MARY SHARON ELDRIDGE (NPI# 1164521068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164521068 |
| Entity Type | Individual |
| Full Name | MARY SHARON ELDRIDGE |
| Credential | LPN |
| Practice Address |
172 Cambridge St Suite 204 Burlington MA 01803-2984 |
| Mailing Address |
134 Allen Rd Billerica MA 01821-3707 |
| Practice Telephone | 7812727022 |
| Practice Fax Number | 7812728786 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 23649 | MA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LPN LICENSE | 23649 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912143298 | Mary Elizabeth Eldridge | Physician Assistant | 12 Jackson Hts, Jackson, KY 41339-6500 | 2008-12-17 |
| 1063673903 | Mary Patricia Eldridge | General Practice | 1400 75th St, Suite #5, Kenosha, WI 53143-1544 | 2008-06-23 |
| Street Address |
172 CAMBRIDGE ST SUITE 204 |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01803-2984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789741 | Eye Associates PC | Clinic/Center | 172 Cambridge St, Burlington, MA 01803-2984 | 2005-06-08 |
| 1083128441 | P & D Eye Associates LLC | Clinic/Center | 172 Cambridge St, Burlington, MA 01803-2921 | 2017-11-21 |
| 1336510288 | Eye Associates, P.C. | Ophthalmology | 172 Cambridge St, Burlington, MA 01803-2921 | 2015-10-16 |
| 1346675790 | Philip S Ellerin Md | Durable Medical Equipment & Medical Supplies | 172 Cambridge St, Burlington, MA 01803-2921 | 2013-09-04 |
| 1154420008 | Philip S. Ellerin, Md,pc | Dermatology | 172 Cambridge St, Suite 204, Burlington, MA 01803-2984 | 2006-09-21 |
| 1285733154 | Catherine Oconnor | Licensed Practical Nurse | 172 Cambridge St, Suite 204, Burlington, MA 01803-2984 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219089 | Mallika Tara Iyer | Behavior Technician | 64 S Bedford Street, Burlington, MA 01803 | 2020-03-06 |
| 1518445709 | Patriot Urgent Care Professionals, PC | General Practice | 90 Middlesex Turnpike, Burlington, MA 01803 | 2018-07-31 |
| 1932608122 | Danielle Berkowitz | Registered Nurse | 90 Middlesex Tpke Ste G, Burlington, MA 01803 | 2018-02-02 |
| 1255861860 | David William Mahnken | Social Worker | 11a Cypress Drive, Burlington, MA 01803 | 2017-06-15 |
| 1770030710 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1300 Middlesex Turnpike, Burlington, MA 01803 | 2016-09-07 |
| 1083091557 | Burlington Eye Group, Inc | Optometrist | 74 Burlington Mall Road, Burlington, MA 01803 | 2015-05-04 |
| 1720485535 | Db2 Practice Management | Clinic/Center | 11 Cambridge St, Burlington, MA 01803 | 2014-11-21 |
| 1689081812 | Jasmit Minhas | Internal Medicine | 9 Kimball Court, Apt 112, Burlington, MA 01803 | 2014-07-21 |
| 1528404993 | Alexander David Neusner | Surgery | 40 Mall Rd, Burlington, MA 01803 | 2013-05-13 |
| 1730421389 | First Choice Dental Group | Dentist | 11 Camridge Street, Burlington, MA 01803 | 2013-03-21 |
| Find all providers in zip 01803 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789686 | Paige Perkins | Licensed Practical Nurse | 5 Hardy Ave, Burlington, VT 05408-1203 | 2020-10-29 |
| 1760015804 | Vivian Marie Hulsey | Licensed Practical Nurse | 6861 12 Mile Rd, Burlington, MI 49029-9755 | 2020-02-18 |
| 1558818815 | Tiffany Ann Freiwald | Licensed Practical Nurse | 30010 Beach Dr, Burlington, WI 53105-9171 | 2016-09-04 |
| 1790230340 | Carin Elizabeth Bowman | Licensed Practical Nurse | W1728 State Road 11, Burlington, WI 53105-3064 | 2016-08-23 |
| 1518312396 | Nicole Lee Bolte | Licensed Practical Nurse | 466 Dutton St Apt 2, Burlington, WI 53105-2008 | 2016-04-28 |
| 1750742177 | Jane Mbabazi | Licensed Practical Nurse | 1223 Arboretum Way, Burlington, MA 01803-3838 | 2016-03-12 |
| 1457760829 | Stephanie Destin | Licensed Practical Nurse | 9 Radcliff Rd, Burlington, MA 01803-1111 | 2014-08-10 |
| 1740603323 | Jessica Koch | Licensed Practical Nurse | 865 Ridgemont Dr, Burlington, WI 53105-3602 | 2014-02-02 |
| 1295167799 | Stephanie Marie Kokes | Licensed Practical Nurse | 34 Isham St, Burlington, VT 05401-8519 | 2013-08-07 |
| 1235474479 | Ashley Kaye Karlinsky | Licensed Practical Nurse | 1493 Park St, Burlington, WI 53105-9081 | 2012-11-28 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01803 |
Please comment or provide details below to improve the information on MARY SHARON ELDRIDGE.
| 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.