NICOLE ANNETTE CLARKE JAGODOWSKI (NPI# 1033507868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033507868 |
| Entity Type | Individual |
| Full Name | NICOLE ANNETTE CLARKE JAGODOWSKI |
| Practice Address |
20 Wall St Burlington MA 01803-4758 |
| Mailing Address |
147 Milk St Boston MA 02109-4806 |
| Practice Telephone | 7812212800 |
| Mailing Telephone | 9788211723 |
| Enumeration Date | 2015-01-01 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2284312 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20 WALL ST |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01803-4758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265417265 | Pamela G. Swearingen | Pediatrics | 20 Wall St, Burlington, MA 01803-4758 | 2005-12-13 |
| 1922615475 | Lindsey Leigh Gallagher | Nurse Practitioner | 20 Wall St, Burlington, MA 01803-4758 | 2020-09-29 |
| 1730709460 | Dong Keun Lee | Pharmacy Technician | 20 Wall St, Burlington, MA 01803-4758 | 2020-04-22 |
| 1831670785 | Amanda Mary Jasiak | Nurse Practitioner | 20 Wall St, Burlington, MA 01803-4758 | 2018-08-28 |
| 1942703186 | Sarah Wolff Alimi | Physical Therapist | 20 Wall St, Burlington, MA 01803-4758 | 2018-03-14 |
| 1477916153 | Laurie Mckechnie | Nurse Practitioner | 20 Wall St, Burlington, MA 01803-4758 | 2016-03-31 |
| 1003282963 | Marlene A Brady | Nurse Practitioner | 20 Wall St, Burlington, MA 01803-4758 | 2015-08-14 |
| 1265839336 | Sritharani Kandasamy | Obstetrics & Gynecology | 20 Wall St, Burlington, MA 01803-4758 | 2014-12-04 |
| 1346649662 | Julia O'donnell | Social Worker | 20 Wall St, Burlington, MA 01803-4758 | 2014-08-22 |
| 1700229937 | Christina Tierney | Obstetrics & Gynecology | 20 Wall St, Burlington, MA 01803-4758 | 2013-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219089 | Mallika Tara Iyer | Behavior Technician | 64 S Bedford Street, Burlington, MA 01803 | 2020-03-06 |
| 1518445709 | Patriot Urgent Care Professionals, PC | General Practice | 90 Middlesex Turnpike, Burlington, MA 01803 | 2018-07-31 |
| 1932608122 | Danielle Berkowitz | Registered Nurse | 90 Middlesex Tpke Ste G, Burlington, MA 01803 | 2018-02-02 |
| 1255861860 | David William Mahnken | Social Worker | 11a Cypress Drive, Burlington, MA 01803 | 2017-06-15 |
| 1770030710 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1300 Middlesex Turnpike, Burlington, MA 01803 | 2016-09-07 |
| 1083091557 | Burlington Eye Group, Inc | Optometrist | 74 Burlington Mall Road, Burlington, MA 01803 | 2015-05-04 |
| 1720485535 | Db2 Practice Management | Clinic/Center | 11 Cambridge St, Burlington, MA 01803 | 2014-11-21 |
| 1689081812 | Jasmit Minhas | Internal Medicine | 9 Kimball Court, Apt 112, Burlington, MA 01803 | 2014-07-21 |
| 1528404993 | Alexander David Neusner | Surgery | 40 Mall Rd, Burlington, MA 01803 | 2013-05-13 |
| 1730421389 | First Choice Dental Group | Dentist | 11 Camridge Street, Burlington, MA 01803 | 2013-03-21 |
| Find all providers in zip 01803 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336484856 | Jamie Swanson | Nurse Practitioner | 219 Austin Dr, Burlington, VT 05401-5428 | 2012-12-10 |
| 1932665684 | Kathleen Morwood Goodwin | Nurse Practitioner | 128 Lakeside Ave Ste 115, Burlington, VT 05401-4936 | 2019-02-19 |
| 1558827832 | Catherine Nichols Mueller | Nurse Practitioner | 3804 S Church St, Burlington, NC 27215-9134 | 2019-02-12 |
| 1104345180 | Laura Fox Landon | Nurse Practitioner | 530 W Webb Ave, Burlington, NC 27217-3706 | 2017-09-12 |
| 1851843338 | Taylor Hall | Nurse Practitioner | 113 Trail One, Burlington, NC 27215-5531 | 2016-10-31 |
| 1265867808 | Kristina Lynn Goetz | Nurse Practitioner | 1900 Burlington Mount Holly Rd, Building One - Suite B, Burlington, NJ 08016-4722 | 2013-09-12 |
| 1174880876 | Ashley Boyd | Nurse Practitioner | 128 Lakeside Ave, Suite 115, Burlington, VT 05401-4939 | 2012-04-19 |
| 1902082977 | Monica Marie Ploof | Nurse Practitioner | 111 Colchester Ave, Smith 568, Burlington, VT 05401-1473 | 2008-01-21 |
| 1902815376 | Tonya Wilkinson | Nurse Practitioner | 128 Lakeside Ave, Suite 115, Burlington, VT 05401-4939 | 2006-08-05 |
| 1366461154 | Elizabeth E. Friesen | Nurse Practitioner | 111 Colchester Ave, Burlington, VT 05401-1473 | 2006-07-19 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01803 |
Please comment or provide details below to improve the information on NICOLE ANNETTE CLARKE JAGODOWSKI.
| 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.