JOAN BEI KIMA-TABONG (NPI# 1588004527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588004527 |
Entity Type | Individual |
Full Name | JOAN BEI KIMA-TABONG |
Credential | NP |
Practice Address |
1 Harvard Rd Shirley MA 01464-2434 |
Mailing Address |
186 Olin Ave Fitchburg MA 01420-7026 |
Practice Telephone | 9784254341 |
Practice Fax Number | 5087927888 |
Mailing Telephone | 6173086130 |
Mailing Fax Number | 9783451218 |
Enumeration Date | 2013-07-03 |
Last Update Date | 2013-07-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
252502 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1 HARVARD RD |
City | SHIRLEY |
State | MA |
Zip Code | 01464-2434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245279330 | Jeri A Walker | Psychiatry & Neurology | 1 Harvard Rd, Mci Shirley, Shirley, MA 01464 | 2006-06-05 |
1043775562 | Desire Huckfeldt Kangsen | Nurse Practitioner | 1 Harvard Rd, Shirley, MA 01464-2434 | 2019-02-08 |
1972087559 | Karen Angela Sotiropoulos | Social Worker | 1 Harvard Rd, Shirley, MA 01464-2434 | 2018-09-20 |
1811470842 | Jessalyn Vieweg | Social Worker | 1 Harvard Rd, Shirley, MA 01464-2434 | 2018-09-14 |
1932616299 | Marco Felipe Antunes Ribeiro | Nurse Practitioner | 1 Harvard Rd, Shirley, MA 01464-2434 | 2018-01-08 |
1548713308 | Felicitas Fandreyer | Clinical Nurse Specialist | 1 Harvard Rd, Shirley, MA 01464-2434 | 2016-07-28 |
1073984217 | Eugenia Trammell-goldsby | Registered Nurse | 1 Harvard Rd, Shirley, MA 01464-2434 | 2015-10-14 |
1336535624 | Kolu S. Baysah Clark | Nurse Practitioner | 1 Harvard Rd, Shirley, MA 01464-2434 | 2015-04-13 |
1205118668 | Bartholomew Nelson | Nurse Practitioner | 1 Harvard Rd, Shirley, MA 01464-2434 | 2011-09-12 |
1912114885 | John M Beland | Counselor | 1 Harvard Rd, Shirley, MA 01464-2434 | 2007-05-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477107910 | Deanna Louise Benjamin | Nurse Practitioner | Harvard Rd, Shirley, MA 01464 | 2019-08-01 |
1588148779 | Heidi Rose Wilson | Licensed Practical Nurse | 100 Harvard Rd, Shirley, MA 01464 | 2018-09-24 |
1205351772 | Isaac Muffoletto | Acupuncturist | 2 Shaker Rd Ste B007, Shirley, MA 01464 | 2017-08-07 |
1396116307 | Nadine Mae Amato | Nurse Practitioner | Harvard Road, Shirley, MA 01464 | 2015-10-16 |
1073904140 | Mhm Health Professionals, Inc | Nurse Practitioner | Havard Road, Shirley, MA 01464 | 2015-02-11 |
1972909513 | William Thuo | Nurse Practitioner | 1 Havard Rd, Shirley, MA 01464 | 2014-11-10 |
1982202073 | Stella Macharia | Family Medicine | 100 Harvard Rd, Shirley, MA 01464 | 2020-10-12 |
1477943637 | Tamara Elizabeth Perini | Social Worker | 20 Fredonian Street, Shirley, MA 01464-1144 | 2015-01-27 |
1134441157 | Rose-ann Buchman | Physical Therapist | 14 Mount Henry Rd, Shirley, MA 01464-2011 | 2010-02-17 |
1750775771 | Henrick Hamberg | Health Educator | 14 Mount Henry Rd, Shirley, MA 01464-2011 | 2015-03-27 |
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Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740894237 | Carine Rhoods Mathieu | Nurse Practitioner | 164 River Rd, Shirley, NY 11967-1553 | 2020-09-02 |
1043775562 | Desire Huckfeldt Kangsen | Nurse Practitioner | 1 Harvard Rd, Shirley, MA 01464-2434 | 2019-02-08 |
1134616915 | Nancy Thomas | Nurse Practitioner | 409 William Floyd Pkwy, Shirley, NY 11967-3434 | 2018-04-17 |
1205118668 | Bartholomew Nelson | Nurse Practitioner | 1 Harvard Rd, Shirley, MA 01464-2434 | 2011-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144821885 | Tanya Lee Bailey | Nurse Practitioner | 185 Vining Hill Rd, Southwick, MA 01077-9413 | 2020-11-07 |
1134720964 | Arliomey Ambroise | Nurse Practitioner | 2216 Summit Dr, Bridgewater, MA 02324-2178 | 2020-11-06 |
1184225161 | Christina Chan Sok | Nurse Practitioner | 24 Hartwell Ave # 204, Lexington, MA 02421-3132 | 2020-11-05 |
1871194381 | Stacie Rose | Nurse Practitioner | 131 Hartwell Ave, Lexington, MA 02421-3105 | 2020-11-03 |
1881295145 | Heather Thomas | Nurse Practitioner | 39 Brock St Apt 1, Brighton, MA 02135-2661 | 2020-11-03 |
1427659069 | Jenna Gunnell | Nurse Practitioner | 700 Greendale Ave Unit 11203, Needham, MA 02492-4362 | 2020-11-02 |
1336749936 | Julia Monroe | Nurse Practitioner | 7 Atwood St, Cherry Valley, MA 01611-3332 | 2020-11-01 |
1730789744 | Polyana F Barbosa | Nurse Practitioner | 491 Maple St Ste 208, Danvers, MA 01923-4025 | 2020-10-28 |
1053910257 | Lauren Michele Flynn | Nurse Practitioner | 173 Sumner St, Quincy, MA 02169-7003 | 2020-10-20 |
1043819196 | Kimberly S Christie | Nurse Practitioner | 107 Sheraton Ave, Somerset, MA 02725-1150 | 2020-10-20 |
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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.