MISS KIMBERLY SUSAN NORTHRUP
NPI 1003794843
Student in an Organized Health Care Education/Training Program in Newton, MA

Active since August 21, 2025

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Kimberly Susan Northrup NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS KIMBERLY SUSAN NORTHRUP (NPI 1003794843) is an individual student in an organized health care education/training program in Newton, Massachusetts and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1003794843
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS KIMBERLY SUSAN NORTHRUP
Location Address1 WELLS AVENewton, MA 02459-3226
Mailing Address1 Wells AveNewton, MA 02459-3226 · (617) 227-1604
Sole ProprietorYes
Enumeration DateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
NPI 1003794843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 WELLS AVE, Newton, MA 02459

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
1 WELLS AVE
NEWTON, MA 02459
Psychologist (Counseling)
1 WELLS AVE
NEWTON, MA 02459
Psychologist (Clinical)
1 WELLS AVE, ROOM 212
NEWTON, MA 02459
Student in an Organized Health Care Education/Training Program
1 WELLS AVE
NEWTON, MA 02459
Student in an Organized Health Care Education/Training Program
1 WELLS AVE
NEWTON CENTER, MA 02459
Student in an Organized Health Care Education/Training Program
1 WELLS AVE
NEWTON, MA 02459
Psychologist
1 WELLS AVE
NEWTON, MA 02459
Student in an Organized Health Care Education/Training Program
1 WELLS AVE
NEWTON, MA 02459

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Northrup's NPI number?

The NPI number for Kimberly Northrup is 1003794843. It was assigned to this individual provider in the NPPES registry on August 21, 2025.

Where is Kimberly Northrup located?

Kimberly Northrup practices at 1 Wells Ave, Newton, MA 02459. The listed phone number is (617) 227-1604.

What is Kimberly Northrup's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kimberly Northrup was last updated on August 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.