Active NPI
Kimberly Jean Dunn, NURSE PRACTITIONER
- Pediatric Nurse Practitioner
- Needham, MA
National Provider Identifier
1407867229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 236014
- Practice address
- 400 Hunnewell St
Needham, MA 02494-1360 - Phone
- (617) 697-2282
- NPI assigned
- Aug 10, 2006
- Last updated
- Jul 9, 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 236014 | MA | Primary |
Addresses
Primary practice location
400 Hunnewell St
Needham, MA 02494-1360
Mailing address
86 Wellesley Ave
Wellesley, MA 02482-6634
Phone (617) 697-2282
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236014 | MA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric and Adolescent Behavioral | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- kimdunn@134236.advancedmd-direct.com
Organizations & group practices 1
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.
-
- Pediatric Nurse Practitioner
- Westwood, MA
- NPI 1477194793
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468022400000",
"number": "1407867229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 WELLESLEY AVE",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024826634",
"telephone_number": "617-697-2282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HUNNEWELL ST",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024941360",
"telephone_number": "617-697-2282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "KIMBERLY",
"middle_name": "JEAN",
"name_prefix": "Miss",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2016-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "236014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.