Active NPI
Kimberly Ann Moniz, NP
- Adult Health Nurse Practitioner
- Fairhaven, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 275774
- Practice address
- 200 Mill Road
Suite 180
Fairhaven, MA 02719 - Phone
- (508) 973-2160
- Fax
- (508) 973-2176
- NPI assigned
- Aug 13, 2013
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 275774 | MA | Primary |
Addresses
Primary practice location
200 Mill Road
Suite 180
Fairhaven, MA 02719
Mailing address
200 Mill Road
Suite 180
Fairhaven, MA 02719-5252
Phone (508) 973-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
289 Pleasant St
Suite 301
Fall River, MA 02721-3005
Phone (508) 679-9955
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275774 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Healthcare Medical Group Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Martha'S Vineyard Hospital | Current | Accepting new patients | |
| Martha'S Vineyard Hospital, Inc. | Current | Accepting new patients | |
| Revere Medical of Massachusetts, PC | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Martha'S Vineyard Hospital, Inc. | Current | Accepting new patients | |
| Premier Healthcare Services, LLC | Past | Accepting new patients |
Locations
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
110 Liberty St
Brockton, MA 02301
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050
851 Middle St
Ste 3400
Fall River, MA 02721
Phone (508) 235-5400
277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244
289 Pleasant St
Ste 601
Fall River, MA 02721
Phone (508) 646-7730
851 Middle St
Ste 2400
Fall River, MA 02721
Phone (508) 397-8791
289 Pleasant St
Bldg 4
Fall River, MA 02721
Phone (508) 675-3972
289 Pleasant St
Ste 301
Fall River, MA 02721
Phone (508) 324-3200
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500
67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400
9 Galen St
Ste 155
Watertown, MA 02472
Phone (857) 304-2444
Interoperability endpoints
- moniz.kimberly.mvh@direct.partners.masshiway.net
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Fall River, MA
- NPI 1265422596
-
- Internal Medicine Physician
- Oak Bluffs, MA
- NPI 1194866210
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1336976539
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Obstetrics & Gynecology Physician
- Oak Bluffs, MA
- NPI 1962465500
-
- Critical Access Hospital
- Oak Bluffs, MA
- NPI 1134206386
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Geriatric Medicine (Internal Medicine) Physician
- Dartmouth, MA
- NPI 1174089163
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1972330165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384473600000",
"number": "1558794651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MILL ROAD",
"address_2": "SUITE 180",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195252",
"telephone_number": "508-973-3000",
"fax_number": "508-973-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MILL ROAD",
"address_2": "SUITE 180",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "02719",
"telephone_number": "508-973-2160",
"fax_number": "508-973-2176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONIZ",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-13",
"last_updated": "2013-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "275774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairhaven, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.