ALISE BARTOLUCCI


Address: 300 Stafford St, Suites 101, 154 & 161, Springfield, MA 01104-4110
Phone: 4137321928

ALISE BARTOLUCCI (NPI# 1255751509) 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) 1255751509
Entity Type Individual
Full Name ALISE BARTOLUCCI
Credential NP
Practice Address 300 Stafford St
Suites 101, 154 & 161
Springfield
MA 01104-4110
Mailing Address 2 Medical Center Dr
Suite 410
Springfield
MA 01107-1270
Practice Telephone 4137321928
Practice Fax Number 4137341716
Mailing Telephone 4137815735
Mailing Fax Number 4137320225
Enumeration Date 2014-04-24
Last Update Date 2016-04-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 259915 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 300 STAFFORD ST
SUITES 101, 154 & 161
City SPRINGFIELD
State MA
Zip Code 01104-4110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497756092 Robert Philip Hoffman Internal Medicine 300 Stafford St, Suite 306, Springfield, MA 01104-3581 2005-08-03
1932601887 Luybang Trinh Internal Medicine 300 Stafford St, Springfield, MA 01104-4110 2018-03-07
1730621491 Chrispina Marunga Chitemerere Nurse Practitioner 300 Stafford St, Springfield, MA 01104-4110 2016-11-12
1245615285 Pioneer Continuing Care Providers, PC Family Medicine 300 Stafford St, Suite 200, Springfield, MA 01104-4110 2015-07-20
1407297971 Samantha Lee Lyman Physician Assistant 300 Stafford St, Springfield, MA 01104 2013-07-12
1346511243 Pioneer Valley Cardiology Associates, Inc Specialist 300 Stafford St, Springfield, MA 01104 2012-01-24
1235456385 Christopher R Russo Internal Medicine 300 Stafford St, # 154 / 101, Springfield, MA 01104-4110 2010-04-29
1952630493 Valley Podiatry Associates, PC Podiatrist 300 Stafford St, Suite 256, Springfield, MA 01104-3581 2009-12-11
1174776454 Sleepcures LLC Clinic/Center 300 Stafford St, Ste 102, Springfield, MA 01104-3581 2008-10-30
1144401316 Karen Elizabeth Horton Dietitian, Registered 300 Stafford St, Suite 161, Springfield, MA 01104-3581 2007-11-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346727567 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 2155 Main Street, Suite 131/133, Springfield, MA 01104 2018-07-20
1508385618 Demetrios Sotiropoulos Physician Assistant 175 Carew St Ste 250, Springfield, MA 01104 2017-09-11
1114382942 Rosana Rivera-delgado Psychologist 4017 Liberty St, Springfield, MA 01104 2015-12-21
1417363516 Springfield Family Pharmacy, Inc Pharmacy 175 Carew St, Suite 100, Springfield, MA 01104 2014-07-09
1437588837 Ariam Ivette Pena Counselor 85 St. George Road, Springfield, MA 01104 2013-11-06
1891124293 Ana E. Centeno Counselor 85 St. George Road., Springfield, MA 01104 2013-11-06
1275962003 Swany Matos Counselor 2155 Main St., Springfield, MA 01104 2013-11-02
1184053910 Claudia Eileen Quesada Counselor 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 2013-11-02
1194023044 Hungry Hill Family Practice Clinic/Center 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 2011-03-02
1710115308 Michael Allen Roche Counselor 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 2009-06-23
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578178422 Behishta Ishanzai Nurse Practitioner 7500 Geoint Dr, Springfield, VA 22150-7500 2020-09-08
1790393049 Kathy Forson Nurse Practitioner 1235 E. Cherokee St., Springfield, MO 65804 2020-07-22
1255951331 Bryndi Raye Shirley Nurse Practitioner 1636 S Glenstone Ave Ste 100, Springfield, MO 65804-1527 2020-04-20
1750900379 Gemma Nicole D'angelo Nurse Practitioner 996 Stoneybrook Dr, Springfield, PA 19064-3829 2020-04-14
1629607882 Melanie Herrin Nurse Practitioner 6230 Rolling Rd Ste J, Springfield, VA 22152-2326 2020-04-08
1871133520 Deborah Ann Tully Nurse Practitioner 2 Medical Center Dr Ste 202, Springfield, MA 01107-1272 2020-01-10
1932759651 Amanda Couchon Nurse Practitioner 759 Chestnut St Radiology Department, Springfield, MA 01199-0001 2019-09-14
1760947410 Andrea K Leger Nurse Practitioner 300 Birnie Ave Ste 102, Springfield, MA 01107-1375 2019-02-07
1417421579 Stephanie M Yeager Nurse Practitioner 3850 S National Ave Ste 700, Springfield, MO 65807-5292 2019-01-11
1215415799 Bree Schmulbach Nurse Practitioner Bsb Room 20, Springfield, IL 62703 2018-08-06
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Competitor

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City SPRINGFIELD
Zip Code 01104

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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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