MARK WAKSMONSKI (NPI# 1417576554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417576554 |
| Entity Type | Individual |
| Full Name | MARK WAKSMONSKI |
| Credential | APRN |
| Practice Address |
12 Mudge Way Bedford MA 01730-2147 |
| Mailing Address |
Po Box 659 Londonderry NH 03053-0659 |
| Practice Telephone | 7812756507 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2282430 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12 MUDGE WAY |
| City | BEDFORD |
| State | MA |
| Zip Code | 01730-2147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407978018 | Town of Bedford | Public Health or Welfare | 12 Mudge Way, Bedford, MA 01730-2147 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779614 | Access Physical Therapy, LLC | Physical Therapist | 158 Great Rd Unit J, #661, Bedford, MA 01730 | 2019-09-16 |
| 1578113478 | Holly Babineau | Counselor | Building 7, Springs Rd, Bedford, MA 01730 | 2019-09-13 |
| 1205318656 | Ella Bitman | Social Worker | 9 Mudge Way, Bedford, MA 01730 | 2018-09-02 |
| 1578045928 | Abaigeal Doherty | Counselor | 205 Burlington Road, Bedford, MA 01730 | 2018-09-02 |
| 1669950853 | Patriot Urgent Care Professionals, PC | General Practice | 154 Great Road, Bedford, MA 01730 | 2018-07-31 |
| 1609369701 | Katharine Smidt | Psychologist | 61 Springs Rd, Bedford, MA 01730 | 2018-06-13 |
| 1043702053 | Bethel Care International Inc | Home Health Aide | 114 Page Rd, Bedford, MA 01730 | 2018-06-05 |
| 1689187064 | Lori Merlo | Physical Therapist | 6 Paul Revere Road, Bedford, MA 01730 | 2017-11-08 |
| 1093268260 | Patriot Urgent Care Professionals, PC | Clinic/Center | 160 Great Road, Unit 4a, Bedford, MA 01730 | 2016-07-25 |
| 1568839991 | Amy Bonneau | Social Worker | 59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730 | 2015-09-02 |
| Find all providers in zip 01730 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154752483 | Joanne Hartmann Villegas | Nurse Practitioner | 25181 Columbus Rd, Bedford, OH 44146-2540 | 2013-12-12 |
| 1528234705 | Meredith Mccoy Hake | Nurse Practitioner | 1604 Hospital Pkwy Ste 507, Bedford, TX 76022-6933 | 2008-05-07 |
| 1326007683 | Rebekah Turner Reddel | Nurse Practitioner | 172 Route 101, Unit 26, Bedford, NH 03110-5416 | 2006-03-23 |
| 1083221006 | Ikechi Alex Ikechi Sr. | Nurse Practitioner | 2717 Tibbets Dr, Bedford, TX 76022-6914 | 2020-09-24 |
| 1740898089 | Hillary Elizabeth Silvia | Nurse Practitioner | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-07-22 |
| 1386122612 | Kerri Josephine Keeler | Nurse Practitioner | 200 Springs Rd, Bedford, MA 01730-1114 | 2018-07-30 |
| 1295274694 | Psychiatric Wellness Center | Nurse Practitioner | 15 Constitution Dr, Suite 1a, Bedford, NH 03110-6042 | 2017-02-17 |
| 1619323623 | Carrie Long | Nurse Practitioner | 2125 16th St, Bedford, IN 47421-3003 | 2016-05-09 |
| 1003288960 | Valeria Dworkowitz | Nurse Practitioner | 55 North Rd Ste 220, Bedford, MA 01730-1078 | 2015-10-30 |
| 1942634985 | Rebekah Turner Reddel Aprn, LLC | Nurse Practitioner | 172 Route 101, Unit 26, Bedford, NH 03110-5416 | 2013-08-27 |
| Find all providers in BEDFORD | ||||
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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.