SHIRLEY KELLY LABRECQUE (NPI# 1629123526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629123526 |
| Entity Type | Individual |
| Full Name | SHIRLEY KELLY LABRECQUE |
| Credential | PMHNP |
| Practice Address |
295 Varnum Ave Lowell MA 01854-2193 |
| Mailing Address |
1794 Bridge St Ste 18b Dracut MA 01826-2664 |
| Practice Telephone | 9787887418 |
| Practice Fax Number | 9789376853 |
| Mailing Telephone | 9782196710 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2282556 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1794 Bridge St Ste 18b, Dracut, MA 01826 | 9782196710 | |
| 22 Old Canal Dr, Lowell, MA 018512730 | 9784536800 |
| Street Address |
295 VARNUM AVE |
| City | LOWELL |
| State | MA |
| Zip Code | 01854-2193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215931597 | Jonas J Berman | Radiology | 295 Varnum Ave, Lowell, MA 01854-2134 | 2005-06-02 |
| 1437758125 | Amy Marie Dellogono | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2134 | 2020-10-22 |
| 1720686108 | Emily Rose Claude | Family Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2020-10-16 |
| 1265041305 | The Lowell General Hospital | Emergency Medical Technician, Paramedic | 295 Varnum Ave, Lowell, MA 01854-2134 | 2020-07-24 |
| 1639714744 | Shara A King | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-11-12 |
| 1861036451 | Obhg Massachusetts - Lowell PC | Emergency Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-11-06 |
| 1871147264 | Ronald Wilson Makarutsa | Registered Nurse | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-07-24 |
| 1780236786 | Andrea Jennifer Desmond | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-07-10 |
| 1235791831 | Nicole Nolan | Pharmacist | 295 Varnum Ave, Lowell, MA 01854-2193 | 2019-07-03 |
| 1578123253 | Alec Garabedian | Nurse Anesthetist, Certified Registered | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
| 1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
| 1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
| 1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
| 1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
| 1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
| 1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
| 1750608923 | Elisha S Bartlett | Social Worker | 391 Varnum Avenue, Lowell, MA 01854 | 2010-04-28 |
| 1871820399 | Sandy Ann Thongkhamsouk | Counselor | 391 Varnum St., Lowell, MA 01854 | 2009-11-04 |
| 1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
| Find all providers in zip 01854 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404082 | D&js Psychiatry & Services, LLC | Nurse Practitioner | 144 Merrimack St Ste 401, Lowell, MA 01852-1709 | 2020-07-14 |
| 1144840943 | Angela Marie Rasheed | Nurse Practitioner | 811 River Trail Rd, Lowell, NC 28098-1280 | 2020-04-21 |
| 1730339045 | Martha Sue Root | Nurse Practitioner | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2008-09-23 |
| 1386251601 | New England Psychiatry, LLC | Nurse Practitioner | 100 Merrimack St Ste 205e, Lowell, MA 01852-1708 | 2020-09-30 |
| 1912529355 | Emotional Step Up Health Systems LLC | Nurse Practitioner | 517 Rogers St, Lowell, MA 01852-3826 | 2020-05-07 |
| 1518442201 | Josefina Mercedes Ramirez | Nurse Practitioner | 99 Church St, Lowell, MA 01852-2621 | 2018-09-27 |
| 1447741293 | Michael Delisle | Nurse Practitioner | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2018-05-27 |
| 1962959411 | Julie Cunningham | Nurse Practitioner | 35 Market St, Lowell, MA 01852 | 2016-09-01 |
| 1538477369 | Jaime Lynn Sather | Nurse Practitioner | 515 Enterprise Dr Ste 300, Lowell, AR 72745 | 2010-09-14 |
| 1740454354 | Roselyn Mutizwa | Nurse Practitioner | 18 Meadowcroft St, Lowell, MA 01852-5022 | 2008-04-15 |
| Find all providers in LOWELL | ||||
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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.