EMILY L KOELSCH (NPI# 1114494002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114494002 |
| Entity Type | Individual |
| Full Name | EMILY L KOELSCH |
| Credential | RN, CPNP-PC |
| Practice Address |
3 Randolph St Canton MA 02021-2351 |
| Mailing Address |
96 Gainsborough St # 404 Boston MA 02115-4252 |
| Practice Telephone | 7818282440 |
| Mailing Telephone | 7812647754 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2019-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN2303260 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 680 Centre St, Brockton, MA 023023308 | 5089417580 | 5089416268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710128400 | Emily Mika Koelsch | Pediatrics | 150 White Plains Rd, Suite 101, Tarrytown, NY 10591-2670 | 2009-03-10 |
| Street Address |
3 RANDOLPH ST |
| City | CANTON |
| State | MA |
| Zip Code | 02021-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205803798 | Anton Blaine Dodek | Pediatrics | 3 Randolph St, Canton, MA 02021-2351 | 2006-03-02 |
| 1841763679 | Janet Labelle | Social Worker | 3 Randolph St, Canton, MA 02021-2351 | 2019-01-03 |
| 1144514027 | Trustees of Tufts University | Clinic/Center | 3 Randolph St, Bradford Building, 2nd Floor, Canton, MA 02021-2351 | 2011-06-08 |
| 1528351186 | Amy Sullivan | Occupational Therapist | 3 Randolph St, Canton, MA 02021-2351 | 2011-05-16 |
| 1194032425 | Fatima A Watt | Psychologist | 3 Randolph St, Canton, MA 02021-2351 | 2010-09-08 |
| 1487980124 | Julie Slotnick | Nurse Practitioner | 3 Randolph St, Canton, MA 02021-2351 | 2009-11-01 |
| 1689832057 | Geoffrey Scott Reinhold | Occupational Therapist | 3 Randolph St, Canton, MA 02021-2351 | 2008-06-01 |
| 1144488040 | Isabel M Balmaseda | Acupuncturist | 3 Randolph St, Canton, MA 02021 | 2008-05-28 |
| 1003083007 | Carolanne Marie Oller | Specialist | 3 Randolph St, Canton, MA 02021-2351 | 2008-05-09 |
| 1881887982 | Karen Wheeler Madden | Nurse Practitioner | 3 Randolph St, Canton, MA 02021-2351 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265931331 | Faith Alpiche Felitto | Registered Nurse | 9 Bay Drive, Apt 113, Canton, MA 02021 | 2018-02-05 |
| 1184122103 | Mind Compass, LLC | Counselor | 45 Dan Road, C/o Workspace@45, Suite 19, Canton, MA 02021 | 2018-01-24 |
| 1861903353 | Daphnis Colin | Registered Nurse | 211 Bay Drive, Canton, MA 02021 | 2017-10-24 |
| 1245772276 | Rebecca Selenow | Counselor | 10 Emerson Rd, Canton, MA 02021 | 2016-11-08 |
| 1407398449 | Brightview Canton LLC | Alzheimer Center (Dementia Center) | 125 Turnpike Street, Canton, MA 02021 | 2016-11-08 |
| 1699144014 | Marguerite Hobbs | Social Worker | 55 Pecunit St, Canton, MA 02021 | 2015-09-15 |
| 1447662234 | Cornerstone At Canton Assisted Living LLC | Assisted Living Facility | 175 Revere Street, Canton, MA 02021 | 2014-05-28 |
| 1508100157 | Greystone Pain Management Inc | Psychiatry & Neurology | 21 Rockland St, Unit M, Canton, MA 02021 | 2012-11-20 |
| 1457678062 | Smile Designs Inc | Dentist | 95 Washington St # 480, Smile Designs Inc, Canton, MA 02021 | 2010-04-23 |
| 1114178803 | Jennifer Diana Marie Woodbury | Specialist/Technologist | 1 Whitman Road, Clarke School East, Canton, MA 02021 | 2008-10-01 |
| Find all providers in zip 02021 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306388715 | Kelly Sarah Spooner | Nurse Practitioner | 1600 S Canton Center Rd Ste 200, Canton, MI 48188 | 2016-11-16 |
| 1750646279 | Lacy D Burkes | Nurse Practitioner | 205 W Tyler St, Canton, TX 75103-1352 | 2012-07-10 |
| 1750413696 | Patricia Ann Miller | Nurse Practitioner | 4641 Fulton Dr. Nw, Canton, OH 44718 | 2007-03-09 |
| 1780784850 | Kerry Anne Swanton | Nurse Practitioner | 49650 Cherry Hill Rd Ste 210, Canton, MI 48187-4859 | 2006-09-25 |
| 1487980124 | Julie Slotnick | Nurse Practitioner | 3 Randolph St, Canton, MA 02021-2351 | 2009-11-01 |
| 1881887982 | Karen Wheeler Madden | Nurse Practitioner | 3 Randolph St, Canton, MA 02021-2351 | 2007-08-22 |
| 1043310618 | Patricia Reckling | Nurse Practitioner | 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187-4849 | 2006-09-24 |
| 1013015155 | Wendy Storey | Nurse Practitioner | 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187-4849 | 2006-09-20 |
| 1386742427 | Bryn Gerich Vi | Nurse Practitioner | 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187-4849 | 2006-09-20 |
| 1013015163 | Molly Mcintyre | Nurse Practitioner | 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187-4849 | 2006-09-20 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on EMILY L KOELSCH.
| 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.