MRS. NICOLE MARIE SPECKHARD (NPI# 1356644488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356644488 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE MARIE SPECKHARD |
| Other Name | NICOLE MARIE VERCONTAIRE |
| Credential | PA C |
| Practice Address |
146 Hudson Rd Bolton MA 01740 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 9787796262 |
| Practice Fax Number | 9787796264 |
| Mailing Telephone | 8002258885 |
| Enumeration Date | 2010-12-12 |
| Last Update Date | 2014-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA4067 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
146 HUDSON RD |
| City | BOLTON |
| State | MA |
| Zip Code | 01740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346239787 | Martha A. Coleman | Nurse Practitioner | 146 Hudson Rd, Bolton, MA 01740-1444 | 2005-10-18 |
| 1821308255 | Aidan Dawn O'neil Kolbe | Nurse Practitioner | 146 Hudson Rd, Bolton, MA 01740-1444 | 2010-10-19 |
| 1003053422 | Nanar Meguerian | Physician Assistant | 146 Hudson Rd, Bolton, MA 01740-1444 | 2009-01-08 |
| 1134261365 | Bolton Family Medicine | Family Medicine | 146 Hudson Rd, Bolton, MA 01740-1444 | 2007-02-13 |
| 1952341919 | Patricia Marie Cerreto | Physician Assistant | 146 Hudson Rd, Bolton, MA 01740-1444 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942450028 | Gloria E. Pierce | Counselor | 563 Main St., Suite 8, Bolton, MA 01740 | 2008-09-24 |
| 1164576054 | Town of Bolton | Ambulance | 15 Wattaquadock Hill Road, Bolton, MA 01740 | 2007-01-22 |
| 1073623930 | Joanne Marian | Dentist | 737 Main St, Bolton, MA 01740 | 2006-08-30 |
| 1588288500 | Allyson Gauthier Bell | Behavioral Analyst | 12 Green Rd, Bolton, MA 01740-1027 | 2020-06-05 |
| 1770762940 | Thomas Patrick Durkin Jr. | Occupational Therapist | 49 Golden Run Rd, Bolton, MA 01740-1029 | 2007-10-24 |
| 1922550615 | Accessible Home Modifications and Therapy Solutions LLC | Occupational Therapist | 49 Golden Run Rd, Bolton, MA 01740-1029 | 2016-10-27 |
| 1114345238 | Coni Durkin | Occupational Therapist | 49 Golden Run Rd, Bolton, MA 01740-1029 | 2014-04-05 |
| 1689119786 | Stella Panneton | Pharmacist | 233 Green Rd, Bolton, MA 01740-1044 | 2016-12-28 |
| 1205062387 | Wendy Robin Sullivan | Speech-Language Pathologist | 275 Vaughn Hill Rd, Bolton, MA 01740-1049 | 2009-06-03 |
| 1104063759 | Iris Werbalowsky Barten | Counselor | 35 Vaughn Hill Rd, Bolton, MA 01740-1050 | 2009-01-17 |
| Find all providers in zip 01740 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720147986 | Kimberly Anne Major | Physician Assistant | 213 9th St, Bolton, NC 28423-8410 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
| 1942812334 | Manacey Clermont | Physician Assistant | 21 Robinson Rd, Woburn, MA 01801-6136 | 2020-08-18 |
| 1801411756 | Kimberly Marques | Physician Assistant | 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 | 2020-06-16 |
| 1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
| 1275155590 | Makenna Camara | Physician Assistant | 249 Hixville Rd, North Dartmouth, MA 02747-1937 | 2020-05-08 |
| 1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
| 1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
| 1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
| 1639712011 | Joseph John Milos | Physician Assistant | 201 Carlson Ln, West Barnstable, MA 02668-1224 | 2019-10-18 |
| 1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
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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.