MR. DAVID FISHER KIMBLE RN CNS NPI 1457426058

NPI Information

NPI: 1457426058
Provider Name: MR. DAVID FISHER KIMBLE, RN CNS
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
20 RESEARCH PKWY
OLD SAYBROOK, CT
ZIP 06475
Phone: (800) 370-3651
Get Directions

MR. David Fisher Kimble, RN CNS is a psychiatric/mental health clinical nurse specialist in Old Saybrook, CT. MR. David Fisher Kimble, RN CNS NPI is 1457426058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20 RESEARCH PKWY
OLD SAYBROOK, CT
ZIP 06475-214
Phone: (800) 370-3651
Fax: (860) 510-0020

The enumeration date for this NPI number is 11/21/2006 and was last updated on 11/26/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	239643	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	99618201	OTHER		NETWORK HEALTH
2	NP10332	OTHER		BOSTON MED CTR
3	Y10074	MEDICARE UPIN	MASSACHUSETTS
4	1004745	OTHER		NHP
5	703136	OTHER		TUFTS
6	M18633	OTHER	MASSACHUSETTS	BCBS
7	1303287	MEDICAID	MASSACHUSETTS
8	NS045901	OTHER	MASSACHUSETTS	MEDICARE ID
9	1303287	OTHER		MBHP
10	CP0110	OTHER	MASSACHUSETTS	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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