Active NPI
Kimberly A Menard, M.S.ED
- Specialist
- Bronx, NY
National Provider Identifier
1891057592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 550238111
- Practice address
- 3801 Hudson Manor Ter
#6B
Bronx, NY 10463-1105 - Phone
- (917) 701-0873
- NPI assigned
- Jun 9, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 550238111 | NY | Primary |
Addresses
Primary practice location
3801 Hudson Manor Ter
#6B
Bronx, NY 10463-1105
Mailing address
3801 Hudson Manor Ter
#6B
Bronx, NY 10463-1105
Phone (917) 701-0873
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2297052 | Other | NY | SPECIAL EDUCATION TEACHER CERTIFICATION TEACHER ID NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 550238111 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339200000000",
"number": "1891057592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 HUDSON MANOR TER",
"address_2": "#6B",
"city": "BRONX",
"state": "NY",
"postal_code": "104631105",
"telephone_number": "917-701-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 HUDSON MANOR TER",
"address_2": "#6B",
"city": "BRONX",
"state": "NY",
"postal_code": "104631105",
"telephone_number": "917-701-0873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENARD",
"first_name": "KIMBERLY",
"middle_name": "A",
"credential": "M.S.ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-09",
"last_updated": "2012-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "550238111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECIAL EDUCATION TEACHER CERTIFICATION TEACHER ID NUMBER",
"identifier": "2297052",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.