KIMBERLY ANN NEHILEY


Address: 830 Harrison Avenue, Moakley, 3rd Floor, Boston, MA 02118
Phone: 6176386428

KIMBERLY ANN NEHILEY (NPI# 1780018077) 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) 1780018077
Entity Type Individual
Full Name KIMBERLY ANN NEHILEY
Credential NP
Practice Address 830 Harrison Avenue
Moakley, 3rd Floor
Boston
MA 02118
Mailing Address 720 Harrison Ave.
Dob 503
Boston
MA 02118
Practice Telephone 6176386428
Practice Fax Number 6176385756
Enumeration Date 2013-08-22
Last Update Date 2017-09-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
RN2277803 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 110105207A 05

Office Location

Street Address 830 HARRISON AVENUE
MOAKLEY, 3RD FLOOR
City BOSTON
State MA
Zip Code 02118

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316929342 Jennifer F Tseng Surgery 830 Harrison Avenue, Moakley, Suite 3400, Boston, MA 02118 2005-11-16
1629569702 Kelsey Jean Burke Physician Assistant 830 Harrison Avenue, Moakley, Suite 3400, Boston, MA 02118 2018-05-23
1881131019 Nora Carr Nurse Practitioner 830 Harrison Avenue, Moakley, Suite 1200, Boston, MA 02118 2017-01-25
1336697382 Samuel Robert Lajoie Physician Assistant 830 Harrison Avenue, Moakley, Suite 3500, Boston, MA 02118 2016-09-20
1790148864 Charlene Julien Nurse Practitioner 830 Harrison Avenue, Moakley, 2nd Floor, Boston, MA 02118-2335 2016-04-05
1740640739 Nicholas Peter Simms Physician Assistant 830 Harrison Avenue, Suite 1400, Boston, MA 02118-2784 2016-03-03
1699150938 Brandy Nichole Kenner Keefe Nurse Practitioner 830 Harrison Avenue, Suite 1400, Boston, MA 02118 2015-07-28
1508278169 Hossein Sadrzadeh Internal Medicine 830 Harrison Avenue, Moakley, 3rd Floor, Boston, MA 02118 2014-05-29
1952729717 Eric I Marks Internal Medicine 830 Harrison Avenue, Moakley, 3rd Floor, Boston, MA 02118 2014-03-30
1225375314 Susan Catherine Griever Nurse Practitioner 830 Harrison Avenue, Suite 1400, Boston, MA 02118 2013-01-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649870023 Carlos E Salazar Counselor Hcrc 23 Bradston St., Boston, MA 02118 2020-10-27
1780292607 Jinal Gandhi Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 2020-07-16
1669094777 German Eduardo Velez Student in an Organized Health Care Education/Training Program One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 2020-05-12
1255969895 Isabela Medeiros Heringer Pereira Student in an Organized Health Care Education/Training Program 670 Albany Stree, 4th Floor, Boston, MA 02118 2020-03-30
1033746466 Karan Sunil Hingorani Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 2020-03-25
1326672791 Azza Ahmed Dentist 635 Albany St. G-744, Boston, MA 02118 2020-02-25
1538707401 Jane Margolis Social Worker 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 2019-12-11
1871134833 Supontep Teerakanok Dentist Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 2019-10-01
1750939583 Qasim Silman Ajmi Orthopaedic Surgery Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 2019-08-26
1922655539 Jami Ryan Pollard Physician Assistant 840 Harrison Avenue, Menino Building, Boston, MA 02118 2019-08-20
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669071601 Katherine Parrott Nurse Practitioner 95 Prince St Apt 8, Boston, MA 02113-1738 2020-10-21
1639712060 Elizabeth Gina Hayden Nurse Practitioner 330 Brookline Ave # Baker304, Boston, MA 02215-5400 2019-10-17
1629539838 David Anthony Cornetta Nurse Practitioner 860 Washington St Fl 7, Boston, MA 02111-1521 2019-03-29
1568964914 Phuong Luu Nurse Practitioner 606 E Fourth St, Unit 204, Boston, MA 02127 2018-03-01
1134637507 Moriah Kate Jacobellis Nurse Practitioner 55 Fruit St # Street8, Boston, MA 02114-2621 2018-01-18
1790295244 Jaimee Michelle Cathers Nurse Practitioner 110 Francis St # St3b, Boston, MA 02215-5501 2017-10-10
1831527340 Laura Nelson Nurse Practitioner 326 Commonwealth Avenue, Apt Br, Boston, MA 02115 2013-10-18
1174890966 Caitlin Walsh Brennan Nurse Practitioner 150 S Huntington Ave # 152m, Boston, MA 02130-4817 2011-11-21
1407162142 Maura E. Hossack Nurse Practitioner 801 Mass Ave, Crosstown 2, Boston, MA 02118-2605 2010-08-19
1790008571 Amy Catherine Baugh Nurse Practitioner 110 Francis St Ste 2a, Boston, MA 02215-5501 2010-03-08
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Competitor

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City BOSTON
Zip Code 02118

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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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