |
| 1730733189 | Christine A Wilcox | Nurse Practitioner | 1185 Falmouth Rd, Centerville, MA 02632-3066 | 2019-07-24 |
| 1033677042 | Cassandra Whitehead | Social Worker | 1185 Falmouth Rd, Centerville, MA 02632-3066 | 2019-03-08 |
| 1316411770 | Jacqueline Provenzano | Social Worker | 1185 Falmouth Rd, Centerville, MA 02632-3066 | 2019-01-17 |
| 1609342047 | Kristen Lee Cantwell | Social Worker | 1185 Falmouth Rd, Centerville, MA 02632-3066 | 2018-10-23 |
| 1477029403 | Nancy Byrne | Registered Nurse | 1185 Falmouth Rd, Centerville, MA 02632-3066 | 2018-10-17 |
| 1164904058 | Alyssa M Doolittle | Counselor | 1185 Falmouth Rd, Centerville, MA 02632-3066 | 2018-09-06 |
| 1659853802 | Emily Moore | Social Worker | 1185 Falmouth Rd, Centerville, MA 02632-3066 | 2018-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144702937 | Samuel Rosier | Physical Therapist | 1600 Falmouth Rd Ste 34, Centerville, MA 02632 | 2018-08-29 |
| 1326547217 | Stephanie Dufresne | Counselor | 759 Old Strawberry Hill Rd., Centerville, MA 02632 | 2018-02-06 |
| 1790220838 | Jessie Lacasse | Social Worker | 88 West Main Street, Centerville, MA 02632 | 2016-12-28 |
| 1235524323 | Allison M. Friberg | Physician Assistant | 1185b Falmouth Road, Centerville, MA 02632 | 2015-04-06 |
| 1124136361 | Dr. Auger D.d.s. | Dentist | 1480 Falmouth Road, Centetrville, MA 02632 | 2006-08-28 |
| 1457467888 | Arthur Logan Bence | Social Worker | 161 Harbor Hills Road, Centerville, MA 02632 | 2006-08-21 |
| 1700999257 | Judith Begelfer Sonner | Social Worker | 1550 Falmouth Rd, Centerville, MA 02632 | 2006-08-17 |
| 1942299185 | Cape Regency Ma Snf LLC | Skilled Nursing Facility | 120 South Main Street, Centerville, MA 02632 | 2005-10-20 |
| 1609212620 | James Millard Girard | Counselor | 183 Shootflying Hill Rd, Centeviller, Centerville, MA 02632-1439 | 2013-05-16 |
| 1548503915 | Cory James Whelan | Speech-Language Pathologist | 79 Three Ponds Dr, Centerville, MA 02632-1528 | 2013-04-03 |
| Find all providers in zip 02632 | ||||
| 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 |
|---|---|---|---|---|
| 1144821703 | Paula S. Gordy Lisw, LLC | Nurse Practitioner | 501 N 12th St Ste 1, Centerville, IA 52544-1439 | 2020-11-02 |
| 1912511288 | Emily Wilcox | Nurse Practitioner | 190 S Main St Ste B, Centerville, UT 84014-2839 | 2020-09-03 |
| 1871126482 | Loretta Pentlicki | Nurse Practitioner | 150 E Swan St, Centerville, TN 37033-1446 | 2020-02-21 |
| 1730733189 | Christine A Wilcox | Nurse Practitioner | 1185 Falmouth Rd, Centerville, MA 02632-3066 | 2019-07-24 |
| 1265094304 | Krista Lynn Johnson | Nurse Practitioner | 221 E State St, Centerville, IA 52544-1813 | 2019-06-28 |
| 1770953291 | Toni Peters | Nurse Practitioner | 7901 Schatz Pointe Dr, Suite A, Centerville, OH 45459-3856 | 2015-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639552 | Kelly Ann Hancock | Nurse Practitioner | 6 Margot Ln, East Bridgewater, MA 02333-1689 | 2020-11-03 |
| 1366042715 | Jacqueline Ann Owens | Nurse Practitioner | 32 Hammond Ave, Cohasset, MA 02025-1928 | 2020-10-27 |
| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
| City | CENTERVILLE |
| Zip Code | 02632 |
Please comment or provide details below to improve the information on MS. KIMBERLY LEARY.
| 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.