AUDREY MAUREEN KEMP (NPI# 1407370976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407370976 |
| Entity Type | Individual |
| Full Name | AUDREY MAUREEN KEMP |
| Credential | AGPCNP-BC |
| Practice Address |
26 Shenipsit Lake Rd Tolland CT 06084-2332 |
| Mailing Address |
6 Root Ln Hebron CT 06248-1283 |
| Practice Telephone | 8608722999 |
| Practice Fax Number | 8608721848 |
| Mailing Telephone | 8606554615 |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2017-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
1002565 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114060571 | Audrey Kemp | Dentist | 322 Main Street, Prospect Hill, NC 27314 | 2007-02-15 |
| 1326355447 | Audrey Deshaun Kemp | Licensed Vocational Nurse | 6700 W 9th Ave, Amarillo, TX 79106-1701 | 2010-09-10 |
| Street Address |
26 SHENIPSIT LAKE RD |
| City | TOLLAND |
| State | CT |
| Zip Code | 06084-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770855579 | Deborah M. Lines | Physical Therapist | 26 Shenipsit Lake Rd, Tolland, CT 06084-2332 | 2012-02-08 |
| 1891313383 | Melanie Russo | Speech-Language Pathologist | 26 Shenipsit Lake Rd, Tolland, CT 06084-2332 | 2020-07-10 |
| 1457816753 | Katlin Luu | Registered Nurse | 26 Shenipsit Lake Rd, Tolland, CT 06084-2332 | 2019-01-31 |
| 1659899375 | Chelsea Dawn Malinowski | Nurse Practitioner | 26 Shenipsit Lake Rd, Tolland, CT 06084-2332 | 2017-09-01 |
| 1518314020 | Prospect Echn Eldercare Services, Inc. | Assisted Living Facility | 26 Shenipsit Lake Rd, Tolland, CT 06084-2332 | 2016-05-16 |
| 1669875357 | Melissa Procaccini | Specialist | 26 Shenipsit Lake Rd, Tolland, CT 06084-2332 | 2014-10-08 |
| 1700206018 | Camylle Appiahene | Nurse Practitioner | 26 Shenipsit Lake Rd, Tolland, CT 06084 | 2014-04-25 |
| 1871925677 | Laura Mills | Physical Therapist | 26 Shenipsit Lake Rd, Tolland, CT 06084 | 2013-08-02 |
| 1417389404 | Marcy Celeste Racicot | Occupational Therapist | 26 Shenipsit Lake Rd, Tolland, CT 06084-2332 | 2013-08-01 |
| 1932531837 | Lloyd Robichaux | Physical Therapy Assistant | 26 Shenipsit Lake Rd, Tolland, CT 06084-2332 | 2013-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670783 | Irene Elaine Antar | Optometrist | 152 Merrow Rd #23c, Tolland, CT 06084 | 2020-08-19 |
| 1871145086 | Healthy Solutions | Counselor | 643 Main Street, Manchester, CT 06084 | 2019-07-09 |
| 1205363124 | Helen Charette, Msw, Lcsw, LLC | Social Worker | 355 Sugar Hill Rd., Tolland, CT 06084 | 2017-05-23 |
| 1851796163 | Senior Moments, LLC | Clinic/Center | 31 Kingsbury Ave, Tolland, CT 06084 | 2014-10-29 |
| 1548527898 | Ruth Wassik | Occupational Therapy Assistant | 26 Shenipsit Road, Tolland, CT 06084 | 2012-04-11 |
| 1063703551 | Greater Hartford Orthopedic Group, P.C. | Durable Medical Equipment & Medical Supplies | 384 L Merrow Road, Tolland, CT 06084 | 2011-05-02 |
| 1326351412 | Behavioral Wellness Clinic | Social Worker | Behavioral Wellness Clinic, 392 Merrow Road, Suite E, Tolland, CT 06084 | 2010-07-19 |
| 1902975808 | Frederick M Daniels | Dentist | 12 Goose Lane, Tolland, CT 06084 | 2006-11-06 |
| 1306932215 | Beth Schweitzer | Family Medicine | 6 Fieldstone Commons, Suite D, Tolland, CT 06084 | 2006-10-05 |
| 1942302898 | Joseph Macione | Psychologist | 175 Walbridge Hill Rd, Administractive Office, Tolland, CT 06084 | 2006-09-02 |
| Find all providers in zip 06084 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659899375 | Chelsea Dawn Malinowski | Nurse Practitioner | 26 Shenipsit Lake Rd, Tolland, CT 06084-2332 | 2017-09-01 |
| 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 |
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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.