Kimberly Stubbs, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

14031 Issued in CT

Practice address

4 Greentree Dr
Waterford, CT 06385-4116

Phone

(860) 442-0647

NPI assigned

Oct 22, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SNF Physiatry Services CT PLLCGroup PAC ID 9436678661, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• SNF Physiatry Services CT PLLC

  • Physical Medicine & Rehabilitation Physician
  • Waterbury, CT
  • NPI 1033911466
  Medicare reassignment Care Compare group
• Connecticut Post Acute Medical Services 1 PC

  • Hospitalist Physician
  • Derby, CT
  • NPI 1558890467
  Medicare reassignment NPD
• CS Pacs 3 Northeast, LLC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1093598898

  CT

  Medicare reassignment NPD
• Ma Pacs 2 PC

  • Hospitalist Physician
  • Chelsea, MA
  • NPI 1265918791

  CT

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lawrence and Memorial Hospital, Inc.

  • General Acute Care Hospital
  • New London, CT
  • NPI 1073530879
  Care Compare affiliation
• Lawrence and Memorial Hospital, Inc.

  • General Acute Care Hospital
  • New London, CT
  • NPI 1700092459
  Care Compare affiliation

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1700607793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 NW 136TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233091",
            "telephone_number": "954-377-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GREENTREE DR",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854116",
            "telephone_number": "860-442-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "KIMBERLY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "14031",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "14031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Worgul Stankiewicz, AU.D.
• Meghan Mari Stanley, MS, CNS, CD-N
• Steven M. Rapoport O.D., LLC
• Danielle M Steward-Gelinas, DPT
• Tracey Strelczuk, OTR/L
• Sudowski Chiropractic Offices
• Sudowski Management Services LLC
• Ann Suplicki
• Justin Swank, DDS
• Michael T Szewczyk Jr., PHARMD

• Gerontology Nurse Practitioner in Waterford, CT
• Providers in Waterford, CT by specialty
• Gerontology Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.

Verify at the official NPI Registry.