Active NPI
Kimberly Lane Magliocchetti, N.P.
- Nurse Practitioner
- Nashua, NH
National Provider Identifier
1124576640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 074296-23
- Practice address
- 112 Spit Brook Rd
Nashua, NH 03062-2711 - Phone
- (603) 891-6952
- Fax
- (603) 891-6970
- NPI assigned
- Sep 13, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 074296-23 | NH | Primary |
Addresses
Primary practice location
112 Spit Brook Rd
Nashua, NH 03062-2711
Mailing address
PO Box 3677
Nashua, NH 03061-3677
Phone (603) 891-6952
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1124576640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3677",
"city": "NASHUA",
"state": "NH",
"postal_code": "030613677",
"telephone_number": "603-891-6952",
"fax_number": "603-891-6970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 SPIT BROOK RD",
"city": "NASHUA",
"state": "NH",
"postal_code": "030622711",
"telephone_number": "603-891-6952",
"fax_number": "603-891-6970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGLIOCCHETTI",
"first_name": "KIMBERLY",
"middle_name": "LANE",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-13",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "074296-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.