MRS. KATHERINE GRACE DYMACZ (NPI# 1790386951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790386951 |
| Entity Type | Individual |
| Full Name | MRS. KATHERINE GRACE DYMACZ |
| Credential | NP |
| Practice Address |
376 Lafayette Rd Ste 101 Sparta NJ 07871-3560 |
| Mailing Address |
41 Underrock Rd Sparta NJ 07871-3149 |
| Practice Telephone | 9733839898 |
| Mailing Telephone | 9737682334 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ01073400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 181 High St, Newton, NJ 078601020 | 9733839898 |
| Street Address |
376 LAFAYETTE RD STE 101 |
| City | SPARTA |
| State | NJ |
| Zip Code | 07871-3560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412737 | Jennifer Lynne Coviello | Physical Therapist | 10 North N Village Blvd, Suite D, Sparta, NJ 07871 | 2020-09-17 |
| 1104442466 | Sparta Senior Living, LLC | Assisted Living Facility | 3 North Village Boulevard, Sparta, NJ 07871 | 2020-06-23 |
| 1679115836 | Peli Eyecare and Associates | Optometrist | 10 North Village Boulevard, Suite C, Sparta, NJ 07871 | 2019-10-09 |
| 1841859451 | Ronetco Supermarkets, Inc. | Pharmacy | 18 North Village Boulevard, Sparta, NJ 07871 | 2019-06-07 |
| 1013571165 | North Jersey Scoliosis and Physical Therapy Specialists, LLC | Physical Therapist | 580 Lafayette Rd, St K, Sparta, NJ 07871 | 2019-04-24 |
| 1356805881 | Amazing Strides of Nj LLC | Behavioral Analyst | #322, 270 Sparta Ave., Suite 104, Sparta, NJ 07871 | 2019-01-29 |
| 1023589942 | Trinity Rehab Somerset Pa | Physical Therapist | 10 North Village Blvd, Suite D, Sparta, NJ 07871 | 2018-12-17 |
| 1053881649 | Lisa Arline Frisbie | Counselor | 25 Main Street Rear Suite, Sparta, NJ 07871 | 2018-11-27 |
| 1740756444 | Three Treasures Acupuncture of New Jersey, LLC | Acupuncturist | 43 Main Street Suite 102, Sparta, NJ 07871 | 2018-10-19 |
| 1952884181 | Capitol Care, Inc. | Community/Behavioral Health | 6 Laddey Lane, Sparta, NJ 07871 | 2018-09-13 |
| Find all providers in zip 07871 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275152696 | Sage Wellness Clinic, LLC | Nurse Practitioner | 14 Liberty Sq, Sparta, TN 38583-2044 | 2020-04-15 |
| 1043790504 | Regional Services | Nurse Practitioner | 8520 Mo-14, Sparta, MO 65753 | 2018-08-15 |
| 1265957054 | Laura Allese Hall | Nurse Practitioner | 150 Sam Walton Dr Ste 600, Sparta, TN 38583-8814 | 2017-08-14 |
| 1649436965 | Sarah Catherine Sandgran | Nurse Practitioner | 26 Gail Ct Ste 2a, Sparta, NJ 07871-3487 | 2008-08-06 |
| 1548450349 | Bryan L. Logan | Nurse Practitioner | 155 Village Drive, Sparta, MO 65673 | 2007-07-27 |
| 1407968936 | Maria Haydon Buttner | Nurse Practitioner | 11 Centre Street, Theatre Center, Sparta, NJ 07871 | 2006-08-31 |
| 1003881244 | Deanne C Rieckenberg | Nurse Practitioner | 215 S Burns Ave, Sparta Medical Office, Sparta, IL 62286 | 2006-02-21 |
| 1356338982 | Jennifer L Hart | Nurse Practitioner | 11 Theatre Ctr, Sparta, NJ 07871-2433 | 2005-09-29 |
| 1942761929 | Kathleen Loyd | Nurse Practitioner | 150 Sam Walton Dr, Sparta, TN 38583-8815 | 2019-03-30 |
| 1780157313 | Judith Anne Connell | Nurse Practitioner | 25 Main St, Sparta, NJ 07871-1937 | 2019-01-07 |
| Find all providers in SPARTA | ||||
Please comment or provide details below to improve the information on MRS. KATHERINE GRACE DYMACZ.
| 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.