Active NPI
Kimberley S Paris, PHLEBOTOMIST RPT
- Contractor
- Woburn, MA
National Provider Identifier
1417558586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 800 W Cummings Park Ste 5225
Woburn, MA 01801-6356 - Phone
- (603) 897-9277
- Fax
- (781) 376-4165
- NPI assigned
- Nov 5, 2020
- Last updated
- Nov 5, 2020
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | NU | Primary |
Addresses
Primary practice location
800 W Cummings Park Ste 5225
Woburn, MA 01801-6356
Mailing address
800 W Cummings PK Suite 5225
Woburn, MA 01801
Phone (781) 376-1806
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1417558586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W CUMMINGS PK SUITE 5225",
"city": "WOBURN",
"state": "MA",
"postal_code": "01801",
"telephone_number": "781-376-1806",
"fax_number": "781-376-4165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W CUMMINGS PARK STE 5225",
"city": "WOBURN",
"state": "MA",
"postal_code": "018016356",
"telephone_number": "603-897-9277",
"fax_number": "781-376-4165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARIS",
"first_name": "KIMBERLEY",
"middle_name": "S",
"credential": "PHLEBOTOMIST RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.