MRS. LISA MARIE STAITI


Address: 266 Main St, Gardner, MA 01440
Phone: 9786305030

MRS. LISA MARIE STAITI (NPI# 1134445265) 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) 1134445265
Entity Type Individual
Full Name MRS. LISA MARIE STAITI
Credential CPNP
Practice Address 266 Main St
Gardner
MA 01440
Mailing Address 100 Hospital Rd
Ste 4
Leominster
MA 01453-2253
Practice Telephone 9786305030
Practice Fax Number 9786305033
Mailing Telephone 9785146300
Mailing Fax Number 9785146321
Enumeration Date 2010-04-14
Last Update Date 2011-11-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
RS255919 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 266 MAIN ST
City GARDNER
State MA
Zip Code 01440

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366004558 Sarah Elizabeth Lupinski Physician Assistant 266 Main St, Gardner, MA 01440-2927 2019-07-08
1700386604 Charles Richard Brewer Physician Assistant 266 Main St, Gardner, MA 01440-2927 2018-02-16
1053819425 Leanne Lawrence Registered Nurse 266 Main St, Gardner, MA 01440-2927 2018-01-31
1467990085 Jennifer Mann Nurse Practitioner 266 Main St, Gardner, MA 01440-2927 2017-02-02
1043765381 Kristina Lahtinen Physician Assistant 266 Main St, Gardner, MA 01440-2927 2016-08-16
1043672249 Frank Jacob Yavorosky Physician Assistant 266 Main St, Gardner, MA 01440-2927 2016-03-25
1427415199 Kyle Argo Physician Assistant 266 Main St, Gardner, MA 01440-2927 2016-01-26
1215304589 Heywood Affiliated Medical Group Inc. Clinic/Center 266 Main St, Gardner, MA 01440-2927 2015-08-21
1134357346 Katherine E Fitzgerald Family Medicine 266 Main St, Heywood Family Medicine, Gardner, MA 01440-2927 2009-06-25
1245409879 Erica Lasorsa Physician Assistant 266 Main St, Gardner, MA 01440-2927 2008-02-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104433804 Charles C Anderson Counselor 171 Graham St., Gardner, MA 01440 2020-09-26
1528563392 Seth Adam Wytrwal Chiropractor 31 Lake St Ste 151, Gardner, MA 01440 2018-03-26
1184141632 Diane M. Wilson Counselor 205 School St. #202, Gardner, MA 01440 2017-08-25
1346778511 Bonnie Jean Wallace Counselor 205 School St., # 202, Gardner, MA 01440 2017-05-31
1598212144 Simon Hawes Social Worker 6 Lake Street, Gardner, MA 01440 2016-09-01
1932555349 Trinity Home Healthcare LLC Home Health 62 Parker Street. Suite 11, Gardner, MA 01440 2016-05-05
1811247208 Laurie Anne Richard Licensed Practical Nurse 17 Tobey Street, Gardner, MA 01440 2012-09-13
1568739829 Gaamha, Inc Non-emergency Medical Transport (VAN) 208 Coleman St. Ext., Gardner, MA 01440 2011-11-30
1275821522 Marie Edith Woodard Speech-Language Pathologist 31 Lake St. Suite 180, Wachusett Criterion Early Intervention, Gardner, MA 01440 2011-07-20
1962725747 Antonina Salvatrice Klauzinski Nurse Practitioner 32 Hospital Hill Rd., Gardner, MA 01440 2010-03-08
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831546423 Danielle Elizabeth Berg Nurse Practitioner 29475 W 189th Ter, Gardner, KS 66030-9428 2016-05-24
1215392790 Kathleen Marie Telepciak Nurse Practitioner 242 Green St, Gardner, MA 01440-1336 2015-12-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528666203 Eileen Whyte O'holleran Nurse Practitioner 12 Autumn Ln, South Hamilton, MA 01982-1400 2020-10-14
1356948525 Kaylee Woods Nurse Practitioner 85 Seaport Blvd Unit 714, Boston, MA 02210-2157 2020-10-01
1063026946 Alexandra Louise Lester Nurse Practitioner 7 Doris Cir, Newton, MA 02458-1929 2020-09-08
1023627833 Jennifer Suxin Yu Nurse Practitioner 63 Cedar St, Malden, MA 02148-3647 2020-07-28
1417566563 Julianna Marie Roberts Nurse Practitioner 5 Helen Dr, Peabody, MA 01960-1235 2020-07-24
1144838384 Amanda Rose Bakos Nurse Practitioner 218 Marion St, Boston, MA 02128-1758 2020-07-14
1710504949 Angela Vu Nurse Practitioner 83 Nightingale Ave # 1l, Quincy, MA 02169-6413 2020-07-03
1083236749 Mubina M Rhee Nurse Practitioner 170 Brookline Ave Unit 215, Boston, MA 02215-3921 2020-05-15
1841823911 Rachel N Mick Nurse Practitioner 77 Winsor St Ste 103, Ludlow, MA 01056-3470 2020-02-18
1326670803 Ashley Laverdiere Nurse Practitioner 1 Ferncroft Rd, Danvers, MA 01923-4017 2020-02-12
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Competitor

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City GARDNER
Zip Code 01440

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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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