KIMBERLY A BUMBERA (NPI# 1164085619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164085619 |
| Entity Type | Individual |
| Full Name | KIMBERLY A BUMBERA |
| Credential | NURSE PRACTITIONER |
| Practice Address |
187 Marion Ave Plantsville CT 06479-1442 |
| Practice Telephone | 8609199560 |
| Mailing Telephone | 8609199560 |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
89547 | CT | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
8176 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
187 MARION AVE |
| City | PLANTSVILLE |
| State | CT |
| Zip Code | 06479-1442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124586839 | Ashley Dacosta | Social Worker | 1460 Meriden-waterbury Turnpike, Plantsville, CT 06479 | 2019-03-12 |
| 1598263881 | Cassandra Marcheggiani, LLC | Social Worker | 710 Main Street Bldg 2, Ste. 5, Plantsville, CT 06479 | 2018-02-01 |
| 1225446883 | Haley R Baumgarten | Music Therapist | 1678 Meriden-waterbury Turnpike, Southington, CT 06479 | 2014-07-28 |
| 1134550023 | Melanie Ann Edman | Social Worker | 29 Charles Street, Plantsville, CT 06479 | 2013-12-03 |
| 1447524228 | Joseph Anthony Picone Sr. | Dentist | 954 S. Main St., Plantsville, CT 06479 | 2012-02-27 |
| 1760784250 | Jsl Connections, LLC | Counselor | 16 Cornerstone Court, Suite 5, Plantsville, CT 06479 | 2010-12-03 |
| 1710125026 | Paul Poutouves | Physical Therapist | 149 Jubilee Dr, Plantsville, CT 06479 | 2009-01-23 |
| 1871709725 | Essential Dental, LLC | Dentist | 1090 Meriden Waterbury Tpke, Suite 2, Plantsville, CT 06479 | 2007-05-15 |
| 1568680528 | Alkesh V Patel Md LLC | Pediatrics | 710 Main Street Bldg 1, Plantsville, CT 06479 | 2007-04-23 |
| 1083754964 | Neil D Salesky | Dentist | 15 3a Cornerstone Ct, Plantsville, CT 06479 | 2007-02-08 |
| Find all providers in zip 06479 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1427689660 | Sajini M Roy | Nurse Practitioner | 172 Guinea Rd, Monroe, CT 06468-1044 | 2020-01-27 |
| 1073171393 | Sabine Donato Dabady | Nurse Practitioner | 287 Capitol Ave, Waterbury, CT 06705-2407 | 2019-06-01 |
| 1720599541 | Sherifa Bello | Nurse Practitioner | 1333 Burnside Ave Apt A3, East Hartford, CT 06108-1517 | 2017-10-19 |
| 1750808994 | Ronald S. Perpetua | Nurse Practitioner | 107 Bassett Rd, North Haven, CT 06473-1902 | 2017-08-28 |
| 1891247805 | Campbell Medical Care, LLC | Nurse Practitioner | 22 Parkwood Dr, Windsor, CT 06095-3142 | 2016-10-26 |
| 1861745259 | Marguerite Kalowsky Benoit | Nurse Practitioner | 187 Bouton St W, Stamford, CT 06907-1320 | 2012-10-22 |
| 1396977997 | Debra Innes Coyle | Nurse Practitioner | 85 Huckleberry Ln, Southington, CT 06489-4319 | 2009-08-14 |
| 1487727228 | Leeanne E Shaw-quinn | Nurse Practitioner | 30 Hyde Ave Ste 109, Vernon, CT 06066-4503 | 2006-11-17 |
| 1184648925 | Karen S Williams | Nurse Practitioner | 25 Witch Meadow Rd, Salem, CT 06420-3602 | 2006-07-26 |
| Find all providers with the same taxonomy | ||||
| City | PLANTSVILLE |
| Zip Code | 06479 |
Please comment or provide details below to improve the information on KIMBERLY A BUMBERA.
| 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.