SUSAN Y LATTANZI (NPI# 1093963175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093963175 |
| Entity Type | Individual |
| Full Name | SUSAN Y LATTANZI |
| Other Name | SUSAN JEANNE YETMAN |
| Credential | N.P. |
| Practice Address |
300 Stafford Street Suites 101, 154 & 161 Springfield MA 01104-2431 |
| Practice Telephone | 4137321928 |
| Practice Fax Number | 4137341716 |
| Mailing Telephone | 4137321928 |
| Mailing Fax Number | 4137341716 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2016-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
168570 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110087924A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265522775 | Susan M Lattanzi | Physical Therapist | 521 Mount Auburn St, Suite 205, Watertown, MA 02472-4191 | 2006-10-13 |
| 1871536979 | Susan Mara Lattanzi | Occupational Therapist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2006-06-14 |
| Street Address |
300 STAFFORD STREET SUITES 101, 154 & 161 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215913439 | Candace G Mcdougall | Nurse Practitioner | 300 Stafford Street, Suites 154, 161, Springfield, MA 01104-2431 | 2005-12-20 |
| 1194940593 | Cameron Donaldson | Internal Medicine | 300 Stafford Street, #154/101, Springfield, MA 01104 | 2007-04-13 |
| 1598830606 | Chanel G Bouchereau | Surgery | 300 Stafford Street, Suite 113, Springfield, MA 01104-3581 | 2006-11-22 |
| 1659454908 | Medical Diagnostics and Rehabilitation LLC | Chiropractor | 300 Stafford Street, Suite 360, Springfield, MA 01104 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1508385618 | Demetrios Sotiropoulos | Physician Assistant | 175 Carew St Ste 250, Springfield, MA 01104 | 2017-09-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1437588837 | Ariam Ivette Pena | Counselor | 85 St. George Road, Springfield, MA 01104 | 2013-11-06 |
| 1891124293 | Ana E. Centeno | Counselor | 85 St. George Road., Springfield, MA 01104 | 2013-11-06 |
| 1275962003 | Swany Matos | Counselor | 2155 Main St., Springfield, MA 01104 | 2013-11-02 |
| 1184053910 | Claudia Eileen Quesada | Counselor | 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 | 2013-11-02 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1710115308 | Michael Allen Roche | Counselor | 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 | 2009-06-23 |
| Find all providers in zip 01104 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565989 | Melanie Phillips | Nurse Practitioner | 140 W Main St Ste 100, Springfield, OH 45502-1369 | 2020-07-10 |
| 1649828120 | Dareth Elizabeth Fowler | Nurse Practitioner | 709 Deerfield Trl, Springfield, OH 45503-7445 | 2019-08-28 |
| 1578824983 | Daisy Seby | Nurse Practitioner | 86 Redwood Rd, Springfield, NJ 07081-2426 | 2012-06-01 |
| 1760741714 | Mini Jijo | Nurse Practitioner | 884 South Springfield Ave, #39, Springfield, NJ 07081-3314 | 2012-05-11 |
| 1326218843 | Laura Ann Reed | Nurse Practitioner | 30 W Mccreight Ave Ste 100, Springfield, OH 45504 | 2008-03-12 |
| 1669442182 | Lisa Erickson | Nurse Practitioner | 2 Medical Center Dr Ste 301, Springfield, MA 01107-1298 | 2006-01-26 |
| 1225639131 | Rachel M Carr | Nurse Practitioner | 3300 Main St, Springfield, MA 01107-1112 | 2020-11-06 |
| 1902411424 | Samantha Gillespie | Nurse Practitioner | 1460 G St, Springfield, OR 97477-4112 | 2020-09-11 |
| 1649898065 | Jaines Milagros Andrades | Nurse Practitioner | 2 Medical Center Drive, Suite 301, Springfield, MA 01107-1270 | 2020-07-13 |
| 1487288171 | Pamela Lomeli | Nurse Practitioner | 319 E Madison St Ste 1f, Springfield, IL 62701-3118 | 2020-03-03 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01104 |
Please comment or provide details below to improve the information on SUSAN Y LATTANZI.
| 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.