Active NPI
Kimberly A Renzulli, RN
- Professional Counselor
- Holyoke, MA
National Provider Identifier
1326108630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 163WOOOOOX
- Practice address
- 8 Evergreen Dr
Holyoke, MA 01040-1620 - Phone
- (413) 533-5295
- NPI assigned
- Dec 11, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 163WOOOOOX | MA | Primary |
Addresses
Primary practice location
8 Evergreen Dr
Holyoke, MA 01040-1620
Mailing address
220 Apremont Hwy
Holyoke, MA 01040-9500
Phone (413) 533-9000
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163WOOOOOX | MA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326108630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 APREMONT HWY",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010409500",
"telephone_number": "413-533-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 EVERGREEN DR",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010401620",
"telephone_number": "413-533-5295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENZULLI",
"first_name": "KIMBERLY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MA",
"license": "163WOOOOOX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.