MARY THERESE MALCOLM (NPI# 1932753324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932753324 |
| Entity Type | Individual |
| Full Name | MARY THERESE MALCOLM |
| Credential | CNP |
| Practice Address |
55 Highland Ave Ste 101 Salem MA 01970-2100 |
| Mailing Address |
14 Bristol Ave Swampscott MA 01907-1131 |
| Practice Telephone | 9787414171 |
| Practice Fax Number | 9787414283 |
| Mailing Telephone | 6176971307 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2020-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
RN257184 | MA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | RN257184 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780051193 | Mary Malcolm | Occupational Therapist | 71051 651 Blvd, Falls City, NE 68355-1488 | 2015-09-01 |
| Street Address |
55 HIGHLAND AVE STE 101 |
| City | SALEM |
| State | MA |
| Zip Code | 01970-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578901088 | Connie Yingyi Huang | Internal Medicine | 55 Highland Ave Ste 101, Salem, MA 01970-2100 | 2013-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| Find all providers in zip 01970 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134759012 | Caleb James Calder | Nurse Practitioner | 11 Oakland St, Salem, MA 01970-1520 | 2020-01-20 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1407371388 | Debra Lee Jenkins | Nurse Practitioner | 1905 Mcvitty Rd, Salem, VA 24153-7405 | 2017-08-11 |
| 1003282310 | Rachell Renee Davis | Nurse Practitioner | 1793 13th St. Se, Salem, OR 97302 | 2015-08-20 |
| 1194108365 | Danielle Marlene Dupuis | Nurse Practitioner | 810 Commercial St Se, Salem, OR 97302 | 2015-07-06 |
| 1306272471 | Josh Hooton | Nurse Practitioner | 251 W State Road 198 Ste 3, Salem, UT 84653-5608 | 2013-09-20 |
| 1104082197 | Richard Fredrick Meyers | Nurse Practitioner | 670 Hawthorne Ave Se, Suite 160, Salem, OR 97301-6884 | 2008-07-30 |
| 1831398122 | Karlen E Luthy | Nurse Practitioner | 118 N Main St Ste B, Salem, UT 84653-5698 | 2007-07-16 |
| 1174603401 | Anthony G Haralabatos | Nurse Practitioner | 59 Stiles Rd 104, Salem, NH 03079-5816 | 2006-10-17 |
| 1457378044 | Robert M Wilkinson | Nurse Practitioner | 141 Hospital Dr Ste 103, Salem, KY 42078-8043 | 2006-07-17 |
| Find all providers in SALEM | ||||
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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.