CHANDLER LAKE (NPI# 1396305918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396305918 |
| Entity Type | Individual |
| Full Name | CHANDLER LAKE |
| Credential | BS |
| Practice Address |
2 Wall St Ste 400 Manchester NH 03101-1518 |
| Mailing Address |
2 Wall St Ste 300 Manchester NH 03101-1518 |
| Practice Telephone | 6036684111 |
| Mailing Telephone | 6036684111 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
2 WALL ST STE 400 |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03101-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356401665 | Diana Schryver | Social Worker | 2 Wall St Ste 400, Manchester, NH 03101-1518 | 2006-12-11 |
| 1790382539 | Meredith Markievitz | Social Worker | 2 Wall St Ste 400, Manchester, NH 03101-1518 | 2020-10-05 |
| 1255941373 | Emily Lynda Jade Ellis | Counselor | 2 Wall St Ste 400, Manchester, NH 03101-1518 | 2020-08-04 |
| 1104440478 | Samantha Jane Mochrie | Specialist | 2 Wall St Ste 400, Manchester, NH 03101-1518 | 2020-06-03 |
| 1396369666 | Victoria Jean Dumoulin | Social Worker | 2 Wall St Ste 400, Manchester, NH 03101-1518 | 2020-06-03 |
| 1578187845 | Victoria Gracia Munoz | Specialist | 2 Wall St Ste 400, Manchester, NH 03101-1518 | 2020-06-03 |
| 1952937849 | Heather Marie Twombly | Counselor | 2 Wall St Ste 400, Manchester, NH 03101-1518 | 2020-03-23 |
| 1003440793 | Jesenia Marie Torres | Specialist | 2 Wall St Ste 400, Manchester, NH 03101-1518 | 2020-03-03 |
| 1710517628 | Meghan Slaalien | Social Worker | 2 Wall St Ste 400, Manchester, NH 03101-1518 | 2020-01-20 |
| 1275173114 | Kathleen Mcmahon | Counselor | 2 Wall St Ste 400, Manchester, NH 03101-1518 | 2020-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003320425 | Miranda Sherburne | Occupational Therapist | 470 Pine Street, Manchester, NH 03101 | 2017-11-21 |
| 1396266938 | Juliette W Daniels | Social Worker | 464 Chestnut Street, Child and Family Services, Manchester, NH 03101 | 2017-07-05 |
| 1851820450 | Samantha Ysabelle Kattiria | Specialist/Technologist | 39 Kosciuszko Street, Apt 4, Manchester, NH 03101 | 2017-06-07 |
| 1598121188 | Angelique Alicia Fortin | Counselor | 77 Pearl St., Manchester, NH 03101 | 2016-01-12 |
| 1578946786 | Reta Goldman | Counselor | 25 Lowell St Ste 208, Manchester, NH 03101 | 2015-07-07 |
| 1306239207 | Myra Jean Nikitas | Dental Hygienist | 97 West Merrimack Street, Manchester, NH 03101 | 2015-03-17 |
| 1902234586 | Judith Patrick Ronshagen | Pharmacist | 175 Queen City Avenue, Ste 1, Manchester, NH 03101 | 2013-10-17 |
| 1942566336 | Elizabeth Zavagnin | Specialist | 2 Wall St Ste 200, Manchester, NH 03101 | 2012-04-10 |
| 1538463088 | William Gerald Mccormick | Pharmacist | 175 Queen City Ave, Manchester, NH 03101 | 2010-12-27 |
| 1215241799 | Melissa Ann Dinoto | Counselor | 20 Market St., Manchester, NH 03101 | 2010-07-27 |
| Find all providers in zip 03101 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992227540 | Sandra M Cruz | Specialist | 1016a Buckingham Dr, Manchester, NJ 08759-5301 | 2017-07-14 |
| 1639609746 | Kacey Iannucci | Specialist | 401 Cypress St Ste 300, Manchester, NH 03103-3628 | 2017-06-13 |
| 1063816460 | Networked Practices Integration, Pllc | Specialist | 14 Temple Ct, Manchester, NH 03104-3545 | 2014-10-14 |
| 1831509264 | Theracare, Inc. | Specialist | 485 Memorial Dr, Suite 2, Manchester, KY 40962-9156 | 2014-05-07 |
| 1174883375 | Hillary Beth Hartshorn | Specialist | 315 Merrimack St, Manchester, NH 03103-4722 | 2012-05-22 |
| 1942566336 | Elizabeth Zavagnin | Specialist | 2 Wall St Ste 200, Manchester, NH 03101 | 2012-04-10 |
| 1427284256 | Jennifer Keri Camann | Specialist | 799 Mammoth Rd, Manchester, NH 03104-4556 | 2009-06-08 |
| 1770725384 | Alicia Stanton Md, Pa | Specialist | 195 W Center St, Manchester, CT 06040-4858 | 2009-03-27 |
| 1275775140 | Miles John Mccue | Specialist | 1269 Union St, Manchester, NH 03104-2043 | 2009-03-24 |
| 1124289301 | Carla Joan Lewis | Specialist | 307 Bridge St, Manchester, KY 40962-1266 | 2008-06-20 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03101 |
Please comment or provide details below to improve the information on CHANDLER LAKE.
| 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.