Individual provider Active NPI

Kimberly Newbury, ANP-BC

  • Primary Care Nurse Practitioner
  • Auburndale, MA
National Provider Identifier
1811260508
Registry record updated Feb 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN230443 Issued in MA
Practice address
275 Grove St
Auburndale, MA 02466-2272
Phone
(617) 454-0200
NPI assigned
Feb 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN230443 MA Primary

Addresses

Primary practice location

275 Grove St
Auburndale, MA 02466-2272

Mailing address

275 Grove St
Auburndale, MA 02466-2272
Phone (617) 454-0200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150327000366 MA Practitioner - Nurse Practitioner 2769709930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

120 Longwater Dr
Suite 200
Norwell, MA 02061-1653
Phone (781) 659-2342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Medical Group of Massachusetts, PC CurrentSince Feb 2, 2015 Accepting new patients
Seasons Hospice & Palliative Care of Massachusetts, LLC PastSince Feb 2, 2015 Accepting new patients

Locations

20 Burlington Mall Rd
Ste 450
Burlington, MA 01803
Phone (617) 454-0200

1 Edgewater Dr
Ste 103
Norwood, MA 02062
Phone (617) 281-1212

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1328918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328918400000",
    "number": "1811260508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 GROVE ST",
            "city": "AUBURNDALE",
            "state": "MA",
            "postal_code": "024662272",
            "telephone_number": "617-454-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 GROVE ST",
            "city": "AUBURNDALE",
            "state": "MA",
            "postal_code": "024662272",
            "telephone_number": "617-454-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBURY",
        "first_name": "KIMBERLY",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-11",
        "last_updated": "2012-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN230443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburndale, MA

Sources for this page

Verify at the official NPI Registry.