BEATRICE GLEN DOMENICHELLA (NPI# 1952919623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952919623 |
| Entity Type | Individual |
| Full Name | BEATRICE GLEN DOMENICHELLA |
| Credential | CNP |
| Practice Address |
5 Bicentennial Ave Leominster MA 01453-5227 |
| Practice Telephone | 9788706930 |
| Mailing Telephone | 9788706930 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN173210 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5 BICENTENNIAL AVE |
| City | LEOMINSTER |
| State | MA |
| Zip Code | 01453-5227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1538705553 | Zazrak, Incorporated | Behavior Technician | 435 Leominster Street Suite 335, Leominster, MA 01453 | 2019-11-25 |
| 1003473547 | Ana Gabriela Rosa | Massage Therapist | 301 6th Sreet, Leominster, MA 01453 | 2019-05-21 |
| 1962973719 | Sandra Trippi-leroux | Social Worker | 122 Granite Street Leominster High School, Leominster, MA 01453 | 2018-12-05 |
| 1134623887 | A&r Home Care LLC | Home Health | 40 Albert Drive, Unit A1, Leominster, MA 01453 | 2018-03-19 |
| 1619326048 | Icon Medical Solutions Corp | Durable Medical Equipment & Medical Supplies | 40 Spruce St Ste 202, Leominster, MA 01453 | 2016-06-07 |
| 1194113837 | Amy Tansey | Pharmacist | 927 Merriam Ave, Leominster, MA 01453 | 2015-01-05 |
| 1730506429 | Mitchel Pyles | Social Worker | Community Healthlink, Inc., 40 Spruce Street, Leominster, MA 01453 | 2014-03-20 |
| 1013341585 | Denise R Tufts | Counselor | 142 Richard Rd, Leominster, MA 01453 | 2013-09-02 |
| 1699010421 | Wendy Ann Leblanc | Homeopath | 1123 Central S, Leominster, MA 01453 | 2012-12-05 |
| Find all providers in zip 01453 | ||||
| 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 |
|---|---|---|---|---|
| 1508153248 | Brandy Lee Silvia | Nurse Practitioner | 36 William St, Beacon Hospice, Leominster, MA 01453 | 2011-07-01 |
| 1184685851 | Marsha C. Olson | Nurse Practitioner | 100 Hospital Rd Ste 3b, Leominster, MA 01453-2253 | 2006-03-31 |
| 1003877911 | Karen E. Peterson | Nurse Practitioner | 48 Nelson Street, Leominster, MA 01453 | 2006-03-30 |
| 1003886540 | Steven B Gutwillig | Nurse Practitioner | 87 N Main St, Leominster, MA 01453-5507 | 2006-01-26 |
| 1437776655 | Pauline N Mongo-shei | Nurse Practitioner | 370 West St, Leominster, MA 01453-2099 | 2020-07-03 |
| 1851911150 | Terese Andrea Holm | Nurse Practitioner | 60 Hospital Rd, Leominster, MA 01453-2205 | 2020-04-16 |
| 1942709852 | Brian P Houle | Nurse Practitioner | 60 Hospital Rd, Leominster, MA 01453-2205 | 2018-02-06 |
| 1134594518 | Elizabeth H Terhune | Nurse Practitioner | 60 Hospital Rd, Leominster, MA 01453-2205 | 2015-12-10 |
| 1609243526 | Evin Parker | Nurse Practitioner | 100 Hospital Rd, Suite 2a, Leominster, MA 01453-2253 | 2015-08-26 |
| 1467838128 | Michele Miola | Nurse Practitioner | 60 Hospital Rd, Wachusett Emergency Physicians, Leominster, MA 01453-2205 | 2015-08-05 |
| Find all providers in LEOMINSTER | ||||
| City | LEOMINSTER |
| Zip Code | 01453 |
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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.