Individual provider Active NPI

Kimberly I Verrier, NP

  • Family Nurse Practitioner
  • Peabody, MA
National Provider Identifier
1215083464
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
254810 Issued in MA
Practice address
4 Centennial Dr
Suite 201
Peabody, MA 01960-7935
Phone
(978) 531-0800
Fax
(978) 531-2929
NPI assigned
Jan 27, 2007
Last updated
Nov 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 254810 MA
Family Nurse Practitioner 363LF0000X 254810 MA Primary

Addresses

Primary practice location

4 Centennial Dr
Suite 201
Peabody, MA 01960-7935

Mailing address

4 Centennial Dr
Suite 201
Peabody, MA 01960-7935
Phone (978) 531-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622000638 MA Practitioner - Nurse Practitioner 2062457831 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
254810MAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Center, Inc. Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: verrier.kimberly.nsmc@direct.partners.masshiway.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1215083464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CENTENNIAL DR",
            "address_2": "SUITE 201",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607935",
            "telephone_number": "978-531-0800",
            "fax_number": "978-531-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CENTENNIAL DR",
            "address_2": "SUITE 201",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607935",
            "telephone_number": "978-531-0800",
            "fax_number": "978-531-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERRIER",
        "first_name": "KIMBERLY",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "254810",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "254810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.