Individual provider Active NPI

Kimberly A Barclay, APRN

  • Nurse Practitioner
  • Avon, CT
National Provider Identifier
1417926296
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
002925 Issued in CT
Practice address
21 Waterville Rd
Avon, CT 06001-2097
Phone
(860) 488-5594
NPI assigned
Mar 15, 2006
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 002925 CT Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2925 CT

Addresses

Primary practice location

21 Waterville Rd
Avon, CT 06001-2097

Mailing address

85 Tolland GRN
Tolland, CT 06084-3040
Phone (860) 604-4334

Other identifiers 6

IdentifierTypeStateIssuer
020925OtherCTCONNECTICARE
C003687OtherCTCHAMPUS
004246816MedicaidCT
00424681600OtherCTBC/BS FAMILYPLAN
2V5976OtherCTHEALTHNET
400002925CT01OtherCTBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20050316000750 CT Practitioner - Certified Clinical Nurse Specialist (CNS) 9638124225 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harvest Healthcare LLCGroup PAC ID 9931276979, 72 clinicians

Practice addresses (Care Compare)

21 Waterville Rd
Avon, CT 06001-2097
Phone (860) 284-0182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
002925CTMDProfessional Counselor
2925CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc Nurse Practitioner CurrentSince Jan 1, 2013 Accepting new patients
Prospect CT Medical Foundation, Inc. Nurse Practitioner CurrentSince Sep 1, 2016 Accepting new patients
Harvest Healthcare LLC Nurse Practitioner CurrentSince Aug 14, 2023 Accepting new patients
Hartford Physician Services PC Nurse Practitioner Past Accepting new patients
Prospect Manchester Hospital, Inc. Past Accepting new patients
Manchester Medical Associates, PC Past Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182

130 Hartford Rd
Manchester, CT 06040
Phone (860) 533-4673

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

6 Fieldstone Cmns
Ste D
Tolland, CT 06084
Phone (860) 871-6710

428 Hartford Tpke
Ste 210
Vernon Rockville, CT 06066
Phone (860) 533-4611

Organizations & group practices 6

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1417926296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 TOLLAND GRN",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843040",
            "telephone_number": "860-604-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WATERVILLE RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012097",
            "telephone_number": "860-488-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCLAY",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "002925",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "2925",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "020925",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "C003687",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004246816",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FAMILYPLAN",
            "identifier": "00424681600",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V5976",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "400002925CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.