Kimberly Anne Dubois, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN59131 Issued in ME

Practice address

83 Summer St
Porter, ME 04068-3537

Phone

(207) 625-9415

Fax

(207) 625-9520

NPI assigned

Dec 15, 2022

Sex

Female

Sole proprietor

No

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.

• Sacopee Valley Personal Care Agency

  • Home Health Agency
  • Parsonsfield, ME
  • NPI 1497422489
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 15, 2022.

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1760194286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SUMMER ST",
            "city": "PORTER",
            "state": "ME",
            "postal_code": "040683537",
            "telephone_number": "207-625-9415",
            "fax_number": "207-625-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 SUMMER ST",
            "city": "PORTER",
            "state": "ME",
            "postal_code": "040683537",
            "telephone_number": "207-625-9415",
            "fax_number": "207-625-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "ME",
            "license": "RN59131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Childers, RDH
• April Marie Clark, LCSW
• Samantha Deveau, PMHNP
• Donna M Dodge, RD
• Jennifer Marie Drouin, FNP
• Jeri Lynn Dudics, RN
• Catherine M Duthie, LCPC
• Haylie Priscilla Genoa
• Gregory Griffin
• Benjamin Edward Harwood, DMD

• All providers in Porter, ME
• Home Health Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.