SHADIE BAJRAMI (NPI# 1578045498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578045498 |
| Entity Type | Individual |
| Full Name | SHADIE BAJRAMI |
| Credential | NP-C |
| Practice Address |
26 Queen St Worcester MA 01610-2473 |
| Practice Telephone | 5088607700 |
| Practice Fax Number | 5088607925 |
| Mailing Telephone | 5088607700 |
| Mailing Fax Number | 5088607925 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN2306884 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110020639B | 05 |
| Street Address |
26 QUEEN ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610-2473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669460051 | Philip Joseph Bolduc | Family Medicine | 26 Queen St, Family Practice 3, Worcester, MA 01610-2473 | 2005-10-10 |
| 1013517341 | Erich Berantuo | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2020-10-27 |
| 1366070419 | Stephany Giraldo Eierle | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-04-01 |
| 1225666969 | Henry J Louis | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-03-30 |
| 1497383467 | Katherine Elizabeth Price | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-03-27 |
| 1295377802 | Esther N Miwanda | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-10-15 |
| 1598306417 | David James Goodrich II | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-10-02 |
| 1972151496 | Kathryn Jean Devinney | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2473 | 2019-08-28 |
| 1104478288 | David Dinh | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2478 | 2019-07-10 |
| 1831741917 | Lisa Figueiredo | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
| 1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
| 1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
| Find all providers in zip 01610 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033576574 | Denise Rugg | Nurse Practitioner | 100 Research Dr, Worcester, MA 01605-4312 | 2016-01-27 |
| 1649604133 | Beth Waithira Harden | Nurse Practitioner | 16 Edgeworth St, Worcester, MA 01605-3224 | 2013-09-03 |
| 1861734030 | Jillian Julia Russell | Nurse Practitioner | 939 Southbridge St, Worcester, MA 01610-2227 | 2013-03-26 |
| 1386907541 | Jeanne Marie Snow | Nurse Practitioner | 691 Grafton St, Worcester, MA 01604-3185 | 2012-06-21 |
| 1164525028 | Lisa Catherine Gaimari | Nurse Practitioner | 486 Chandler Street, Worcester State College, Student Health Services, Worcester, MA 01602 | 2006-09-06 |
| 1467555607 | Lori Williams | Nurse Practitioner | 486 Chandler St # G209, Worcester State College Student Health Services, Worcester, MA 01602-2861 | 2006-09-06 |
| 1073595047 | Ruth Remington | Nurse Practitioner | 630 Plantation St, Worcester, MA 01605-2038 | 2005-11-16 |
| 1073158721 | Adam D Bliss | Nurse Practitioner | 162 Chandler St, Worcester, MA 01609-2924 | 2019-11-16 |
| 1427576453 | Amanda Murray | Nurse Practitioner | 416 Belmont St, Worcester, MA 01604-1086 | 2017-08-30 |
| 1144697913 | Hea-young Kim | Nurse Practitioner | 123 Summer St, Saint Vincent Hospital, Worcester, MA 01608-1216 | 2015-08-28 |
| 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.