MS. EKATERINA MIRONOVA (NPI# 1740697960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740697960 |
Entity Type | Individual |
Full Name | MS. EKATERINA MIRONOVA |
Credential | AG-ACNP |
Practice Address |
819 Worcester St Ste 1 Springfield MA 01151-1056 |
Practice Telephone | 4133042501 |
Practice Fax Number | 4137890290 |
Mailing Telephone | 4133042501 |
Mailing Fax Number | 4137890290 |
Enumeration Date | 2014-07-21 |
Last Update Date | 2020-04-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN2329856 | MA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
TAP5715 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
819 WORCESTER ST STE 1 |
City | SPRINGFIELD |
State | MA |
Zip Code | 01151-1056 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104802362 | Adnan M Dahdul | Internal Medicine | 819 Worcester St Ste 1, Springfield, MA 01151-1056 | 2005-12-20 |
1558979526 | Michelle Ana Figueroa | Physician Assistant | 819 Worcester St Ste 1, Springfield, MA 01151-1056 | 2020-07-16 |
1215599188 | Shadrack Masoo-waita Maingi | Physician Assistant | 819 Worcester St Ste 1, Springfield, MA 01151-1056 | 2019-07-01 |
1104399278 | Jennifer T Killips | Nurse Practitioner | 819 Worcester St Ste 1, Springfield, MA 01151-1045 | 2019-01-10 |
1154779445 | Post Acute Care Clinicians, LLC | Internal Medicine | 819 Worcester St Ste 1, Springfield, MA 01151-1056 | 2016-05-27 |
1689920217 | Michelle R. Filiau | Physician Assistant | 819 Worcester St Ste 1, Springfield, MA 01151-1045 | 2012-08-01 |
1316181027 | May Awkal | Internal Medicine | 819 Worcester St Ste 1, Springfield, MA 01151-1056 | 2009-04-24 |
1184805707 | Betty Cheng | Nurse Practitioner | 819 Worcester St Ste 1, Springfield, MA 01151-1056 | 2007-11-26 |
1033181656 | Feng Wang | Physical Medicine & Rehabilitation | 819 Worcester St Ste 1, Springfield, MA 01151-1056 | 2006-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841695640 | Nicole Hunt | Nurse Practitioner | Ipc Hospitalists of New England, PC, 819 Worcester St, Suite 3, Springfield, MA 01151 | 2014-10-23 |
1841442993 | Glenroy Bristol | Counselor | 34 Goodwin Street, Indian Orchard, MA 01151 | 2008-10-21 |
1386783389 | Dayna Jacobson | Physician Assistant | 819 Worcester Street, Suite 3, Springfield, MA 01151 | 2007-02-06 |
1376515650 | Denise M Rainville | Nurse Practitioner | 819 Worcester Street, Suite 3, Ipc Hospitalists of New England, PC, Springfield, MA 01151 | 2006-02-02 |
1093148926 | Inpatient Consultants of Massachusetts, P.C. | Family Medicine | 819 Worcester St Ste 3, Springfield, MA 01151 | 2013-08-14 |
1659555266 | Ipc Hospitalists of New England, P.C. | Family Medicine | 819 Worcester St, Suite 3, Springfield, MA 01151 | 2007-12-19 |
1073722294 | Savitha R Tudi | Internal Medicine | 819 Worcester St Ste 3, Springfield, MA 01151 | 2007-05-22 |
1326255985 | Orchard Medical Associates LLC | Internal Medicine | 811 Worcester St, Indian Orchard, MA 01151 | 2007-05-16 |
1407199847 | Jessica Zina-duarte | Specialist | 835 Worcester St, Indian Orchard, MA 01151-1001 | 2013-04-04 |
1508012204 | Beacon Hospice, LLC | Hospice Care, Community Based | 815 Worcester St, Springfield, MA 01151-1001 | 2008-08-13 |
Find all providers in zip 01151 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316565989 | Melanie Phillips | Nurse Practitioner | 140 W Main St Ste 100, Springfield, OH 45502-1369 | 2020-07-10 |
1649828120 | Dareth Elizabeth Fowler | Nurse Practitioner | 709 Deerfield Trl, Springfield, OH 45503-7445 | 2019-08-28 |
1578824983 | Daisy Seby | Nurse Practitioner | 86 Redwood Rd, Springfield, NJ 07081-2426 | 2012-06-01 |
1760741714 | Mini Jijo | Nurse Practitioner | 884 South Springfield Ave, #39, Springfield, NJ 07081-3314 | 2012-05-11 |
1326218843 | Laura Ann Reed | Nurse Practitioner | 30 W Mccreight Ave Ste 100, Springfield, OH 45504 | 2008-03-12 |
1669442182 | Lisa Erickson | Nurse Practitioner | 2 Medical Center Dr Ste 301, Springfield, MA 01107-1298 | 2006-01-26 |
1225639131 | Rachel M Carr | Nurse Practitioner | 3300 Main St, Springfield, MA 01107-1112 | 2020-11-06 |
1902411424 | Samantha Gillespie | Nurse Practitioner | 1460 G St, Springfield, OR 97477-4112 | 2020-09-11 |
1649898065 | Jaines Milagros Andrades | Nurse Practitioner | 2 Medical Center Drive, Suite 301, Springfield, MA 01107-1270 | 2020-07-13 |
1487288171 | Pamela Lomeli | Nurse Practitioner | 319 E Madison St Ste 1f, Springfield, IL 62701-3118 | 2020-03-03 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01151 |
Please comment or provide details below to improve the information on MS. EKATERINA MIRONOVA.
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.