JENNIFER ROSE GRANDE


Address: 819 Worcester St, Springfield, MA 01151-1045
Phone: 4133042501

JENNIFER ROSE GRANDE (NPI# 1124536537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124536537
Entity Type Individual
Full Name JENNIFER ROSE GRANDE
Credential FNP-BC
Practice Address 819 Worcester St
Springfield
MA 01151-1045
Mailing Address 88 Springfield St
Wilbraham
MA 01095-2225
Practice Telephone 4133042501
Mailing Telephone 4135196640
Enumeration Date 2018-01-19
Last Update Date 2020-01-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
8539 CT Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN2299613 MA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
282 Washington St, Hartford, CT 061063322 8605459000

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Office Location

Street Address 819 WORCESTER ST
City SPRINGFIELD
State MA
Zip Code 01151-1045

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912973223 Bryan J Bagdasian Hospitalist 819 Worcester St, Suite 3, Springfield, MA 01151-1045 2006-02-27
1801330287 Ipc Hospitalists of New England PC Family Medicine 819 Worcester St, Suite 3, Springfield, MA 01151-1045 2016-12-05
1831644129 Fariyda Mulrain Nurse Practitioner 819 Worcester St, Springfield, MA 01151-1045 2016-08-17
1275903031 Rebecca Jean Randall Nurse Practitioner 819 Worcester St, Suite 3, Springfield, MA 01151-1045 2015-10-05
1568832806 Alyssa Harris Nurse Practitioner 819 Worcester St, Suite 3, Springfield, MA 01151-1045 2015-09-29
1215333117 Marie Leon Nurse Practitioner 819 Worcester St, Ste 3, Springfield, MA 01151-1045 2014-11-05
1235558131 Maria Diaz Registered Nurse 819 Worcester St, Suite 3, Springfield, MA 01151-1045 2014-04-08
1255767059 Hanna Peck Nurse Practitioner 819 Worcester St, Suite 3, Springfield, MA 01151-1045 2013-09-25
1508112103 Bin Hu Internal Medicine 819 Worcester St, Suite 3, Springfield, MA 01151-1045 2012-08-01
1255695912 Antonette M Comeau Nurse Practitioner 819 Worcester St, Suite 3, Springfield, MA 01151-1045 2012-06-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841695640 Nicole Hunt Nurse Practitioner Ipc Hospitalists of New England, PC, 819 Worcester St, Suite 3, Springfield, MA 01151 2014-10-23
1841442993 Glenroy Bristol Counselor 34 Goodwin Street, Indian Orchard, MA 01151 2008-10-21
1386783389 Dayna Jacobson Physician Assistant 819 Worcester Street, Suite 3, Springfield, MA 01151 2007-02-06
1376515650 Denise M Rainville Nurse Practitioner 819 Worcester Street, Suite 3, Ipc Hospitalists of New England, PC, Springfield, MA 01151 2006-02-02
1093148926 Inpatient Consultants of Massachusetts, P.C. Family Medicine 819 Worcester St Ste 3, Springfield, MA 01151 2013-08-14
1073722294 Savitha R Tudi Internal Medicine 819 Worcester St Ste 3, Springfield, MA 01151 2007-05-22
1326255985 Orchard Medical Associates LLC Internal Medicine 811 Worcester St, Indian Orchard, MA 01151 2007-05-16
1407199847 Jessica Zina-duarte Specialist 835 Worcester St, Indian Orchard, MA 01151-1001 2013-04-04
1508012204 Beacon Hospice, LLC Hospice Care, Community Based 815 Worcester St, Springfield, MA 01151-1001 2008-08-13
1053329045 Jose M Vinagre Internal Medicine 811 Worcester St, Indian Orchard, MA 01151-1001 2006-08-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669072823 Rachel Westbrook Nurse Practitioner 1417 Burning Bush Ct, Springfield, IL 62712-7529 2020-10-27
1730786377 Catherine Newman Nurse Practitioner 27124 La-42, Springfield, LA 70462 2020-10-07
1275146268 Courtney Wilbern Nurse Practitioner 1200 W Centre St, Springfield, IL 62704-5812 2020-08-28
1588276240 Andrew Ronald Mouser Nurse Practitioner 607 Prospect Rd, Springfield, PA 19064-2819 2020-08-23
1821609082 William Coleman Bryant Nurse Practitioner 5552 W Longleaf Dr, Springfield, MO 65802-7834 2020-08-12
1386254399 Ashley Lynn Murray Nurse Practitioner 2443 E Greenwood St, Springfield, MO 65804-3907 2020-08-04
1679182281 Erica Gail Hunt Nurse Practitioner 2813 Haverford Rd, Springfield, IL 62704-4267 2020-07-29
1063020063 Gage Azeez Nurse Practitioner 46 Timber Ln, Springfield, MA 01119-2828 2020-07-16
1033737440 Janne L Nicholson Nurse Practitioner 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 2020-07-13
1922623156 Amanda E Hildebrand Nurse Practitioner 3370 Carman Ave, Springfield, IL 62703-4642 2020-06-12
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Competitor

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City SPRINGFIELD
Zip Code 01151

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Dataset Information

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.

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