KIMBERLEY ROBERTS (NPI# 1083645873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083645873 |
| Entity Type | Individual |
| Full Name | KIMBERLEY ROBERTS |
| Credential | PMHCNS-BC |
| Practice Address |
53 Fremont St Machias ME 04654-1320 |
| Mailing Address |
30 Boynton St Eastport ME 04631-1306 |
| Practice Telephone | 2072553400 |
| Mailing Telephone | 2072553400 |
| Mailing Fax Number | 2072553401 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
R028815 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 258550099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073817730 | Kimberley Sue Roberts | Social Worker | 3461 Oberon Dr, Loveland, CO 80537-2111 | 2011-01-10 |
| 1780140152 | Kimberley Beatrice Roberts | Behavioral Analyst | 1701 Byrd Ave, Richmond, VA 23230-3011 | 2019-02-11 |
| 1881005502 | Kimberley Roberts | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2014-05-15 |
| 1346509288 | Kimberley Roberts | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2012-05-13 |
| 1174776173 | Kimberley Jean Roberts | Nurse Practitioner | 9305 W Thomas Rd, Suite 155, Phoenix, AZ 85037-3328 | 2008-11-04 |
| 1952371049 | Kimberley N Roberts | Nurse Anesthetist, Certified Registered | 415 N Center St, Ste 201, Hickory, NC 28601-5036 | 2006-01-23 |
| Street Address |
53 FREMONT ST |
| City | MACHIAS |
| State | ME |
| Zip Code | 04654-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114421633 | Crystal Lea Atkinson | Registered Nurse | 53 Fremont St, Machias, ME 04654 | 2018-03-20 |
| 1063892990 | Adam Simmons | Podiatrist | 53 Fremont St, Machias, ME 04654 | 2015-06-05 |
| 1295020691 | Eastport Health Care, Inc. | Clinic/Center | 53 Fremont St, Machias, ME 04654-1320 | 2011-06-14 |
| 1831202134 | Cynthia Sammis | Family Medicine | 53 Fremont St, Machias, ME 04654-1320 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528577574 | Teresa Lynn Mcguire | Massage Therapist | 63 Old County Rd, Machias, ME 04654 | 2017-09-21 |
| 1801294723 | Jennifer Lynn Wood | Social Worker | 232 Court Street, Machias, ME 04654 | 2014-12-09 |
| 1467624551 | Thomas Richmond Halkett | Counselor | 8 Pleasant Blvd, Machias, ME 04654 | 2008-03-28 |
| 1821206731 | Barbara Lynn Fox | Counselor | Upper Court Street, Machias, ME 04654 | 2007-05-21 |
| 1205958402 | Town of Machias | Ambulance | 25 Mcdonald Dr, Machias, ME 04654 | 2007-04-06 |
| 1760503080 | John A Edwards | Psychologist | 294 East Kennebec Road, Machias, ME 04654 | 2007-04-03 |
| 1689791089 | Jody E Mountcastle | Social Worker | 14 Steves Ln, Marshfield, ME 04654 | 2007-03-23 |
| 1497829733 | Charles H Dorr Jr. | Dentist | 25 Hadley Lake Road, Marshfield, ME 04654 | 2006-11-20 |
| 1457360141 | Donna K. Salisbury | Social Worker | 15 Kids Corner, Machias, ME 04654 | 2006-08-05 |
| 1568471936 | Diana Sholtz | Psychologist | 1 Stackpole Road, Machias, ME 04654 | 2006-08-05 |
| Find all providers in zip 04654 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780779710 | Beth Leslie Schurman | Clinical Nurse Specialist | 105 Beverly Street, Portland, ME 04103 | 2006-10-04 |
| 1881780427 | Lisa Diane Love | Clinical Nurse Specialist | 146 B Harpswell Rd, Brunswick, ME 04011 | 2006-10-04 |
| 1235777921 | Kira Barber | Clinical Nurse Specialist | 67 Eustis Pkwy, Waterville, ME 04901-5173 | 2019-12-13 |
| 1881968196 | Linda S Lockhart | Clinical Nurse Specialist | 1120 Center St, Auburn, ME 04210-6528 | 2012-03-05 |
| 1972720100 | Tamsen E. Lyons | Clinical Nurse Specialist | 2 Springbrook Dr, Biddeford, ME 04005-9443 | 2007-04-19 |
| 1285795245 | Pamela S Miller | Clinical Nurse Specialist | 268 Stillwater Avenue, Acadia Hospital Corp, Bangor, ME 04401 | 2006-12-13 |
| 1366523920 | Susan Mulkern | Clinical Nurse Specialist | 25a June St, Sanford, ME 04073-2642 | 2006-10-18 |
| 1629164082 | Tri-county Mental Health | Clinical Nurse Specialist | 1155 Lisbon St, Lewiston, ME 04240-5025 | 2006-10-05 |
| 1730272840 | Elizabeth R Pelissier | Clinical Nurse Specialist | 1012 Union St, Bangor, ME 04401 | 2006-10-02 |
| 1518058601 | Jo Ann Ann Palmacci | Clinical Nurse Specialist | 216 Vaughan St, Portland, ME 04102-3204 | 2006-09-27 |
| 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.