AMY MARIE MCCORMACK (NPI# 1598294167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598294167 |
Entity Type | Individual |
Full Name | AMY MARIE MCCORMACK |
Credential | APRN |
Practice Address |
101 Boulder Point Dr Ste 1 Plymouth NH 03264-3170 |
Mailing Address |
213 Fairgrounds Rd Plymouth NH 03264-3228 |
Practice Telephone | 6035364000 |
Practice Fax Number | 6035364001 |
Mailing Telephone | 6039533778 |
Enumeration Date | 2017-06-07 |
Last Update Date | 2017-06-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
062717-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548666845 | Amy Mccormack | Behavioral Analyst | 1822 Keeaumoku St, Honolulu, HI 96822-3001 | 2014-11-13 |
Street Address |
101 BOULDER POINT DR STE 1 |
City | PLYMOUTH |
State | NH |
Zip Code | 03264-3170 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376524595 | Carolyn Haskell | Family Medicine | 101 Boulder Point Dr Ste 1, Plymouth, NH 03264-3170 | 2005-11-07 |
1609354208 | Mid-state Health Center | Clinic/Center | 101 Boulder Point Dr Ste 1, Plymouth, NH 03264-3170 | 2018-08-06 |
1942637434 | Barbara Greenwell | Nurse Practitioner | 101 Boulder Point Dr Ste 1, Plymouth, NH 03264-3170 | 2013-09-30 |
1225101033 | Aimee Lamotte | Counselor | 101 Boulder Point Dr Ste 1, Plymouth, NH 03264-3170 | 2006-11-17 |
1336127000 | Stephen John Regan | Internal Medicine | 101 Boulder Point Dr Ste 1, Plymouth, NH 03264-3170 | 2006-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538722103 | Maxwell E Johnson | Student in an Organized Health Care Education/Training Program | 17 High St, Plymouth, New Hampshire, Plymouth, NH 03264 | 2019-04-18 |
1679059968 | Life Improved, LLC | Psychologist | 300 Main Street, Suite 200, Plymouth, NH 03264 | 2018-07-19 |
1033638838 | Evan Hansen | Student in an Organized Health Care Education/Training Program | 5 First Street, Apartment B, Plymouth, NH 03264 | 2017-09-12 |
1396263448 | Lauren Burke | Specialist/Technologist | 70 Highland Street, Apartment E, Plymouth, NH 03264 | 2017-09-08 |
1174053490 | Ryan J. Schreiner | Specialist/Technologist | 19 High Street, Plymouth, NH 03264 | 2017-06-19 |
1972044550 | Heidi Schlenz | Counselor | 536 Tenney Mountain Highway, Plymouth, NH 03264 | 2017-03-15 |
1568900892 | Molly Quigley | Specialist/Technologist | 457 North Road, North Sutton, NH 03264 | 2017-02-07 |
1982082004 | Erin Marie Klasen-orr | Social Worker | 258 Highland Street, Plymouth, NH 03264 | 2015-05-08 |
1578876967 | Bridget Powers | Speech-Language Pathologist | 39 Clay Brook Dr., Plymouth, NH 03264 | 2010-07-14 |
1710191390 | Plymouth School District | Local Education Agency (LEA) | 43 Old Ward Bridge Road, Plymouth School District, Plymouth, NH 03264 | 2007-05-10 |
Find all providers in zip 03264 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477180826 | Stephanie Jordan | Nurse Practitioner | 22 Cranberry Rd, Plymouth, MA 02360-2857 | 2020-03-25 |
1710543863 | Kristen Marie Kubik | Nurse Practitioner | 13970 Oakland Ct, Plymouth, MI 48170-5292 | 2019-05-14 |
1679931505 | Hillary Costa | Nurse Practitioner | 45 Resnik Rd Ste 302, Plymouth, MA 02360-4883 | 2016-02-06 |
1811374747 | Jill Marie Geer | Nurse Practitioner | 510 W Adams St, Suite 150, Plymouth, IN 46563-1765 | 2015-04-29 |
1740677921 | Inner Banks Family Medicine | Nurse Practitioner | 543 Us Highway 64 W, Plymouth, NC 27962-2144 | 2015-04-24 |
1952706210 | Elizabeth Nelson-frazier | Nurse Practitioner | 50 Aldren Road, Plymouth, MA 02061-2711 | 2014-10-29 |
1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
1730595943 | Nicole Lee | Nurse Practitioner | 10 Bay Cliff Cir, Plymouth, MA 02360-1458 | 2014-07-08 |
1700122579 | Renae Charlene Atkins | Nurse Practitioner | 2855 Miller Dr Ste 119, Plymouth, IN 46563-8091 | 2012-12-21 |
1396097069 | Kristin Lynn Spencer | Nurse Practitioner | 3007 Harbor Lane North, Park Nicollet Clinic Plymouth - Family Medicine, Plymouth, MN 55447 | 2012-10-05 |
Find all providers in PLYMOUTH |
Please comment or provide details below to improve the information on AMY MARIE MCCORMACK.
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.