RUTH WALSWORTH (NPI# 1174071286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174071286 |
| Entity Type | Individual |
| Full Name | RUTH WALSWORTH |
| Credential | CNP |
| Practice Address |
595 Pawtucket Blvd Ste 2 Lowell MA 01854-2042 |
| Practice Telephone | 9784598447 |
| Practice Fax Number | 9784596125 |
| Mailing Telephone | 9784598447 |
| Mailing Fax Number | 9784596125 |
| Enumeration Date | 2016-09-18 |
| Last Update Date | 2017-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
047111-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
272764 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 275 Varnum Ave, Suite 203, Lowell, MA 018542141 | 9789369220 |
| Street Address |
595 PAWTUCKET BLVD STE 2 |
| City | LOWELL |
| State | MA |
| Zip Code | 01854-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
| 1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
| 1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
| 1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
| 1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
| 1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
| 1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
| 1750608923 | Elisha S Bartlett | Social Worker | 391 Varnum Avenue, Lowell, MA 01854 | 2010-04-28 |
| 1871820399 | Sandy Ann Thongkhamsouk | Counselor | 391 Varnum St., Lowell, MA 01854 | 2009-11-04 |
| 1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
| Find all providers in zip 01854 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679187207 | Laura Jeannine Neal | Nurse Practitioner | 11399 Kelly Ln, Lowell, AR 72745-8643 | 2020-09-01 |
| 1578184693 | Desiree Lynn Hilborn | Nurse Practitioner | 638 Creekside Dr Apt 208, Lowell, IN 46356-7911 | 2020-04-29 |
| 1730741158 | Kenna Lea Wagner | Nurse Practitioner | 60 Lock St, Lowell, OH 45744-9023 | 2019-07-05 |
| 1184280091 | Joyce Gichana | Nurse Practitioner | 1001 Westford St Apt 14, Lowell, MA 01851-2741 | 2019-05-15 |
| 1760956536 | Melanie Burgess Dumont | Nurse Practitioner | 71 Jackson St Unit 313, Lowell, MA 01852-2178 | 2019-01-15 |
| 1992277214 | Jody Huck | Nurse Practitioner | 4010 Rainbow Rd, Lowell, OH 45744-7176 | 2018-12-27 |
| 1477077295 | Melissa Rose Stewart | Nurse Practitioner | 15896 Cow Face Rd, Lowell, AR 72745-9158 | 2017-08-02 |
| 1750634531 | Jill Irene Maddack | Nurse Practitioner | 4500 W 181st Ave, Lowell, IN 46356-0017 | 2012-10-18 |
| 1376806760 | Gretchen E Brannon | Nurse Practitioner | 114 Harrison Ave., Lowell Pharmacy Blds, Lowell, AR 72745 | 2012-06-20 |
| 1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
| Find all providers in LOWELL | ||||
Please comment or provide details below to improve the information on RUTH WALSWORTH.
| 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.