Kimberly Boothby-Downing, ANP
Nurse Practitioner, Adult Health in Portland, ME. Individual provider (NPI-1).
NPI number1972589331
StatusActive
Last updated in NPPESMar 17, 2022
Details
- NPI
- 1972589331
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Boothby-Downing
- Credential
- ANP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2005
- Certification date
- Mar 17, 2022
- Last updated
- Mar 17, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | R024613 | ME | Yes |
Practice location
716 Stevens AvePortland, ME 04103-2656
Phone 207-221-4242 · Fax 207-523-1913
Mailing address
Po Box 284Brattleboro, VT 05302-0284
Phone 207-221-4242 · Fax 207-523-1913
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 33 Adult Health Nurse Practitioner providers in Portland · All 7,184 providers in Portland
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