Active NPIIndividual provider

Kimberly A Bumbera, NURSE PRACTITIONER

Nurse Practitioner, Gerontology in Plantsville, Connecticut

NPI Number1164085619
Practice location
187 Marion Ave, Plantsville, CT 06479-1442
Fax
—
Last updated
October 16, 2025

Kimberly A Bumbera is a Nurse Practitioner, Gerontology based in Plantsville, CT. Kimberly A Bumbera practices in Plantsville, CT and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Kimberly A Bumbera is 1164085619 and holds a License No. 8176 (CT). The current practice location address for Kimberly A Bumbera is 187 Marion Ave, Plantsville, CT 06479-1442 and can be reached out via phone at 860-919-9560.

Provider Profile Details

NPI Number
1164085619
Provider Name
Kimberly A Bumbera
Credential
NURSE PRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
187 Marion Ave, Plantsville, CT 06479-1442
Phone Number
860-919-9560
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
April 19, 2019
Last Update Date
October 16, 2025
Certification Date
October 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
187 Marion Ave
Plantsville, CT 06479-1442
Zip
06479-1442
Phone Number
860-919-9560
Plantsville, CT 06479Get directions →

Provider Business Mailing Address Details

Address
187 Marion Ave
Plantsville, CT 06479-1442
City
Plantsville
State
CT
Zip
06479-1442
Phone Number
860-919-9560

License Information

License Number (1)
8176
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Gerontology · 363LG0600X · Primary
License Number (2)
89547
License State (2)
CT
Taxonomy (2)
Registered Nurse, Gerontology · 163WG0600X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kimberly A Bumbera, NURSE PRACTITIONER?

The NPI number of Kimberly A Bumbera, NURSE PRACTITIONER is 1164085619. It was assigned on April 19, 2019 and is currently active in the NPPES registry.

What is the specialty of Kimberly A Bumbera, NURSE PRACTITIONER?

Kimberly A Bumbera, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in CT under license number 8176.

Where does Kimberly A Bumbera, NURSE PRACTITIONER practice?

The practice location is 187 Marion Ave, Plantsville, CT 06479-1442. The office can be reached at 860-919-9560 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164085619 directly on the NPPES registry website.

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