SHARON DIVITTO (NPI# 1720189525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720189525 |
| Entity Type | Individual |
| Full Name | SHARON DIVITTO |
| Practice Address |
55 Lake Ave N Ummmc, Department of Psychiatry Worcester MA 01655-0002 |
| Practice Telephone | 5083343562 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2016-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
160281 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
55 LAKE AVE N UMMMC, DEPARTMENT OF PSYCHIATRY |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556587 | James E Liebmann | Internal Medicine | 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 | 2005-05-23 |
| 1518568732 | Justin Bullard | Psychologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-11-04 |
| 1346849825 | Meghan Moore | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-26 |
| 1174122899 | Jessica Goncalves Ferreira | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-23 |
| 1235746686 | Desiree Mytych | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-29 |
| 1659986248 | Rebecca Lynn Harris | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-10 |
| 1639781487 | Gabriella Kathleen Holland | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-21 |
| 1730791898 | Kerry Anne Benedict | Speech-Language Pathologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1902418999 | Natasha R. Turner | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1144830712 | Abbey Corsini | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205489713 | Darryl Sweeper Jr. | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-23 |
| 1225690530 | Ryan Zenevitch | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-08 |
| 1932688454 | Victoria Sayeg | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 | 2018-08-07 |
| 1114425675 | Judith Dio Wentzell | Social Worker | Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 | 2018-01-30 |
| 1861927386 | Muhammad Waqas Khan | Student in an Organized Health Care Education/Training Program | University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 | 2017-04-21 |
| 1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
| 1073858981 | Heidi Glover | Nurse Practitioner | 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 | 2012-12-04 |
| 1972867992 | Anna Bjornsdottir | Psychiatry & Neurology | 55 Lake Av N, Worcester, MA 01655 | 2012-06-25 |
| 1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
| 1851582951 | Robin I Davidson | Neurological Surgery | 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 | 2007-08-05 |
| Find all providers in zip 01655 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447330287 | Jane S Ferguson | Clinical Nurse Specialist | 162 Chandler St, Worcester, MA 01609-2924 | 2006-10-16 |
| 1871530600 | Rebecca Kardon | Clinical Nurse Specialist | 26 Queen Street, Ground Floor, Umass Memorial Med Ctr, Ambulatory Psychiatry Service, Worcester, MA 01610 | 2006-06-01 |
| 1033448188 | Ursula Sawicki Makrum | Clinical Nurse Specialist | 72 Jaques Ave, Worcester, MA 01610-2476 | 2009-12-21 |
| 1992942148 | Sun S Kim | Clinical Nurse Specialist | 328 Shrewsbury St, Department of Psychiatry, Worcester, MA 01604-4613 | 2009-01-09 |
| 1083764237 | Kathryn Yvonne Raymond | Clinical Nurse Specialist | 305 Belmont St, Worcester, MA 01604-1681 | 2007-01-11 |
| 1619067568 | Sally Ann Blomgren | Clinical Nurse Specialist | 78 Burncoat St, Worcester, MA 01605-1350 | 2006-10-13 |
| 1174624753 | Margaret Burley | Clinical Nurse Specialist | 5 Neponset St, Worcester, MA 01606-2714 | 2006-09-26 |
| 1811098601 | Karen C Kappes | Clinical Nurse Specialist | 55 Lake Ave N, Ummmc, Department of Psychiatry, Worcester, MA 01655-0002 | 2006-09-26 |
| 1710926068 | Karen Nordstrom | Clinical Nurse Specialist | 26 Queen Street, Ground Floor, Umass Memorial Med Ctr, Ambulatory Psychiatry Service, Worcester, MA 01610 | 2006-06-05 |
| 1053366963 | Mary R Innis | Clinical Nurse Specialist | 100 Century Dr, Worcester, MA 01606 | 2006-05-23 |
| 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.