MRS. CONSTANCE MARY FLYNN (NPI# 1508120445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508120445 |
Entity Type | Individual |
Full Name | MRS. CONSTANCE MARY FLYNN |
Credential | ANP |
Practice Address |
165 Tor Ct Pittsfield MA 01201-3001 |
Mailing Address |
725 North Street Pittsfield MA 01201 |
Practice Telephone | 4134472862 |
Practice Fax Number | 4134472869 |
Mailing Telephone | 4133957655 |
Mailing Fax Number | 4134472667 |
Enumeration Date | 2012-06-26 |
Last Update Date | 2013-01-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
131866 | MA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | MEDICARE B | 002905201 | 01 |
Street Address |
165 TOR CT |
City | PITTSFIELD |
State | MA |
Zip Code | 01201-3001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619921608 | Andrew J Demaggio | Physical Medicine & Rehabilitation | 165 Tor Ct, Pain Center, Pittsfield, MA 01201-3001 | 2006-05-22 |
1922580612 | Nichole Rapkowicz | Social Worker | 165 Tor Ct, Pittsfield, MA 01201-3001 | 2018-08-30 |
1134630890 | Michelle Kirsten Nash | Dietitian, Registered | 165 Tor Ct, Pittsfield, MA 01201-3001 | 2017-10-20 |
1316463813 | Shields Petct At Berkshire Medical Center LLC | Clinic/Center | 165 Tor Ct, Pittsfield, MA 01201-3001 | 2017-08-16 |
1386013795 | Karyn Koziara | Dietitian, Registered | 165 Tor Ct, Berkshire Medical Center Hillcrest Campus, Pittsfield, MA 01201-3001 | 2015-09-16 |
1760874028 | Orthotics West, Inc | Prosthetic/Orthotic Supplier | 165 Tor Ct, Suite 1057, Pittsfield, MA 01201-3001 | 2015-02-24 |
1104078120 | Glenda Boykin | Physician Assistant | 165 Tor Ct, Pain Center, Pittsfield, MA 01201-3001 | 2008-10-22 |
1821254392 | Donald H. Scherling | Counselor | 165 Tor Ct, Pittsfield, MA 01201-3001 | 2008-08-04 |
1881886026 | Kevin F Ryan | Nurse Practitioner | 165 Tor Ct, Pittsfield, MA 01201-3001 | 2007-08-13 |
1700088341 | Jennifer M Wojtkowski | Nutritionist | 165 Tor Ct, Operation Better Start, Pittsfield, MA 01201-3001 | 2007-06-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
Find all providers in zip 01201 |
Taxonomy Code | 363LC1500X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093164345 | Melissa Kelly Charles | Nurse Practitioner | 200 Nashua St, Boston, MA 02114-1105 | 2016-06-08 |
1568664001 | Kathryn J Foley | Nurse Practitioner | 31 Partridge Ave, Somerville, MA 02145-3629 | 2007-06-05 |
1295937795 | Michael Berdan | Nurse Practitioner | 399 Revolution Dr, Suite 810, Somerville, MA 02145-1446 | 2007-06-05 |
1063540326 | Rita Olans | Nurse Practitioner | 18 Oriole Dr, Andover, MA 01810-3409 | 2007-03-01 |
1649718198 | Julie Ann Pelletier | Nurse Practitioner | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2017-02-05 |
1730639253 | Erin Muldoon | Nurse Practitioner | 55 West St, Walpole, MA 02081-1837 | 2016-10-07 |
1326495151 | Kara Pesola | Nurse Practitioner | 47 Congress St, Salem, MA 01970-7308 | 2016-05-23 |
1073918876 | Regina Roberto | Nurse Practitioner | 100 Institute Rd, Worcester, MA 01609-2247 | 2014-10-23 |
1487947164 | Stephanie Powers Convey | Nurse Practitioner | 269 Union St, Lynn, MA 01901-1314 | 2011-05-27 |
1295046076 | Karla Hoxha Brown | Nurse Practitioner | 75 Kneeland St, Suite 201, Boston, MA 02111-1901 | 2010-06-28 |
Find all providers with the same taxonomy |
City | PITTSFIELD |
Zip Code | 01201 |
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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.