ALEX REARDON (NPI# 1023675824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023675824 |
| Entity Type | Individual |
| Full Name | ALEX REARDON |
| Practice Address |
10 Tsienneto Rd Derry NH 03038-1505 |
| Practice Telephone | 6034341577 |
| Practice Fax Number | 6034343101 |
| Mailing Telephone | 6034341577 |
| Mailing Fax Number | 6034343101 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
069995-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10 TSIENNETO RD |
| City | DERRY |
| State | NH |
| Zip Code | 03038-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154374452 | Heather J Souther | Counselor | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2006-05-18 |
| 1710592977 | Lamprey Health Care Inc | Physician Assistant | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2020-09-14 |
| 1548822679 | Kristen Mccrady | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2019-06-28 |
| 1245795301 | Emily Coco | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2019-02-04 |
| 1972074698 | Irina Horodincu | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-12-06 |
| 1366910754 | Carol Early | Registered Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-11-05 |
| 1083181283 | Crystal Higgins | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-10-26 |
| 1306320999 | The Mental Health Ctr for Southern New Hampshire | Community/Behavioral Health | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-09-19 |
| 1578044673 | Michele Saunders | Community Health Worker | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-08-27 |
| 1780164459 | Sarah Paullis | Case Manager/Care Coordinator | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750922142 | Derry Surgical Center, LLC | Clinic/Center | 15 Tsienneto Road, Derry, NH 03038 | 2019-10-07 |
| 1265941769 | Shireen Kirata | Physician Assistant | Lahey Institute of Urology, Derry, 44 Birch Street, Derry, NH 03038 | 2017-09-27 |
| 1538615133 | Louise Dinsmore | Pharmacist | 48 East Broadway, Derry, NH 03038 | 2016-09-01 |
| 1295188852 | Lauren Manney | Pharmacist | 48 E. Broadway, Derry, NH 03038 | 2016-07-19 |
| 1396104857 | Simply Orthodontics, Nh, PC | Dentist | 8 Crystal Ave, Derry, NH 03038 | 2016-02-12 |
| 1659766996 | Beverly Stasia Weston | Adult Companion | 60 Frost Rd, Derry, NH 03038 | 2015-04-03 |
| 1639580038 | Tricia Lane | Nurse Practitioner | 1 Parkland Drive, Derry, NH 03038 | 2014-05-20 |
| 1841620382 | Rothenwitz Dental Partnership | Dentist | 19d Manchester Rd, Suite 3, Derry, NH 03038 | 2013-11-20 |
| 1184934978 | Colleen Summers | Nurse Practitioner | 6 Tsiennto Road, Suite 101ll, Derry, NH 03038 | 2010-10-14 |
| 1609016922 | Bethany Lynne Layne | Physical Therapist | 8 White Oak Lane, Derry, NH 03038 | 2009-02-26 |
| Find all providers in zip 03038 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444260 | Shine Psychiatry | Nurse Practitioner | 16 Route 111 Ste 4, Derry, NH 03038-4142 | 2020-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949129 | Northstar Psychiatric Health Pllc | Nurse Practitioner | 380 Lafayette Rd Unit 11-121, Seabrook, NH 03874-4551 | 2020-07-16 |
| 1740800028 | Julie Cunningham Psychiatric Services Pllc | Nurse Practitioner | 17 Windham Rd, Pelham, NH 03076-2371 | 2020-04-16 |
| 1811535008 | Dawn of A New Day Mental Health, Pllc | Nurse Practitioner | 250 Commercial St Ste 2100, Manchester, NH 03101-1142 | 2019-12-18 |
| 1912544008 | Onward Psychiatry, LLC | Nurse Practitioner | 2 Ash St, Hollis, NH 03049-6548 | 2019-12-08 |
| 1669036638 | Lisa Williams Aprn Pllc | Nurse Practitioner | 16 Vista Ridge Dr Unit 219, Londonderry, NH 03053-2479 | 2019-04-25 |
| 1609347087 | Psychiatric Empowerment Services, Pllc | Nurse Practitioner | 76 Northeastern Blvd Ste Office1b, Nashua, NH 03062-3174 | 2018-12-11 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1144732074 | Altum Psychiatric Services, Pllc | Nurse Practitioner | 1 Bridge St Ste 210, Plymouth, NH 03264-1623 | 2017-11-01 |
| 1881104826 | Progressive Psychiatric Services, Pllc | Nurse Practitioner | 771 Chestnut Street, Manchester, NH 03104-3011 | 2017-10-04 |
| 1750891909 | Tonia Clare Bowman | Nurse Practitioner | 463 River Road, South Acworth, NH 03607 | 2017-10-02 |
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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.