Kimberly Ethridge Fitzgibbon, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Practice address

26 Chestnut St Ste 2E
Andover, MA 01810-3600

Phone

(978) 749-2700

NPI assigned

Sep 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1255945135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CENTRE ST",
            "city": "DOVER",
            "state": "MA",
            "postal_code": "020302205",
            "telephone_number": "617-645-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CHESTNUT ST STE 2E",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103600",
            "telephone_number": "978-749-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGIBBON",
        "first_name": "KIMBERLY",
        "middle_name": "ETHRIDGE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fidelity Homecare Services Inc
• Kathleen P. Finn, RN
• Josephine Finocchiaro, MSN, RN, APRN
• First-Call Medical Inc
• Daniel Robert Fitzgerald, DMD
• Barbara J. Fleno
• Stephania Flores-Espaillat
• Eliza Floyd, AU.D., CCC-A
• Brenda M Foley, MD
• Cornelius M. Foley

• Clinical Neuropsychologist in Andover, MA
• Providers in Andover, MA by specialty
• Clinical Neuropsychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.