KIMBERLY CLEARY (NPI# 1497263826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497263826 |
| Entity Type | Individual |
| Full Name | KIMBERLY CLEARY |
| Credential | RN |
| Practice Address |
5100 W Taft Rd Liverpool NY 13088-3807 |
| Practice Telephone | 3157035492 |
| Mailing Telephone | 3157035492 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
687432-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649574823 | Kimberly K Cleary | Physical Therapist | 1411 N River Vista St, Spokane, WA 99224-5674 | 2011-01-03 |
| 1437191046 | Kimberly Marie Cleary | Audiologist-Hearing Aid Fitter | 153 W Johnstown Rd, Gahanna, OH 43230-2700 | 2006-06-11 |
| 1962694638 | Kimberly Marie Cleary | Social Worker | 5500 Armstrong Rd, Department of Veterans Affairs Medical Center, Battle Creek, MI 49037-7314 | 2007-08-15 |
| Street Address |
5100 W TAFT RD |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023015500 | Jody S Bleier | Internal Medicine | 5100 W Taft Rd, Suite 4j, Liverpool, NY 13088-3807 | 2005-06-30 |
| 1528620812 | Colleen Byrnes | Nurse Practitioner | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2019-07-08 |
| 1851866727 | Kathryn Quinn Manion | Clinic/Center | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2018-10-08 |
| 1225514623 | Shannon M Roach | Nurse Practitioner | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2018-07-18 |
| 1184077885 | Maia Czarnecki | Physician Assistant | 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 | 2016-07-18 |
| 1174974216 | Jenna Marie Laskey | Family Medicine | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2016-06-30 |
| 1669838108 | Phitsamai Thatvihane | Nurse Practitioner | 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 | 2016-01-14 |
| 1992160188 | Melissa Buttner | Physician Assistant | 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 | 2015-12-15 |
| 1538532940 | Chelsey Brooks | Physician Assistant | 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 | 2015-11-06 |
| 1477960474 | Lisa J. Isabell | Nurse Practitioner | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2014-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| Find all providers in zip 13088 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720544612 | Nancy A Rodrigues | Registered Nurse | Ryan Chelsea Clinton Clinic, 645 10th Ave, New York, NY 10036-1003 | 2019-02-15 |
| 1366910895 | Charlotte Marie Mcloughlin | Registered Nurse | 3531 168th St, Flushing, NY 11358-1732 | 2018-11-02 |
| 1326529736 | Diabetes & You, LLC | Registered Nurse | 30 Reade Pl, Poughkeepsie, NY 12601-3946 | 2018-08-23 |
| 1033609458 | Simnutrition Inc. | Registered Nurse | 34 Rowan St, Smithtown, NY 11787-1057 | 2018-05-10 |
| 1245727437 | Teresa A Cichosz | Registered Nurse | 17415 Horace Harding Expy # 2f, Fresh Meadows, NY 11365-1527 | 2018-04-13 |
| 1891293452 | Adam Edward Kessler | Registered Nurse | 25 Hackett Blvd Fl 3, Albany, NY 12208-3462 | 2018-01-30 |
| 1972036333 | Jaclyn Defranco | Registered Nurse | 3400 Nesconset Hwy Ste 104, East Setauket, NY 11733-3327 | 2017-04-04 |
| 1588196067 | Lorraine K. Porcaro | Registered Nurse | 707 E Main Street, Diabetes Room 2225e, Middletown, NY 10940 | 2017-04-03 |
| 1063964179 | Ramona Nowak | Registered Nurse | 194 Wycliff Dr, Webster, NY 14580-2824 | 2016-10-25 |
| 1699162792 | Sara L Mcmillan | Registered Nurse | 356 Sunrise Blvd, Williamsville, NY 14221-3127 | 2015-04-16 |
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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.