MARIA A NEIZVESTNAYA (NPI# 1063039121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063039121 |
| Entity Type | Individual |
| Full Name | MARIA A NEIZVESTNAYA |
| Practice Address |
Primary Care Behavioral Health Fitchburg Family Medicine Fitchburg MA 01420 |
| Practice Telephone | 9783435270 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
PRIMARY CARE BEHAVIORAL HEALTH FITCHBURG FAMILY MEDICINE |
| City | FITCHBURG |
| State | MA |
| Zip Code | 01420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
| 1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
| 1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
| 1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
| 1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
| 1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
| 1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
| 1184043291 | Montachusett Regional Transit Authority | Non-emergency Medical Transport (VAN) | 1427r Water Street, Fitchburg, MA 01420 | 2014-04-16 |
| Find all providers in zip 01420 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707445 | Kennedy Tambi | Student in an Organized Health Care Education/Training Program | 68 Charles St, Fitchburg, MA 01420-7742 | 2020-10-16 |
| 1073170460 | Christina Kosmidis | Student in an Organized Health Care Education/Training Program | 26 Forest Park, Fitchburg, MA 01420-5320 | 2019-05-21 |
| 1558802397 | Lisa Ann Hart | Student in an Organized Health Care Education/Training Program | 4514 Sentinel Pass, Fitchburg, WI 53711-4727 | 2017-03-13 |
| 1740676592 | Krissa M. Pyrch | Student in an Organized Health Care Education/Training Program | 275 Nichols Road, Fitchburg, MA 01420-0002 | 2015-04-08 |
| 1699118687 | Ramy Said Goueli | Student in an Organized Health Care Education/Training Program | 2654 Placid St, Fitchburg, WI 53711-5427 | 2013-04-10 |
| 1740890573 | Kristy Marie Grainger | Student in an Organized Health Care Education/Training Program | 20 Wall St, Fitchburg, MA 01420-4147 | 2020-08-06 |
| 1962026468 | Courtney Fogarty | Student in an Organized Health Care Education/Training Program | 326 Nichols Rd, Fitchburg, MA 01420 | 2020-06-01 |
| 1497376537 | Ray Chi-jui Kuo | Student in an Organized Health Care Education/Training Program | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2020-04-29 |
| 1780213744 | Angela M Casado-diaz | Student in an Organized Health Care Education/Training Program | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2020-04-02 |
| 1982232583 | Matthew Migliozzi | Student in an Organized Health Care Education/Training Program | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2020-03-30 |
| Find all providers in FITCHBURG | ||||
Please comment or provide details below to improve the information on MARIA A NEIZVESTNAYA.
| 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.