REBECCA KARDON (NPI# 1871530600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871530600 |
| Entity Type | Individual |
| Full Name | REBECCA KARDON |
| Practice Address |
26 Queen Street, Ground Floor Umass Memorial Med Ctr, Ambulatory Psychiatry Service Worcester MA 01610 |
| Practice Telephone | 5083342537 |
| Practice Fax Number | 5083344320 |
| Mailing Telephone | 5083342537 |
| Mailing Fax Number | 5083344320 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2014-10-17 |
| 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 |
84306 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
26 QUEEN STREET, GROUND FLOOR UMASS MEMORIAL MED CTR, AMBULATORY PSYCHIATRY SERVICE |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548646359 | Elda Zeko-underwood | Student in an Organized Health Care Education/Training Program | 26 Queen Street, Ground Floor, Ambulatory Psychiatry Service, Worcester, MA 01610 | 2015-08-04 |
| 1780623017 | Leslie Murphy | Social Worker | 26 Queen Street, Ground Floor, Umass Memorial Med Ctr, Ambulatory Psychiatry Service, Worcester, MA 01610 | 2006-06-05 |
| 1710926068 | Karen Nordstrom | Clinical Nurse Specialist | 26 Queen Street, Ground Floor, Umass Memorial Med Ctr, Ambulatory Psychiatry Service, Worcester, MA 01610 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
| 1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
| 1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
| Find all providers in zip 01610 | ||||
| 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 |
| 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 |
| 1720189525 | Sharon Divitto | Clinical Nurse Specialist | 55 Lake Ave N, Ummmc, Department of Psychiatry, Worcester, MA 01655-0002 | 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.