MRS. MYRA F CACACE


Address: 5 Neponset St, Worcester, MA 01606-2714
Phone: 5088526175

MRS. MYRA F CACACE (NPI# 1518956010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518956010
Entity Type Individual
Full Name MRS. MYRA F CACACE
Credential GNP/ADM-BC, CDE
Practice Address 5 Neponset St
Worcester
MA 01606-2714
Mailing Address 5 Neponset St Fl Street12
Worcester
MA 01606-2714
Practice Telephone 5088526175
Practice Fax Number 5085952123
Mailing Telephone 5088526175
Mailing Fax Number 5085952123
Enumeration Date 2005-10-18
Last Update Date 2018-09-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
NP144577 MA Nursing Service Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
NP144577 MA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
NP144577 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA FALLON 49852 01
MA BLUE CROSS BLUE SHIELD BCNP0559 01
MA 110015470A 05

Office Location

Street Address 5 NEPONSET ST
City WORCESTER
State MA
Zip Code 01606-2714

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942203856 Thomas Lee Rosenfeld Dermatology 5 Neponset St, Worcester, MA 01606-2714 2005-05-24
1831708841 Lucy Kirakous Nurse Practitioner 5 Neponset St, Worcester, MA 01606-2714 2020-07-26
1174157259 Krystal Leblanc Social Worker 5 Neponset St, Worcester, MA 01606-2714 2020-02-27
1124664313 Kedeshia Malin Nurse Practitioner 5 Neponset St, Worcester, MA 01606-2714 2019-11-21
1730627472 Jessica E. Valletta Nurse Practitioner 5 Neponset St, Worcester, MA 01606-2714 2017-02-02
1447700182 Margaret Tu-anh Nguyen Nurse Practitioner 5 Neponset St, Worcester, MA 01606-2714 2016-10-06
1922551746 Danielle N. Lawrence Nurse Practitioner 5 Neponset St, Worcester, MA 01606-2714 2016-07-28
1679929004 Samuel Schieffelin Nordberg Psychologist 5 Neponset St, Worcester, MA 01606-2714 2016-05-04
1225496938 Quynh V. Tu Dietitian, Registered 5 Neponset St, Worcester, MA 01606-2714 2016-02-09
1295105476 Justin Hall Physician Assistant 5 Neponset St, Worcester, MA 01606-2714 2015-10-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548742612 Aishea Irine Henry Counselor 29 E. Mountian St., Worccester, MA 01606 2018-09-05
1932689874 Donna Kesler Pearce Social Worker Department of Children and Families, 151 West Boylston Drive, Worcester, MA 01606 2018-08-20
1689169914 Ashley Kalel Social Worker 151 W Boylston Dr, Worcester, MA 01606 2018-06-28
1588189039 Michael Joseph Peters Sr. Counselor 56 Malden St, Worcester, MA 01606 2017-08-06
1811418528 Shan Rai Social Worker 29 East Mountain Street, Worcester, MA 01606 2017-07-03
1639608045 Kim Marie Ceccarini Case Manager/Care Coordinator 11 Delaval Rd, Worcester, MA 01606 2017-06-08
1669806139 Lauren Giuliano Counselor 392 Burncoat St, Worcester, MA 01606 2013-09-02
1508132911 Joshua D Zierler-broudo Social Worker 29 East Mountain St, Worcester, MA 01606 2012-03-29
1609096098 Alternatives Unlimited Inc Day Training, Developmentally Disabled Services 367 Burncoat Street, Worcester, MA 01606 2007-04-26
1407908213 Class One Orthodontic Asso LLC Dentist 365 Burncoat St, Worcester, MA 01606 2007-01-18
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548742364 Florence Mumbi Gichuhi Nurse Practitioner 416 Belmont St, Worcester, MA 01604-1086 2018-08-29
1043694862 Elizabeth Tomkinson Nurse Practitioner 26 Queen St, Worcester, MA 01610-2473 2015-07-10
1578956595 Worcester Internal Medicine Nurse Practitioner 416 Belmont St, Worcester, MA 01604-1086 2015-03-16
1518393065 Sara Jane Brzykcy Nurse Practitioner 189 May St, Worcester, MA 01602-4339 2013-09-16
1972938983 Amanda Jane-bean Clancey Nurse Practitioner 416 Belmont St, Worcester, MA 01604-1086 2013-09-10
1366778953 Benjamin Scott Alfred Nurse Practitioner 26 Queen St, Worcester, MA 01610-2473 2009-11-02
1952367112 Donna Marie Scavone Nurse Practitioner 605 Lincoln St, Worcester, MA 01605 2006-04-25

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1912513714 James Vincent Fournier Nurse Practitioner 50 Memorial Dr Ste 205, Leominster, MA 01453-2238 2020-09-17
1386259109 Maureen Villars Nurse Practitioner 32 Orchard Hill Dr, Rutland, MA 01543-1778 2020-09-09
1639783780 Patricia Varela Nurse Practitioner 48 Percival St, Dorchester, MA 02122-1992 2020-09-05
1578172243 Felicia Mendonca Nurse Practitioner 21 Lands End Way, Swansea, MA 02777-2909 2020-07-28
1831716901 Joan Tiano Nurse Practitioner 595 Pawtucket Blvd Ste 3, Lowell, MA 01854-2042 2020-07-06
1720609829 Angelique Group Nurse Practitioner 4 Upland Woods Cir Unit 402, Norwood, MA 02062-3261 2020-04-29
1093341331 Frew Fikru Nurse Practitioner 529 Washington Ave Apt 2, Revere, MA 02151-1962 2020-03-18
1376189084 Dorcas Korir Nurse Practitioner 248 Pleasant St Unit 204, Methuen, MA 01844-7149 2019-11-18
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Competitor

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City WORCESTER
Zip Code 01606

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Dataset Information

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.

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