KRISTINA PUTNAM (NPI# 1568861987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568861987 |
| Entity Type | Individual |
| Full Name | KRISTINA PUTNAM |
| Practice Address |
10 Centennial Dr Suite 104 Peabody MA 01960-7938 |
| Practice Telephone | 9785351110 |
| Practice Fax Number | 9785352907 |
| Mailing Telephone | 9785351110 |
| Mailing Fax Number | 9785352907 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2016-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2291251 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10 CENTENNIAL DR SUITE 104 |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-7938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811969389 | Anne L Hanley | Nurse Practitioner | 10 Centennial Dr, Peabody, MA 01960-7900 | 2006-02-07 |
| 1700492907 | Ashley Wedge | Physical Therapist | 10 Centennial Dr, Peabody, MA 01960-7938 | 2020-09-22 |
| 1285146258 | Pediatric Health Care Associates PC | Pediatrics | 10 Centennial Dr, Peabody, MA 01960-7938 | 2017-10-31 |
| 1912452665 | Danielle Driscoll | Nurse Practitioner | 10 Centennial Dr, Peabody, MA 01960-7938 | 2016-08-23 |
| 1679921001 | Jesus M Pena | Student in an Organized Health Care Education/Training Program | 10 Centennial Dr, Peabody, MA 01960-7938 | 2016-05-26 |
| 1225483795 | Anna Martel | Counselor | 10 Centennial Dr, Peabody, MA 01960-7938 | 2016-05-03 |
| 1235592213 | Kara Conway Raponi | Social Worker | 10 Centennial Dr, Peabody, MA 01960-7938 | 2016-03-29 |
| 1669846457 | Molly Hogan-fowler | Social Worker | 10 Centennial Dr, Peabody, MA 01960-7938 | 2015-11-17 |
| 1932577152 | Rita Mazina Turi | Nurse Practitioner | 10 Centennial Dr, Peabody, MA 01960-7938 | 2015-09-03 |
| 1710354121 | Melissa Elisabeth Gagne | Nurse Practitioner | 10 Centennial Dr, Peabody, MA 01960-7938 | 2015-09-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| 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 |
|---|---|---|---|---|
| 1538413216 | Veronica Margaret Lazzara | Nurse Practitioner | 2 Corporation Way Ste 260, Peabody, MA 01960-7932 | 2012-11-02 |
| 1396729331 | Deborah A Clark | Nurse Practitioner | 3 Essex Green Dr, Peabody, MA 01960-2913 | 2005-12-02 |
| 1710532478 | Lea Pires | Nurse Practitioner | 2 Corporation Way Ste 260, Peabody, MA 01960-7932 | 2019-08-08 |
| 1902385008 | Darina Carcerano | Nurse Practitioner | 2 Essex Center Dr, Peabody, MA 01960 | 2018-08-09 |
| 1851303754 | Ellen Jane Gawlocki | Nurse Practitioner | 3 Essex Green Dr, Suite 2, Peabody, MA 01960-2927 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639552 | Kelly Ann Hancock | Nurse Practitioner | 6 Margot Ln, East Bridgewater, MA 02333-1689 | 2020-11-03 |
| 1366042715 | Jacqueline Ann Owens | Nurse Practitioner | 32 Hammond Ave, Cohasset, MA 02025-1928 | 2020-10-27 |
| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
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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.