GEORGIANNA ROSE SHEA


Address: 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274
Phone: 4137945437

GEORGIANNA ROSE SHEA (NPI# 1932727203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932727203
Entity Type Individual
Full Name GEORGIANNA ROSE SHEA
Credential NP
Practice Address 50 Wason Ave
1st Fl
Springfield
MA 01107-1274
Mailing Address 280 Chestnut St Fl 2
Springfield
MA 01199-1001
Practice Telephone 4137945437
Practice Fax Number 4137948901
Mailing Telephone 4137945700
Enumeration Date 2020-07-13
Last Update Date 2020-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN253411 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 50 WASON AVE
1ST FL
City SPRINGFIELD
State MA
Zip Code 01107-1274

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265413009 Anastasios G Angelides Pediatrics 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 2005-11-09
1588118350 Courtney Manning Genetic Counselor, MS 50 Wason Ave, Springfield, MA 01107-1274 2016-08-10
1457708455 Samantha Mccarthy Dietitian, Registered 50 Wason Ave, Springfield, MA 01107-1274 2016-05-19
1881057800 Baystate Developmental Behavioral Pediatrics Psychologist 50 Wason Ave, 1st. Floor, Springfield, MA 01107-1274 2016-03-29
1912370438 Brenda Peters Behavioral Analyst 50 Wason Ave, Springfield, MA 01107-1132 2015-11-05
1053795351 Shayl Griffith Student in an Organized Health Care Education/Training Program 50 Wason Ave, Springfield, MA 01107-1132 2015-07-16
1043620859 Lisa Laprade Dietitian, Registered 50 Wason Ave, 1st Floor, Springfield, MA 01107-1132 2014-05-01
1245650225 Baystate Pharmacy Pharmacy 50 Wason Ave, Springfield, MA 01107-1132 2014-04-17
1669898565 Ruth Kurniawati Physician Assistant 50 Wason Ave, Springfield, MA 01107-1132 2014-03-16
1629409875 Baystate Medical Center, Inc. Pharmacy 50 Wason Ave, Springfield, MA 01107-1132 2013-12-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740702547 Domingo Nieves Jr. Counselor 2225 Main St., Springfield, MA 01107 2017-07-13
1801318266 Denise Lawson Counselor 2257 Main Street, Springfield, MA 01107 2017-07-07
1568912491 Trina Cysz Nurse Practitioner 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 2016-10-04
1609322262 Toheeb Oladimeji Bakare Counselor 322 Birnie Avenue, Springfield, MA 01107 2016-09-01
1952701161 Jalissa Sostre Counselor 32 Abbe Ave, Springfield, MA 01107 2014-08-26
1659799161 Elizabeth A. Otmaskin Obstetrics & Gynecology 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 2014-04-01
1205268885 Catherine Matejcek Davies Counselor 246 Park Street, Springfield, MA 01107 2013-08-06
1750723268 Jasdeep S. Badwal Allergy & Immunology 2 Medical Center Dr Ste 406, Springfield, MA 01107 2013-07-25
1255691846 Medical Express Urgent Care Center, Co. Inc. Physical Medicine & Rehabilitation 438 Chestnut Street, Springfield, MA 01107 2012-05-17
1205166642 Matthew R Kelley Audiologist 100 Wason, Suite 100, Springfield, MA 01107 2010-01-07
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1588276240 Andrew Ronald Mouser Nurse Practitioner 607 Prospect Rd, Springfield, PA 19064-2819 2020-08-23
1821609082 William Coleman Bryant Nurse Practitioner 5552 W Longleaf Dr, Springfield, MO 65802-7834 2020-08-12
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1679182281 Erica Gail Hunt Nurse Practitioner 2813 Haverford Rd, Springfield, IL 62704-4267 2020-07-29
1063020063 Gage Azeez Nurse Practitioner 46 Timber Ln, Springfield, MA 01119-2828 2020-07-16
1033737440 Janne L Nicholson Nurse Practitioner 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 2020-07-13
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Competitor

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City SPRINGFIELD
Zip Code 01107

Improve Information

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Dataset Information

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.

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