Kimberley Lynn Hartman-Poulin

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

2319144 Issued in MA

Practice address

195 Canal St
Malden, MA 02148-6701

Phone

(865) 696-6264

NPI assigned

Aug 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1568295160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 CANAL ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486701",
            "telephone_number": "865-696-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 CANAL ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486701",
            "telephone_number": "865-696-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN-POULIN",
        "first_name": "KIMBERLEY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MA",
            "license": "2319144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Handlers-Lurie, LICSW
• Gregory Martin Haney, DPT
• Alexandra Hanson
• Alexander Harris, MD
• Mindi Harris, LICSW
• Thomas Robert Hartrey
• Toni Harvey
• Charles Hauff, OD
• Dillon Havas
• Ingrid Y Henar, MD

• Ambulatory Care Registered Nurse in Malden, MA
• Providers in Malden, MA by specialty
• Ambulatory Care Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.