ELIZABETH A KOZLICAK (NPI# 1629053574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629053574 |
| Entity Type | Individual |
| Full Name | ELIZABETH A KOZLICAK |
| Credential | NP |
| Practice Address |
20 Worcester Center Blvd Ste 590 Worcester MA 01608 |
| Mailing Address |
630 Plantation St Wot 12th Floor Attn: Physician Services Worcester MA 01605 |
| Practice Telephone | 5083683179 |
| Practice Fax Number | 5083683164 |
| Mailing Telephone | 5083685529 |
| Mailing Fax Number | 5083685530 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 96018 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FALLON COMM. HEALTH PLAN | 54954 | 01 | |
| HARVARD PILGRIM HEALTHCAR | AA3670 | 01 | |
| BLUE SHIELD INDEMNITY | NP1063 | 01 | |
| MEDICAID WELFARE | 0324736 | 01 | |
| MEDICARE B | NP1063 | 01 | |
| MA | 0324736 | 05 | |
| BLUE CARE ELECT | NP1063 | 01 | |
| BLUE SHIELD HMO BLUE | NP1063 | 01 |
| Street Address |
20 WORCESTER CENTER BLVD STE 590 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881681765 | Neil P Scannell | Internal Medicine | 20 Worcester Center Blvd, Worcester, MA 01608-1312 | 2005-10-05 |
| 1649348541 | Philip John Dean | Anesthesiology | 20 Worcester Center Blvd, Worcester, MA 01608-1312 | 2006-12-01 |
| 1528006814 | Habeebunnisa Ahmed | Pediatrics | 20 Worcester Center Blvd, St. Vincent Hopital, Worcester, MA 01608-1320 | 2006-06-02 |
| 1427005156 | Ralph C Kennaugh | Radiology | 20 Worcester Center Blvd, Worcester, MA 01608-1312 | 2006-05-28 |
| 1730150590 | Susan L Davis | Nurse Practitioner | 20 Worcester Center Blvd, Worcester, MA 01608-1312 | 2006-01-30 |
| 1669451464 | Brett Michael Carswell | Urology | 20 Worcester Center Blvd, Suite 210, Worcester, MA 01608-1312 | 2006-01-11 |
| 1528042124 | Bharati Jayant Phadke | Psychiatry & Neurology | 20 Worcester Center Blvd, Worcester Medical Center, Ste 585, Worcester, MA 01608-1312 | 2005-12-06 |
| 1235113531 | Michael A Goodfriend | Internal Medicine | 20 Worcester Center Blvd, Worcester, MA 01608-1312 | 2005-12-01 |
| 1508848581 | Robin H Braveman | Speech-Language Pathologist | 20 Worcester Center Blvd, Worcester, MA 01608-1312 | 2005-11-16 |
| 1609857903 | Laszlo Leb | Internal Medicine | 20 Worcester Center Blvd, Worcester, MA 01608-1312 | 2005-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| 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 |
|---|---|---|---|---|
| 1679183545 | Integral Health Partners LLC | Nurse Practitioner | 67 Millbrook St Ste 406a, Worcester, MA 01606-2845 | 2020-08-05 |
| 1548813728 | Christina Marie Cruz | Nurse Practitioner | 123 Summer St Ste 685n, Worcester, MA 01608-1216 | 2019-07-17 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
| 1609023985 | Rosemary A Kirousis | Nurse Practitioner | 366 Shrewsbury St Apt 3, Worcester, MA 01604-4647 | 2008-08-19 |
| 1639231426 | Addie Lawrence | Nurse Practitioner | 416 Belmont St, Worcester, MA 01604-1086 | 2006-12-15 |
| 1164521712 | Kathy Volin Pulda | Nurse Practitioner | 378 Plantation St, Geriatrics Department, Worcester, MA 01605-2324 | 2006-09-21 |
| 1194822650 | Patricia A Macculloch | Nurse Practitioner | 119 Belmont Street, Spince Center, Worcester, MA 01605 | 2006-09-19 |
| 1922111525 | Claire C Davison | Nurse Practitioner | 299 Lincoln Street, Suite 100, Worcester, MA 01605 | 2006-08-16 |
| 1801861471 | Paula Flanagan | Nurse Practitioner | 530 Plantation St, Worcester, MA 01605 | 2006-02-17 |
| Find all providers in WORCESTER | ||||
Please comment or provide details below to improve the information on ELIZABETH A KOZLICAK.
| 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.