MS. MARY T PAQUETTE (NPI# 1609855162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609855162 |
| Entity Type | Individual |
| Full Name | MS. MARY T PAQUETTE |
| Credential | APRN |
| Practice Address |
71 Haynes St Manchester CT 06040-4131 |
| Mailing Address |
1215 Wilbraham Rd Health Services Springfield MA 01119-2612 |
| Practice Telephone | 8606461222 |
| Practice Fax Number | 8604653203 |
| Mailing Telephone | 4137821211 |
| Mailing Fax Number | 4137962255 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2009-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 169316 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 001667 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1609855162 | 05 | |
| CT | 004258283 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427278266 | Mary Pryal Paquette | Social Worker | Davis Ave At E Post Rd, Wphc-mhc (4c), White Plains, NY 10601-4615 | 2007-04-26 |
| 1598766875 | Mary M Paquette | Family Medicine | 4465 White Bear Parkway, White Bear Lake, MN 55110 | 2005-08-09 |
| Street Address |
71 HAYNES ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568457893 | Monica Srodon | Specialist | 71 Haynes St, Manchester, CT 06040-4131 | 2005-09-13 |
| 1104443274 | Cynthia Lynn Kaczmarczyk | Occupational Therapist | 71 Haynes St, Manchester, CT 06040-4131 | 2020-07-06 |
| 1225653199 | Nicholas Orion Volaitis Cunningham | Student in an Organized Health Care Education/Training Program | 71 Haynes St, Manchester, CT 06040-4188 | 2020-06-16 |
| 1992327696 | Gavin Michael Hannon | Student in an Organized Health Care Education/Training Program | 71 Haynes St, Manchester, CT 06040-4131 | 2020-05-15 |
| 1548882830 | Izabela Anna Tomkiewicz | Student in an Organized Health Care Education/Training Program | 71 Haynes St, Manchester, CT 06040-4188 | 2020-05-11 |
| 1801418041 | Thomas Kim | Family Medicine | 71 Haynes St, Manchester, CT 06040-4131 | 2020-05-11 |
| 1508487075 | Michael Chiok | Student in an Organized Health Care Education/Training Program | 71 Haynes St, Manchester, CT 06040-4131 | 2020-05-06 |
| 1124657325 | Jennifer Neri | Physical Therapist | 71 Haynes St, Manchester, CT 06040-4131 | 2020-04-08 |
| 1366077646 | Kylie M Picard | Social Worker | 71 Haynes St, Manchester, CT 06040-4188 | 2020-03-07 |
| 1447884978 | Rachel Ellen Silvester | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4188 | 2020-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144769548 | Lindsay Andronaco | Nurse Practitioner | 159 Frontage Rd, Manchester, NH 03103-6013 | 2017-02-17 |
| 1609242429 | Brandy Nicole Hall | Nurse Practitioner | 201 Morse Rd, Manchester, NH 03104-5723 | 2015-08-16 |
| 1154635407 | Edwards Clinic, Psc | Nurse Practitioner | 204 Town Branch Road, Manchester, KY 40962-1322 | 2010-07-28 |
| 1427241421 | Kimberly D. Mathis | Nurse Practitioner | 1600 Mcarthur Street, Manchester, TN 37355 | 2007-08-22 |
| 1619190212 | Virginia H Bennett | Nurse Practitioner | 223 East Center St, Manchester, CT 06040 | 2007-04-11 |
| 1881733111 | Rosetta Lakes | Nurse Practitioner | 100 S Court St, Manchester, KY 40962-1295 | 2007-02-05 |
| 1316052442 | Karen J Cheek | Nurse Practitioner | 90 Garrard Sq, Manchester, KY 40962-5759 | 2006-08-20 |
| 1275541062 | Diane Estelle Ballard | Nurse Practitioner | 870 Montgomery St, Manchester, NH 03102-2722 | 2006-08-04 |
| 1952347734 | Kristy Taylor | Nurse Practitioner | 9 Blodget St, Manchester, NH 03104 | 2006-06-21 |
| 1417908518 | Cynthia A Martin | Nurse Practitioner | 212 Rosedale Dr, Manchester, PA 17345-1023 | 2006-05-13 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
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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.