EMILY DICONZA (NPI# 1003232612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003232612 |
| Entity Type | Individual |
| Full Name | EMILY DICONZA |
| Credential | PA |
| Practice Address |
172 Kinsley St Nashua NH 03060-3648 |
| Mailing Address |
C/o St Mary's Health System - Provider Enrollment Po Box 7291 Lewiston ME 04243-7291 |
| Practice Telephone | 6035789363 |
| Practice Fax Number | 6035789539 |
| Mailing Telephone | 2077778695 |
| Mailing Fax Number | 2077778800 |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2020-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1552 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA4953 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3120621 | 05 | |
| MA | MA LICENSE | PA4953 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 123 Summer St, Worcester, MA 016081216 | 5083636032 |
| Street Address |
172 KINSLEY ST |
| City | NASHUA |
| State | NH |
| Zip Code | 03060-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649271438 | Phillip Joseph Manno | Internal Medicine | 172 Kinsley St, Nashua, NH 03060-3648 | 2005-08-03 |
| 1821616269 | St Joseph Hospital of Nashua Nh | Psychiatric Unit | 172 Kinsley St, Nashua, NH 03060-3648 | 2020-07-13 |
| 1417595331 | Casey Melissa Campbell | Nurse Practitioner | 172 Kinsley St, Nashua, NH 03060-3648 | 2019-12-11 |
| 1417414293 | Tara Leigh Moore | Nurse Practitioner | 172 Kinsley St, Nashua, NH 03060-3648 | 2019-02-27 |
| 1851862759 | Denis Paul Dessureault | Physician Assistant | 172 Kinsley St, Nashua, NH 03060-3648 | 2018-12-17 |
| 1043763352 | Ashley Pearse | Nurse Practitioner | 172 Kinsley St, Nashua, NH 03060-3648 | 2016-08-03 |
| 1750769469 | Kimberly Badessa | Nurse Practitioner | 172 Kinsley St, Nashua, NH 03060-3648 | 2015-05-13 |
| 1649657271 | Tammy Shultz | Nurse Anesthetist, Certified Registered | 172 Kinsley St, Nashua, NH 03060-3648 | 2015-05-04 |
| 1750795845 | Kristen Ann Hirsch Murphy | Physician Assistant | 172 Kinsley St, Nashua, NH 03060-3648 | 2014-06-17 |
| 1235573296 | Deepak Reddy Vatti | Emergency Medicine | 172 Kinsley St, Nashua, NH 03060-3648 | 2013-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693563 | Cascades of Nh, LLC | Clinic/Center | 9 East Pearl Street, Nashua, NH 03060 | 2019-11-13 |
| 1548757016 | Janine N Savage | Occupational Therapist | Courville At Nashua, 22 Hunt Street, Courville, NH 03060 | 2018-04-19 |
| 1942705124 | Decoteau Orthodontics, Pllc | Dentist | 169 Kinsley St., Nashua, NH 03060 | 2018-03-28 |
| 1053774109 | Global Adult Daycare Health Center Inc | Nursing Care | 295 S. Daniel Webster Highway, #7, Nashua, NH 03060 | 2016-04-05 |
| 1851760300 | Alyssa Reault | Specialist/Technologist | 37 Paul Ave, Nashua, NH 03060 | 2015-09-15 |
| 1255725529 | Christopher J. Mancuso | Dermatology | 17 Prospect St Ste N-301, Nashua, NH 03060 | 2015-03-25 |
| 1437579323 | Jason T. Koch | Family Medicine | 280 Main St Ste 210, Nashua, NH 03060 | 2014-04-18 |
| 1295088540 | Mary C Bendel | Registered Nurse | 45 High Street, Nashua, NH 03060 | 2012-10-24 |
| 1720362650 | Fatima Sanders | Pharmacist | 217 Daniel Webster Highway, Nashua, NH 03060 | 2011-10-11 |
| 1922394337 | Kelley Purselley | Counselor | 440 Amhurst St, Nashua, NH 03060 | 2011-06-23 |
| Find all providers in zip 03060 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336797752 | Kendra Padfield | Physician Assistant | 76 Allds St Ste 1, Nashua, NH 03060-4789 | 2019-08-28 |
| 1700284908 | Rhyannon Gonzalo | Physician Assistant | 8 Prospect St # 2, Nashua, NH 03060-3925 | 2014-12-21 |
| 1255605069 | Mark P. Herron | Physician Assistant | 112 Spit Brook Rd, Nashua, NH 03062-2711 | 2012-02-27 |
| 1487812780 | Michelle Ryder | Physician Assistant | 17 Riverside St Ste 105, Nashua, NH 03062 | 2008-05-23 |
| 1629258025 | Sara-britt Guinta | Physician Assistant | 565 Amherst St, Nashua, NH 03063 | 2007-11-14 |
| 1205944972 | Amy Jo Angel Bodensteiner | Physician Assistant | 80 Amhearst Boulevard, Suite 400, Nashua, IA 50658-9712 | 2006-08-25 |
| 1750393526 | Sara Ryan Lupien | Physician Assistant | 21 E Hollis Street, Nashua, NH 03060-2928 | 2006-08-12 |
| 1295377992 | Catalina Keeffe | Physician Assistant | 17 Prospect St, Nashua, NH 03060-3956 | 2019-10-14 |
| 1295383826 | Diane Mckiernan | Physician Assistant | 8 Prospect St, Nashua, NH 03060-3925 | 2019-08-27 |
| 1952968182 | Jennifer Rose Carignan | Physician Assistant | 8 Prospect St, Nashua, NH 03060-3925 | 2019-05-22 |
| Find all providers in NASHUA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.