Active NPI
Kimberly Flaherty, DC
- Chiropractor
- Brockton, MA
National Provider Identifier
1023037033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2576
- Practice address
- 362 Belmont St
Brockton, MA 02301-4950 - Phone
- (508) 584-6622
- Fax
- (508) 584-7744
- NPI assigned
- Jul 19, 2006
- Last updated
- Jan 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2576 | MA | Primary |
Addresses
Primary practice location
362 Belmont St
Brockton, MA 02301-4950
Mailing address
116 Hayward St
Braintree, MA 02184-1612
Phone (781) 817-5470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470220 | Other | MA | TUFTS HEALTH PLAN |
Other names 1
- Kimberly Nappa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2576 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1023037033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 HAYWARD ST",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021841612",
"telephone_number": "781-817-5470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "362 BELMONT ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014950",
"telephone_number": "508-584-6622",
"fax_number": "508-584-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAHERTY",
"first_name": "KIMBERLY",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "470220",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "NAPPA",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.