KATHERINE NYCZ (NPI# 1821341264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821341264 |
| Entity Type | Individual |
| Full Name | KATHERINE NYCZ |
| Credential | APRN |
| Practice Address |
85 1st Ave Waltham MA 02451-1105 |
| Practice Telephone | 6789368059 |
| Mailing Telephone | 6789368059 |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2015-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
2270207 | MA | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN2270207 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN2270207 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
85 1ST AVE |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962465070 | James Christopher O'brien | Internal Medicine | 85 1st Ave, Waltham, MA 02451-1105 | 2006-04-10 |
| 1598288987 | Hannah Potler | Registered Nurse | 85 1st Ave, Waltham, MA 02451-1105 | 2017-07-18 |
| 1255867487 | Boston Paincare Center | Clinical Medical Laboratory | 85 1st Ave, Waltham, MA 02451-1105 | 2017-05-09 |
| 1124552708 | Jordan Paul Backstrom | Psychologist | 85 1st Ave, Waltham, MA 02451-1105 | 2017-04-20 |
| 1255709556 | Valerie Florence Weed | Psychologist | 85 1st Ave, Waltham, MA 02451-1105 | 2015-09-03 |
| 1114338308 | Marina Treglia | Registered Nurse | 85 1st Ave, Waltham, MA 02451-1105 | 2014-05-11 |
| 1558791475 | Boston Paincare Center | Pain Medicine | 85 1st Ave, Waltham, MA 02451-1105 | 2013-11-13 |
| 1780020990 | Kelly Michelle Wawrzyniak | Psychologist | 85 1st Ave, Waltham, MA 02451-1105 | 2013-05-14 |
| 1578806170 | Nicholas Reese Barnes | Psychiatry & Neurology | 85 1st Ave, Waltham, MA 02451-1105 | 2013-04-02 |
| 1750643706 | Sarah Stollar Smith | Nurse Practitioner | 85 1st Ave, Waltham, MA 02451-1105 | 2012-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831414416 | Stephen M Bolio | Nurse Practitioner | 72a Charles River Rd, Waltham, MA 02453-2402 | 2010-04-07 |
| 1477744787 | Marygrace Davie Barber | Nurse Practitioner | Bentley College, 175 Forest St, Waltham, MA 02452-4705 | 2007-08-05 |
| 1548327638 | Kerry Lynn Kilroy | Nurse Practitioner | 950 Winter St Ste 3800, Waltham, MA 02451-1487 | 2007-01-02 |
| 1306812086 | Maryellen Sullivan | Nurse Practitioner | 950 Winter Street, Waltham, MA 02451 | 2006-02-23 |
| 1144695867 | Janice Allen | Nurse Practitioner | 870 Winter St, Waltham, MA 02451-1449 | 2015-12-07 |
| 1962870220 | Elizabeth S Duffy | Nurse Practitioner | 950 Winter St, 4th Floor, Waltham, MA 02451-1424 | 2015-09-03 |
| 1760866065 | Partners Home Care Inc | Nurse Practitioner | 281 Winter St, Suite 240, Waltham, MA 02451-8740 | 2015-07-16 |
| 1457743064 | Leslie Jane Cadigan | Nurse Practitioner | 415 South St # Ms 034, Waltham, MA 02453-2728 | 2015-02-19 |
| 1669862736 | Catherine Camacho | Nurse Practitioner | 950 Winter St, 3800, Waltham, MA 02451-1424 | 2015-01-28 |
| 1093141798 | Denise Christine Kelley | Nurse Practitioner | 950 Winter St, Suite 2200/3800, Waltham, MA 02451-1227 | 2013-09-25 |
| Find all providers in WALTHAM | ||||
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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.