MS. KIMBERLY BETH ABDOW N.P. NPI 1003007477

Registered Nurse (Psychiatric/Mental Health) in Worcester, MA

NPI 1003007477 Individual Female Years of Experience 19 Registered Nurse Psychiatric/Mental Health PECOS Enrolled May Accept Medicare Approved Payment

About KIMBERLY ABDOW

Kimberly Abdow is a provider established in Worcester, Massachusetts and her medical specialization is registered nurse (psychiatric/mental health) with more than 19 years of experience. The NPI number of Kimberly Abdow is 1003007477 and was assigned on August 2007. The practitioner's primary taxonomy code is 163WP0808X with license number RN206918 (MA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

Kimberly Abdow is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Kimberly Abdow is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

NPI

1003007477

Provider NameMS. KIMBERLY BETH ABDOW N.P.
Provider Location Address435 SHREWSBURY ST WORCESTER, MA 01609
Provider Mailing Address202 RUSSELL ST WORCESTER, MA 01609
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2003
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date08-09-2007
Last Update Date01-23-2019


Primary Taxonomy

Taxonomy Code163WP0808X
ClassificationRegistered Nurse
TypeNursing Service Providers
SpecializationPsychiatric/Mental Health
License No.RN206918
License StateMA

Business Address

MS. KIMBERLY BETH ABDOW N.P.
435 SHREWSBURY ST
WORCESTER, MA
ZIP 01609
Phone: (508) 753-5554
Fax: (508) 752-7245

Get Directions


Mailing Address

MS. KIMBERLY BETH ABDOW N.P.
202 RUSSELL ST
WORCESTER, MA
ZIP 01609
Phone: (508) 753-5554



Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health206917MANo

Taxonomy Description: Not Available

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.