MICHAEL DELISLE (NPI# 1447741293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447741293 |
| Entity Type | Individual |
| Full Name | MICHAEL DELISLE |
| Credential | C-NP |
| Practice Address |
22 Old Canal Dr Lowell MA 01851-2730 |
| Practice Telephone | 9784536800 |
| Mailing Telephone | 9784536800 |
| Enumeration Date | 2018-05-27 |
| Last Update Date | 2019-09-27 |
| 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 |
RN2322923 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
22 OLD CANAL DR |
| City | LOWELL |
| State | MA |
| Zip Code | 01851-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730339045 | Martha Sue Root | Nurse Practitioner | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2008-09-23 |
| 1093315483 | Ginta Bistras | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-10-27 |
| 1689281354 | Christine Carr | Social Worker | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-09-28 |
| 1679188353 | Lindsey Burgess | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-09-10 |
| 1952913535 | Jacquelynn Rodriguez | Case Manager/Care Coordinator | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-08-17 |
| 1902415250 | Sofia Shahid | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-07-23 |
| 1790301844 | Dereck Ceurvels I | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-06-24 |
| 1235750407 | Emily Fischofer | Community Health Worker | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-04-29 |
| 1659904787 | Michael Gorman | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-02-18 |
| 1629618764 | Paul Rith Som | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508340233 | Tara D Gabriel | Social Worker | 130 Pine Street, Lowell, MA 01851 | 2018-09-19 |
| 1699257022 | Jennifer Walsh Favreau | Social Worker | 740 Princeton Blvd. Apt. 22, Lowell, MA 01851 | 2018-09-01 |
| 1366951022 | Natalie V Lopez | Counselor | 507 Redwood Ln, Lowell, MA 01851 | 2017-09-26 |
| 1962929877 | Dependable Transportation Inc. | Non-emergency Medical Transport (VAN) | 45 Pratt Ave, Unit 4, Lowell, MA 01851 | 2017-08-23 |
| 1053851733 | Excel Dental, P.C. | Dentist | 158 Wood Street, Unit 3, Lowell, MA 01851 | 2017-03-01 |
| 1982067468 | Vishal Sohal | Dentist | 26 Wood St, Dental Dreams, Lowell, MA 01851 | 2016-04-01 |
| 1689067407 | Craig David Milliken | Social Worker | 319 Wilder Street, Lowell, MA 01851 | 2015-03-18 |
| 1063801413 | Michael Bobola | Counselor | 22 Old Canal Drrive, Lowell, MA 01851 | 2015-01-22 |
| 1124422944 | Greater Lowell Private Nursing Services and Education | Home Health | 963 Chelmsford Street, Lowell, MA 01851 | 2014-10-22 |
| 1669886602 | Chitrang B. Patel | Dentist | 158 Wood St Unit 3, Lowell, MA 01851 | 2014-06-18 |
| Find all providers in zip 01851 | ||||
| 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 |
|---|---|---|---|---|
| 1801404082 | D&js Psychiatry & Services, LLC | Nurse Practitioner | 144 Merrimack St Ste 401, Lowell, MA 01852-1709 | 2020-07-14 |
| 1144840943 | Angela Marie Rasheed | Nurse Practitioner | 811 River Trail Rd, Lowell, NC 28098-1280 | 2020-04-21 |
| 1730339045 | Martha Sue Root | Nurse Practitioner | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2008-09-23 |
| 1386251601 | New England Psychiatry, LLC | Nurse Practitioner | 100 Merrimack St Ste 205e, Lowell, MA 01852-1708 | 2020-09-30 |
| 1912529355 | Emotional Step Up Health Systems LLC | Nurse Practitioner | 517 Rogers St, Lowell, MA 01852-3826 | 2020-05-07 |
| 1518442201 | Josefina Mercedes Ramirez | Nurse Practitioner | 99 Church St, Lowell, MA 01852-2621 | 2018-09-27 |
| 1962959411 | Julie Cunningham | Nurse Practitioner | 35 Market St, Lowell, MA 01852 | 2016-09-01 |
| 1538477369 | Jaime Lynn Sather | Nurse Practitioner | 515 Enterprise Dr Ste 300, Lowell, AR 72745 | 2010-09-14 |
| 1740454354 | Roselyn Mutizwa | Nurse Practitioner | 18 Meadowcroft St, Lowell, MA 01852-5022 | 2008-04-15 |
| 1629123526 | Shirley Kelly Labrecque | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2193 | 2007-01-24 |
| Find all providers in LOWELL | ||||
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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.