MRS. KIMBERLY A. MASOOD (NPI# 1780930842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780930842 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY A. MASOOD |
| Credential | PA-C |
| Practice Address |
1 Commerce St Ste 200 Lincoln RI 02865-1186 |
| Practice Telephone | 4017938500 |
| Practice Fax Number | 4017938511 |
| Mailing Telephone | 4017938500 |
| Mailing Fax Number | 4017938511 |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00652 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 COMMERCE ST STE 200 |
| City | LINCOLN |
| State | RI |
| Zip Code | 02865-1186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710983523 | Rex W Appenfeller | Internal Medicine | 1 Commerce St Ste 200, Lincoln, RI 02865-1186 | 2005-06-27 |
| 1003380106 | Chelsea M Mckiernan | Physician Assistant | 1 Commerce St Ste 200, Lincoln, RI 02865-1186 | 2019-01-11 |
| 1164921656 | Patricia A Lamothe | Registered Nurse | 1 Commerce St Ste 200, Lincoln, RI 02865-1186 | 2018-02-09 |
| 1275768814 | Betsy A Krugliak | Psychologist | 1 Commerce St Ste 200, Lincoln, RI 02865-1186 | 2009-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346749868 | Ckri Incorporated | In Home Supportive Care | 1525 Old Louisquissett Pike, C201, Lincoln, RI 02865 | 2018-02-10 |
| 1053824805 | Daniel Boulanger | Specialist/Technologist | 1762 Louisquisset Pike, Lincoln, RI 02865 | 2017-11-14 |
| 1013449677 | Daniel Gardner | Physical Therapist | 618 George Washington Hwy, Lincoln, RI 02865 | 2017-03-31 |
| 1801335138 | Lucille Ellen Plasse | Registered Nurse | 19 Old Great Road, Lincoln, RI 02865 | 2017-02-20 |
| 1558752014 | Northern Rhode Island Cognitive Behavioral Therapy Inc | Social Worker | 640 George Washington Hwy Ste 103, Lincoln, RI 02865 | 2015-02-05 |
| 1528313004 | Sandra Faria | Counselor | 1525 Old Louisquisset Pike Ste B104, Lincoln, RI 02865 | 2012-07-19 |
| 1982832671 | Deborah F Katcher-buckley | Nurse Practitioner | 2 Wake Robin Rd Unit 201, Lincoln, RI 02865 | 2009-07-01 |
| 1558541011 | Dawn Marie Maguire | Social Worker | 640 George Washington Hwy Ste, Bdg B, Ste 103, Lincoln, RI 02865 | 2007-11-13 |
| 1477675262 | Rhode Island Hospital | Internal Medicine | 701 George Washington Hwy Ste 100, Lincoln, RI 02865 | 2007-04-04 |
| 1083789218 | Thomas Patrick Hines | Pediatrics | 6 Blackstone Valley Place Suite 306b, Lincoln, RI 02865 | 2006-11-22 |
| Find all providers in zip 02865 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580156 | Alana M Oster | Physician Assistant | 129 Chapel St, Lincoln, RI 02865-2119 | 2020-08-25 |
| 1871143891 | Ashley Moreau | Physician Assistant | 4 Lauretta Ln, Lincoln, RI 02865-1338 | 2019-09-12 |
| 1013574862 | Erin Grace Dragoo | Physician Assistant | 2310 Wesley Dr, Lincoln, NE 68512-3704 | 2019-05-28 |
| 1629535521 | Jason Theodore | Physician Assistant | 4615 Meredeth St Apt 6, Lincoln, NE 68506-4973 | 2019-02-27 |
| 1144674276 | Austin Bryce Henslee | Physician Assistant | 575 S 70th St Ste 310, Lincoln, NE 68510 | 2016-04-14 |
| 1790163814 | Mary Elizabeth Tucker | Physician Assistant | 1500 S 48th St., Suite 800, Lincoln, NE 68506-1200 | 2015-05-08 |
| 1942542790 | Linda Denise Corr | Physician Assistant | 4451 N 26th St Ste 1000, Lincoln, NE 68521-4144 | 2013-03-20 |
| 1669734794 | Kimberly Kathryn Piening | Physician Assistant | 1101 S 70th St Ste 100, Lincoln, NE 68510-4293 | 2012-06-14 |
| 1548521933 | Terumi Degraw | Physician Assistant | 1715 S 26th St, Lincoln, NE 68502-3061 | 2012-06-02 |
| 1609103415 | Kristen Alyce Bruening | Physician Assistant | 8550 Cuthills Cir, Lincoln, NE 68526-9474 | 2009-11-16 |
| Find all providers in LINCOLN | ||||
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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.