ALYSSA ANN SUNDSTROM (NPI# 1083098107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083098107 |
| Entity Type | Individual |
| Full Name | ALYSSA ANN SUNDSTROM |
| Other Name | ALYSSA A. GUERTIN |
| Credential | CPNP |
| Practice Address |
630 Plantation St Wot 12th Fl Worcester MA 01605-2038 |
| Practice Telephone | 5088528570 |
| Practice Fax Number | 5088521022 |
| Mailing Telephone | 5083685532 |
| Mailing Fax Number | 5088521022 |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN269516 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
630 PLANTATION ST WOT 12TH FL |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073595047 | Ruth Remington | Nurse Practitioner | 630 Plantation St, Worcester, MA 01605-2038 | 2005-11-16 |
| 1134612088 | Ellen E. Ventura | Counselor | 630 Plantation St, Worcester, MA 01605-2038 | 2018-06-14 |
| 1184141749 | Elizabeth A. Hendriks | Psychologist | 630 Plantation St, Worcester, MA 01605-2038 | 2017-08-24 |
| 1497118780 | Camilla E. Madziar | Dietitian, Registered | 630 Plantation St, Worcester, MA 01605-2038 | 2016-04-04 |
| 1659732022 | Susan M. Mugford | Nurse Practitioner | 630 Plantation St, Worcester, MA 01605-2038 | 2016-03-14 |
| 1588023147 | Michelle G. Caldarone | Dietitian, Registered | 630 Plantation St, Worcester, MA 01605-2038 | 2016-02-11 |
| 1326423401 | Jamie M. Piette | Nurse Practitioner | 630 Plantation St, Worcester, MA 01605-2038 | 2015-07-30 |
| 1376927400 | Jennifer A. Stanhope | Nurse Practitioner | 630 Plantation St, Worcester, MA 01605-2038 | 2015-07-18 |
| 1942689104 | William M. Hughes | Counselor | 630 Plantation St, Worcester, MA 01605-2038 | 2015-05-21 |
| 1902284458 | Maryellen O'brien | Counselor | 630 Plantation St, Worcester, MA 01605-2038 | 2015-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679696363 | Leanne Mazeika | Nurse Practitioner | 123 Summer St Ste 690, Worcester, MA 01608-1216 | 2007-04-09 |
| 1295341410 | Cody Matthew Deeds | Nurse Practitioner | 10 Winthrop St Ste 319, Worcester, MA 01604-4438 | 2020-09-22 |
| 1972151496 | Kathryn Jean Devinney | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2473 | 2019-08-28 |
| 1821532391 | Kelsey Lynn Vannostrand | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2016-12-18 |
| 1225580871 | Samantha Duncan | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2016-10-31 |
| 1699101188 | Johanna Mcdermott | Nurse Practitioner | 119 Belmont St, Worcester, MA 01605 | 2013-09-17 |
| 1285079269 | Elizabeth F Denver | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2473 | 2013-05-06 |
| 1053568048 | Karen Courtney Shellenbarger | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655 | 2008-08-21 |
| 1902088743 | Marilyn Jean Cowan | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2473 | 2007-12-04 |
| 1043220155 | Sandra J Velazquez | Nurse Practitioner | 26 Queen St, Medical, Worcester, MA 01610-2473 | 2006-08-09 |
| Find all providers in WORCESTER | ||||
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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.