Active NPI
Kimberly Malmborg
- Athletic Trainer
- Hingham, MA
National Provider Identifier
1689202111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 3553
- Practice address
- 2 Pond Park Rd Ste 102
Hingham, MA 02043-4354 - Phone
- (781) 337-5555
- NPI assigned
- Mar 30, 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 3553 | MA | Primary |
Addresses
Primary practice location
2 Pond Park Rd Ste 102
Hingham, MA 02043-4354
Mailing address
10 Cliff St Apt 3
Quincy, MA 02169-1460
Other practice location 1
5151 Park Ave
Fairfield, CT 06825-1090
Phone (203) 371-7999
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": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1689202111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CLIFF ST APT 3",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 POND PARK RD STE 102",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020434354",
"telephone_number": "781-337-5555"
}
],
"practiceLocations": [
{
"address_1": "5151 Park Ave",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CT",
"postal_code": "068251090",
"country_code": "US",
"telephone_number": "203-371-7999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALMBORG",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-30",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "3553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.