ELISE M BOMBARD (NPI# 1568947299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568947299 |
Entity Type | Individual |
Full Name | ELISE M BOMBARD |
Practice Address |
548 Park Ave Worcester MA 01603-2537 |
Mailing Address |
300 Central Park Apt 311 Holden MA 01520-1180 |
Practice Telephone | 7748231500 |
Mailing Telephone | 5083356277 |
Enumeration Date | 2018-09-28 |
Last Update Date | 2018-09-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN228478 | MA | Nursing Service Providers |
Street Address |
548 PARK AVE |
City | WORCESTER |
State | MA |
Zip Code | 01603-2537 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154601920 | Melissa Hallaman | Registered Nurse | 548 Park Ave, Worcester, MA 01608-1604 | 2011-08-24 |
1639700875 | Analucia Diaz | Occupational Therapist | 548 Park Ave, Worcester, MA 01603-2537 | 2020-01-27 |
1831752906 | Mireya Enid Marrero | Student in an Organized Health Care Education/Training Program | 548 Park Ave, Worcester, MA 01603-2537 | 2019-04-15 |
1679034680 | Brianna Nicole Hartford | Occupational Therapist | 548 Park Ave, Worcester, MA 01603-2537 | 2019-03-31 |
1538641584 | Cristi Sierra | Physical Therapist | 548 Park Ave, Worcester, MA 01603-2537 | 2018-09-05 |
1255813887 | Kirsten Russell | Developmental Therapist | 548 Park Ave, Worcester, MA 01603 | 2018-08-30 |
1245720879 | Victoria Miller | Physical Therapist | 548 Park Ave, Worcester, MA 01603 | 2018-05-18 |
1801302294 | Kayla Marie Baez | Registered Nurse | 548 Park Ave, Worcester, MA 01603-2537 | 2017-12-20 |
1568977379 | Carolyn Tisdal Walker | Student in an Organized Health Care Education/Training Program | 548 Park Ave, Worcester, MA 01603-2537 | 2017-12-04 |
1629581301 | Marisa Thomas | Occupational Therapist | 548 Park Ave, Worcester, MA 01603-2537 | 2017-11-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134783228 | Drx Uc Worcester PC | Family Medicine | 117 A Stafford St, Worcester, MA 01603 | 2019-04-24 |
1487165072 | Heather B Mandeville | Counselor | 70 James St., Suite #270, Worcester, MA 01603 | 2017-10-23 |
1952812059 | Jeffrey S Jones II | Social Worker | 70 James St Ste 270, Worcester, MA 01603 | 2017-10-16 |
1497275796 | Ardent Companion Homecare LLC | Home Health | 93 Stafford Street, Suite 202, Worcester, MA 01603 | 2017-06-27 |
1144769167 | Aloria Health of Worcester, LLC | Community Based Residential Treatment Facility, Mental Illness | 1183 Main St, Worcester, MA 01603 | 2017-02-23 |
1023562048 | Isha Sood | Dentist | Dental Dreams, 68 Stafford Street, Worcester, MA 01603 | 2016-08-08 |
1316395742 | Brandie Casassa | Counselor | 55 Seminole Drive, Worcester, MA 01603 | 2016-05-26 |
1760854699 | Accurate Health Care LLC | Custodial Care Facility | One Corporate Square, Hartford, CT 01603 | 2015-10-30 |
1093124182 | Taylor Pearson | Counselor | 24 Alsada Drive, Worcester, MA 01603 | 2014-08-04 |
1861732158 | Christiana Acheampong | Student in an Organized Health Care Education/Training Program | 540 Park Avenue, Worcester, MA 01603 | 2013-02-22 |
Find all providers in zip 01603 |
Taxonomy Code | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342275 | Christine Anne Tuohy | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-10-05 |
1962016584 | Julie Fraher | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-09-01 |
1235761131 | Nora Mesdary | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-02-08 |
1578107496 | Zoheret Memmert-miller | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2019-11-04 |
1467019406 | Tonya Marie Padgett-comiska | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-05-24 |
1164927349 | Elyssa Williams | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2018-03-28 |
1558806927 | Julie Miller | Registered Nurse | 72 Jacques Ave, Worcester, MA 01610-2476 | 2016-12-21 |
1700212065 | Kathleen M Steenbruggen | Registered Nurse | 72 Jaques Ave, Worcester, MA 01610-2476 | 2013-09-18 |
1073853321 | Christine Fintzel | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2013-02-25 |
1760764948 | Debora Rocha | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2011-09-14 |
Find all providers in WORCESTER |
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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.