BARBARA KIMBLE-GOODMAN (NPI# 1780997601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780997601 |
Entity Type | Individual |
Full Name | BARBARA KIMBLE-GOODMAN |
Practice Address |
95 Thomaston Ave Waterbury CT 06702-1007 |
Mailing Address |
703 Meriden Waterbury Tpke Southington CT 06489-4154 |
Practice Telephone | 2038055300 |
Enumeration Date | 2010-07-20 |
Last Update Date | 2010-07-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
003974 | CT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | APRN LICENSE | 003974 | 01 |
Street Address |
95 THOMASTON AVE |
City | WATERBURY |
State | CT |
Zip Code | 06702-1007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295820074 | Blanche J Gronowski | Social Worker | 95 Thomaston Ave, Waterbury, CT 06702-1007 | 2006-10-04 |
1003369778 | Patricia Ann Dupree-bautista | Social Worker | 95 Thomaston Ave, Waterbury, CT 06702-1007 | 2016-07-29 |
1083031520 | Jocelyne Martin-karam | Nurse Practitioner | 95 Thomaston Ave, Waterbury, CT 06702-1007 | 2014-03-22 |
1407106446 | Melinda M Silva | Social Worker | 95 Thomaston Ave, Waterbury, CT 06702-1007 | 2012-09-18 |
1124387972 | Amanda R. Griffin-sergel | Social Worker | 95 Thomaston Ave, Waterbury, CT 06702-1007 | 2012-05-15 |
1194021758 | Daisy Santiago-levasseur | Social Worker | 95 Thomaston Ave, Waterbury, CT 06702-1007 | 2011-01-31 |
1245549815 | Melanie A. Watkins-griffin | Social Worker | 95 Thomaston Ave, Waterbury, CT 06702-1007 | 2010-09-30 |
1225367287 | Man-ching Mandy Yeh | Counselor | 95 Thomaston Ave, Waterbury, CT 06702-1007 | 2009-12-21 |
1093048555 | Arlene Marie Garcia | Social Worker | 95 Thomaston Ave, Western Ct Mental Health Network, Waterbury, CT 06702-1007 | 2009-09-15 |
1851536544 | Tran Tu | Social Worker | 95 Thomaston Ave, Waterbury, CT 06702-1007 | 2008-12-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780120295 | Melitza Velez | Counselor | 80 Prospect St., Waterbury, CT 06702 | 2017-01-09 |
1467813600 | Ashley Joseph | Counselor | 30 Holmes Ave, Waterbury, CT 06702 | 2016-03-16 |
1649662313 | Lori Arens | Social Worker | 141 E Main St Fl 4, Waterbury, CT 06702 | 2015-03-04 |
1265725584 | Zelda Shleifer | Audiologist | 21 W Main St Fl Place-3, Waterbury, CT 06702 | 2011-05-19 |
1700024585 | Charlene Angela Jurgaitis | Durable Medical Equipment & Medical Supplies | 102 Grand Street, Waterbury, CT 06702 | 2009-02-02 |
1518090570 | Nathan Z Imre | Pharmacist | 161 East Main St Central Pharmacy, Waterbury, CT 06702 | 2007-03-13 |
1922149467 | Rachael A Petitti | Social Worker | 402 East Main Street, Waterbury, CT 06702 | 2007-02-09 |
1710024484 | Abbot Terrace Health Center | Assisted Living Facility | 44 Abbott Terrace, Waterbury, CT 06702 | 2007-01-31 |
1205994555 | Michael Arcangel Padilla | Social Worker | Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 | 2006-12-05 |
1205902723 | Colette M Anderson | Social Worker | 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2006-11-27 |
Find all providers in zip 06702 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467072033 | Sarah Michelle Whalen | Nurse Practitioner | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2020-04-23 |
1720616246 | Susan Antoinette Pappas | Nurse Practitioner | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2020-03-30 |
1578022166 | Daedly Potusek | Nurse Practitioner | 80 Phoenix Ave, Waterbury, CT 06702-1418 | 2019-03-14 |
1124592274 | Deon Johnson-allen | Nurse Practitioner | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2019-01-11 |
1356818421 | Olanike Oyeyemi Idowu | Nurse Practitioner | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-10-26 |
1104344506 | Kimberly Burns | Nurse Practitioner | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2017-09-06 |
1114462561 | Shantelle Brokaw | Nurse Practitioner | 128 Cedar Ave, Waterbury, CT 06705-2700 | 2016-12-21 |
1407201957 | Alexandria Smith | Nurse Practitioner | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2016-05-03 |
1134504715 | Nicholas James O'brien | Nurse Practitioner | 60 N Main St, 3rd Floor, Waterbury, CT 06702-1443 | 2015-07-24 |
1225461221 | Alyson Nicolosi | Nurse Practitioner | 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 | 2013-08-13 |
Find all providers in WATERBURY |
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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.