JESSICA B LIBISZEWSKI (NPI# 1295927457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295927457 |
| Entity Type | Individual |
| Full Name | JESSICA B LIBISZEWSKI |
| Credential | NP |
| Practice Address |
200 Center St Ludlow MA 01056-2772 |
| Practice Telephone | 4135897176 |
| Practice Fax Number | 4135897710 |
| Mailing Telephone | 4135897176 |
| Mailing Fax Number | 4135897710 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
251249 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LICENSE NO | 251249 | 01 |
| Street Address |
200 CENTER ST |
| City | LUDLOW |
| State | MA |
| Zip Code | 01056-2772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477559706 | Gino Mercadante | Internal Medicine | 200 Center St, Ludlow, MA 01056-2772 | 2005-06-22 |
| 1568015014 | Chelsea Merritt | Family Medicine | 200 Center St, Ludlow, MA 01056-2772 | 2019-07-23 |
| 1871012468 | Fiona Debra Cole | Physician Assistant | 200 Center St, Ludlow, MA 01056-2772 | 2017-09-14 |
| 1306213459 | Anna Paula Rego | Physician Assistant | 200 Center St, Ludlow, MA 01056-2772 | 2015-08-25 |
| 1457758559 | Ludlow Eye Care PC | Optometrist | 200 Center St, #1, Ludlow, MA 01056-2772 | 2014-12-04 |
| 1750687778 | Jill C Patruno | Physician Assistant | 200 Center St, 200 Center Street, Ludlow, MA 01056-2772 | 2011-02-09 |
| 1215258041 | Christine Gura Niedbala | Physician Assistant | 200 Center St, Ludlow, MA 01056-2772 | 2010-06-16 |
| 1285828939 | Dr. Gino Mercadante, P.C. | Internal Medicine | 200 Center St, Ludlow, MA 01056-2772 | 2007-09-05 |
| 1265635783 | Ludlow Eye Associates PC | Optometrist | 200 Center St, Suite 1, Ludlow, MA 01056-2772 | 2007-06-11 |
| 1336299650 | Mary Seifel | Nurse Practitioner | 200 Center St, Ludlow, MA 01056-2772 | 2007-01-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207997 | Shannon Kurzeski | Nurse Practitioner | 77 Winsor Street - Ludlow Pediatrics, Ludlow, MA 01056 | 2018-03-06 |
| 1811412653 | Melany Ann Picard | Behavior Technician | 87 Ridgeview Circle, Ludlow, MA 01056 | 2017-08-12 |
| 1588981617 | Lindsay Beth Milligan | Physician Assistant | 627 Randall Road, Hampden County Correctional Center, Health Services, Ludlow, MA 01056 | 2010-04-29 |
| 1285874271 | Steve J. Mcdaniel D.d.s. PC | Dentist | 534 Center Street, Ludlow, MA 01056 | 2009-03-03 |
| 1710138813 | Margaret Ann Denby | Nurse Practitioner | 627 Randall Rd., Ludlow, MA 01056 | 2008-10-07 |
| 1285739276 | Pathology Diagnostic Services P.C. | Pathology | 377 Woodland Circle, Ludlow, MA 01056 | 2006-09-14 |
| 1295759876 | Joseph F Wegiel | Dentist | 257 Kendall St, Ludlow, MA 01056 | 2006-07-27 |
| 1972580306 | Lois C Albury | Internal Medicine | 14 Chestnut Place, Ludlow, MA 01056 | 2005-12-28 |
| 1720064983 | Ann Maria Labar Elder | Internal Medicine | 222 State St, Ludlow, MA 01056 | 2005-12-20 |
| 1922094762 | Mohammad U Qayyum | Psychiatry & Neurology | 77 Winsor St, Ste 101, Ludlow, MA 01056 | 2005-09-27 |
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| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710138813 | Margaret Ann Denby | Nurse Practitioner | 627 Randall Rd., Ludlow, MA 01056 | 2008-10-07 |
| 1730165010 | Suzanne Phillips Hangasky | Nurse Practitioner | 185 West Ave Ste 204, Ludlow, MA 01056-1738 | 2005-12-19 |
| 1225465099 | Laurie A Benoit | Nurse Practitioner | 627 Randall Rd, Ludlow, MA 01056-1085 | 2013-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576121 | Alexander I Hoffman | Nurse Practitioner | 54 Southbourne Rd, Jamaica Plain, MA 02130-4633 | 2020-10-26 |
| 1104423482 | Paola Buchanan | Nurse Practitioner | 351 Engamore Ln Apt T3, Norwood, MA 02062-2505 | 2020-10-08 |
| 1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
| 1902411341 | Anne Marie Marie Dicredico | Nurse Practitioner | 916 Sherwood Forest Ln Unit 916, Saugus, MA 01906-1973 | 2020-09-12 |
| 1407460322 | Devi Sivanandan | Nurse Practitioner | 18 Dale St Unit 5c, Andover, MA 01810-5663 | 2020-09-08 |
| 1447863600 | Diana Stephanie Freiberger | Nurse Practitioner | 965 West St, Walpole, MA 02081-1200 | 2020-08-27 |
| 1063023216 | Christine Cibotti | Nurse Practitioner | 8 Forty Acres Dr, Wayland, MA 01778-2702 | 2020-08-12 |
| 1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
| 1295344547 | Janelle Sherry Romain | Nurse Practitioner | 91 Codman Hill Ave, Dorchester, MA 02124-4636 | 2020-07-23 |
| 1245848852 | Patrice Nicholas | Nurse Practitioner | 14 Shipway Pl, Charlestown, MA 02129-4301 | 2020-07-20 |
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| 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.