PREMILA NAIR (NPI# 1912962218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912962218 |
| Entity Type | Individual |
| Full Name | PREMILA NAIR |
| Credential | FNP |
| Practice Address |
532 Sumner Ave Springfield MA 01108-2458 |
| Practice Telephone | 4137391100 |
| Practice Fax Number | 4137371643 |
| Mailing Telephone | 4137391100 |
| Mailing Fax Number | 4137371643 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
190033 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | CSR NUMBER | MN0564876 I | 01 |
| MA | PROVIDER NHP NUMBER | 0037112 | 01 |
| MA | PROVIDER EVERCARE NUMBER | 83-02800 | 01 |
| MA | DEA NUMBER | MN0708935 | 01 |
| MA | 1310097 | 05 |
| Street Address |
532 SUMNER AVE |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01108-2458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124080353 | Jayne Rohrbacher | Pediatrics | 532 Sumner Ave, Springfield, MA 01108-2458 | 2006-04-04 |
| 1063079218 | Hien Truong | Dentist | 532 Sumner Ave, Springfield, MA 01108-2458 | 2019-05-23 |
| 1841607629 | Gail R Boyer | Nurse Practitioner | 532 Sumner Ave, Springfield, MA 01108-2458 | 2014-07-14 |
| 1801221510 | Ayesha Husain Pardesi | Dentist | 532 Sumner Ave, Springfield, MA 01108-2458 | 2013-09-12 |
| 1235432360 | Lucila Bruno | Dentist | 532 Sumner Ave, Springfield, MA 01108-2458 | 2010-12-11 |
| 1396062394 | Caring Health Center, Inc | Clinic/Center | 532 Sumner Ave, Springfield, MA 01108-2458 | 2010-04-29 |
| 1154552891 | Rajitha Siddineni | Family Medicine | 532 Sumner Ave, Springfield, MA 01108-2458 | 2009-07-29 |
| 1043449556 | Thaida Duong | Dentist | 532 Sumner Ave, Springfield, MA 01108-2458 | 2009-07-06 |
| 1710190459 | Robert Biskop | Dentist | 532 Sumner Ave, Springfield, MA 01108-2458 | 2007-05-08 |
| 1396958195 | Anthony M Boschetti | Dentist | 532 Sumner Ave, Springfield, MA 01108-2458 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700256419 | Samantha Shirley | Specialist/Technologist | 6 Sumner Avenue, Apt 11, Springfield, MA 01108 | 2015-10-07 |
| 1073868543 | Caroline Alicia Bixby | Counselor | 95 Granby St, Springfield, MA 01108 | 2012-07-19 |
| 1659521508 | Heidi Walter | Counselor | 40 Eleanor Rd, Springfield, MA 01108 | 2008-09-29 |
| 1316154289 | Tamador S Gibreel | Counselor | 15 Lenox Street, Springfield, MA 01108 | 2007-05-17 |
| 1831219203 | Patricia Ann Langlitz | Massage Therapist | 80 Sumner Avenue, Springfield, MA 01108 | 2007-03-30 |
| 1548397920 | Bennett N Gaev | Psychiatry & Neurology | 167 Dwight Rd # 104, Longmeadow, MA 01108 | 2007-02-27 |
| 1841332145 | Emanuel Bonifale Brown | Counselor | 227 Mill Street, Springfield, MA 01108 | 2007-02-13 |
| 1639231863 | Robert Francis Vanvalkenburg | Dentist | 529 White St, Springfield, MA 01108 | 2006-12-14 |
| 1336214238 | Jeffrey Lee Lite | Dentist | 390 Sumner Ave, Springfield, MA 01108 | 2006-11-24 |
| 1043310477 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 615 621belmont Ave, Springfield, MA 01108 | 2006-09-25 |
| Find all providers in zip 01108 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382580 | Pamela Dawn Raines | Nurse Practitioner | 4311 Autumn Creek Dr, Springfield, OH 45504-5112 | 2020-09-25 |
| 1134735343 | Michael Fitz | Nurse Practitioner | 6205 Westminster Ct, Springfield, IL 62711-6728 | 2020-09-22 |
| 1326694605 | Affirm Management and Consulting, LLC | Nurse Practitioner | 4728 S Campbell Ave Ste 128, Springfield, MO 65810-1715 | 2019-08-13 |
| 1548812506 | Sasha Lee Ramos | Nurse Practitioner | 125 Liberty St Ste 403, Springfield, MA 01103-1109 | 2019-07-10 |
| 1427530591 | Matthew Smith | Nurse Practitioner | 196 W Sproul Rd Ste 205, Springfield, PA 19064-2045 | 2018-09-05 |
| 1083167100 | Talona Sue Carpenter-schultz | Nurse Practitioner | 322 Mcintyre Ln, Springfield, MI 49037-7685 | 2016-07-25 |
| 1649632068 | Lori Brooks | Nurse Practitioner | 1307 E Monroe St, Springfield, IL 62703-1224 | 2016-03-24 |
| 1740613744 | Sanyu Haffusa Walker | Nurse Practitioner | 3550 Main St. Commonwealth Community Care, Suite 101, Springfield, MA 01107-1078 | 2013-08-13 |
| 1023030145 | Bernice A Ezell | Nurse Practitioner | 380 Plainfeild St, Springfield, MA 01199-0001 | 2006-07-25 |
| 1952948176 | Alireza Jarihi | Nurse Practitioner | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2019-12-06 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01108 |
Please comment or provide details below to improve the information on PREMILA NAIR.
| 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.