MR. KEVIN PHILLIPP NARDONE (NPI# 1710469549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710469549 |
Entity Type | Individual |
Full Name | MR. KEVIN PHILLIPP NARDONE |
Practice Address |
435 Shrewsbury St Worcester MA 01604-1689 |
Practice Telephone | 5087535554 |
Practice Fax Number | 5087527245 |
Mailing Telephone | 5087535554 |
Mailing Fax Number | 5087527245 |
Enumeration Date | 2018-08-29 |
Last Update Date | 2018-08-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2295205 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
435 SHREWSBURY ST |
City | WORCESTER |
State | MA |
Zip Code | 01604-1689 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528168135 | Stacey Jenee Rutherford | Social Worker | 435 Shrewsbury St, Worcester, MA 01604-1638 | 2006-09-24 |
1811532724 | Yveda Brutus | Registered Nurse | 435 Shrewsbury St, Worcester, MA 01604-1689 | 2019-11-14 |
1093985970 | Michael S Pizza | Registered Nurse | 435 Shrewsbury St, Worcester, MA 01604-1689 | 2008-03-06 |
1003007477 | Kimberly Beth Abdow | Registered Nurse | 435 Shrewsbury St, Worcester, MA 01609-2265 | 2007-08-09 |
1346397437 | Behavioral Healthcare Services | Psychiatry & Neurology | 435 Shrewsbury St, Worcester, MA 01604-1689 | 2007-01-04 |
1952413460 | Christine M. Macwade | Counselor | 435 Shrewsbury St, Worcester, MA 01604-1689 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
1285123034 | Sandra Jean Golden | Social Worker | 240 Belmont Street, Worcester, MA 01604 | 2018-05-08 |
1669961348 | Cindy Truong Choe | Behavior Technician | 330 Southwest Cutoff Suite 203, Worcester, MA 01604 | 2018-05-08 |
1013412915 | Michelle Marie Gaudet | Behavioral Analyst | 330 Southwest Cutoff, Suite 203, Worcester, MA 01604 | 2018-03-24 |
1104336593 | Younghwa Kim | Counselor | 2 Granite Street, Worcester, MA 01604 | 2017-10-11 |
1134640857 | Desiree Oquendo | Developmental Therapist | 43 Dillon Street, Worcester, MA 01604 | 2017-07-03 |
1457803686 | Reliable Home Care Services | Foster Care Agency | 35a Houghton Strret, Worcester, MA 01604 | 2016-11-04 |
1639530876 | Emily Capstick | Counselor | 81 Plantation Steet, Worcester, MA 01604 | 2016-03-16 |
1144696519 | Christian Caban I | Developmental Therapist | 25 Orient St, Worcester, MA 01604 | 2015-08-19 |
1750770160 | Ayanna Ortiz | Developmental Therapist | 16 Bangor St, Worcester, MA 01604 | 2015-01-22 |
Find all providers in zip 01604 |
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 |
---|---|---|---|---|
1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
1871110221 | Jillian Bradley | Nurse Practitioner | 507 Plantation St Apt 519, Worcester, MA 01605-4326 | 2020-07-01 |
1407393010 | John Job | Nurse Practitioner | 130 Lincoln St Ste 6, Worcester, MA 01605-2430 | 2017-01-21 |
1457701807 | Jee Yeah Park | Nurse Practitioner | 162 Chandler Street, Worcester, MA 01609-2924 | 2016-06-16 |
1174137434 | Grace Njeri Ngumi | Nurse Practitioner | 30 Park Ave, Worcester, MA 01605-3945 | 2020-09-03 |
1518578426 | Aldona Angele Vainius | Nurse Practitioner | 255 Park Ave Ste 804, Worcester, MA 01609-1984 | 2020-08-13 |
1518505973 | Jessica Lynn Weissman | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2019-12-17 |
1063970234 | Edith N/a Claros | Nurse Practitioner | 19 Tacoma St, Worcester, MA 01605-3516 | 2019-03-06 |
1639633530 | Yui Kitayama | Nurse Practitioner | 72 Jaques Ave, Worcester, MA 01610-2476 | 2019-01-24 |
1780165498 | Stephen Zombil | Nurse Practitioner | 107 Lincoln St, Worcester, MA 01605-2401 | 2018-08-22 |
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.