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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | FALLON | 49852 | 01 |
MA | BLUE CROSS BLUE SHIELD | BCNP0559 | 01 |
MA | 110015470A | 05 |
Street Address |
5 NEPONSET ST |
City | WORCESTER |
State | MA |
Zip Code | 01606-2714 |
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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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 |
Find all providers in zip 01606 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760082366 | Donna Josephine Remmes | Nurse Practitioner | 313 Franklin St, Wrentham, MA 02093-2405 | 2020-11-01 |
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 |
1376194142 | Nicholas Davenport Biscardi | Nurse Practitioner | 6 Wells St, Gloucester, MA 01930-3423 | 2019-09-24 |
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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.