KIM ANN HANNAFORD


Address: 63 Main St, Brockton, MA 02301-4042
Phone: 5085596699

KIM ANN HANNAFORD (NPI# 1457638447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457638447
Entity Type Individual
Full Name KIM ANN HANNAFORD
Practice Address 63 Main St
Brockton
MA 02301-4042
Practice Telephone 5085596699
Practice Fax Number 5085595073
Mailing Telephone 5085596699
Mailing Fax Number 5085595073
Enumeration Date 2011-11-04
Last Update Date 2011-11-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN280520 MA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KIM HANNAFORD

NPI Name Taxonomy Address Enumeration
1598718538 Kim Karl Hannaford Dentist 3532 Howard Ave, Suite 100, Los Alamitos, CA 90720-3681 2006-05-19

Office Location

Street Address 63 MAIN ST
City BROCKTON
State MA
Zip Code 02301-4042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982602223 Kathleen P Pringle Advanced Practice Midwife 63 Main St, Brockton, MA 02301-4042 2005-07-11
1639770548 Meredith Hansen Social Worker 63 Main St, Brockton, MA 02301-4042 2020-11-06
1699399824 Maya Don Chay Registered Nurse 63 Main St, Brockton, MA 02301-4042 2020-06-03
1588204259 Jennifer Koningisor Social Worker 63 Main St, Brockton, MA 02301-4042 2020-01-10
1679112163 Bianca St. Louis Nurse Practitioner 63 Main St, Brockton, MA 02301-4042 2019-12-31
1245877505 Sarah Beth Blodgett Social Worker 63 Main St, Brockton, MA 02301-4042 2019-12-05
1235780107 Chloe Martin Social Worker 63 Main St, Brockton, MA 02301-4042 2019-09-23
1417505967 Elizabeth Coley Social Worker 63 Main St, Brockton, MA 02301-4042 2019-08-28
1225683758 Rachel Revis Social Worker 63 Main St, Brockton, MA 02301-4042 2019-08-01
1376105130 Johanne Cazeau Nurse Practitioner 63 Main St, Brockton, MA 02301-4042 2019-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942807110 Jenny Vulpis Recreation Therapist 940 Belmont St (br 135), Brockton, MA 02301 2020-10-01
1205444924 Caroline Storey Counselor Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 2020-07-20
1013546852 Nuria Dos Santos Veiga Occupational Therapist 73 Denton St, Brockton, MA 02301 2020-04-03
1679113930 Laura Ann Brondyk II Counselor 10 Christys Dr, Brockton, MA 02301 2020-01-14
1437796521 Andrea Lopes Developmental Therapist 7 Goddard Road, Brockton, MA 02301 2019-12-08
1518420124 Diligencehealthcare Psychiatry & Neurology 30-40 Westpark Street, Brockton, MA 02301 2019-04-10
1124530373 Rachel Theys Behavioral Analyst 130 Liberty St Ste 13a, Brockton, MA 02301 2017-10-27
1689193369 Anderson D Delgado Behavior Technician 11 Packard Way, Brockton, MA 02301 2017-09-14
1811415326 Francesca Lavecchia Clinical Neuropsychologist Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 2017-09-05
1831615343 Donna Marie Dugan Counselor South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 2017-08-16
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215495452 Larissa Azevedo Depina Nurse Practitioner 635 Summer St, Brockton, MA 02302-4230 2019-03-06
1801378674 Andre Sabrina Castor Nurse Practitioner 33 Bark Cir, Brockton, MA 02302-1928 2018-08-29
1700375201 Alyson Elizabeth Enmark Nurse Practitioner 1 Pearl St Ste 1200, Brockton, MA 02301-2874 2018-05-09
1740526656 Natacha Nortelus Nurse Practitioner 599 Pleasant St, Brockton, MA 02301-2512 2012-12-20
1265567101 Coleen A. Cummings Nurse Practitioner 61 Libby St, Brockton, MA 02302-2949 2007-02-22
1639159783 Leslie Anne Stefanowicz Nurse Practitioner 35 Pearl St, Ste 300, Brockton, MA 02301-2866 2006-01-17
1164403275 Elizabeth M Chu Hanson Nurse Practitioner 830 Oak Street, Suite 123e, Brockton, MA 02301 2005-11-07
1679112163 Bianca St. Louis Nurse Practitioner 63 Main St, Brockton, MA 02301-4042 2019-12-31
1376105130 Johanne Cazeau Nurse Practitioner 63 Main St, Brockton, MA 02301-4042 2019-07-02
1316411481 Cassandra Desjardins Nurse Practitioner 110 Liberty St, Brockton, MA 02301-5521 2019-01-11
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Competitor

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City BROCKTON
Zip Code 02301

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Dataset Information

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.

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