MS. JULIE RAE BERMANT (NPI# 1093898223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093898223 |
| Entity Type | Individual |
| Full Name | MS. JULIE RAE BERMANT |
| Credential | NP |
| Practice Address |
3300 Main Street Springfield MA 01107-1112 |
| Mailing Address |
280 Chestnut Street 2nd Fl Springfield MA 01199-1001 |
| Practice Telephone | 4137945555 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2018-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
179375 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
179375 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9782613 | 05 |
| Street Address |
3300 MAIN STREET |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699771402 | Joanne L Dalpe | Obstetrics & Gynecology | 3300 Main Street, Springfield, MA 01107-1112 | 2005-06-27 |
| 1992353908 | Kiley B Knowlton | Physician Assistant | 3300 Main Street, Springfield, MA 01107 | 2019-09-03 |
| 1396393484 | Lauren R Pankiw | Physician Assistant | 3300 Main Street, 3rd Fl, Suite C&d, Springfield, MA 01107-1112 | 2019-08-31 |
| 1912550146 | Leslee Rae Uhrich | Psychologist | 3300 Main Street, 4th Fl, Springfield, MA 01107-1112 | 2019-07-17 |
| 1497220669 | Christopher Michael Cowan | Nurse Practitioner | 3300 Main Street, 3rd Fl, Suite A, Springfield, MA 01107-1112 | 2018-10-03 |
| 1720569676 | Anna Liza Tipgos Kilcoyne | Nurse Practitioner | 3300 Main Street, 3rd Fl, Suite C&d, Springfield, MA 01107-1112 | 2018-08-28 |
| 1265919583 | William Charles Paterwic | Social Worker | 3300 Main Street, Springfield, MA 01007 | 2018-07-20 |
| 1376029918 | Samantha Frances Duffy | Nurse Practitioner | 3300 Main Street, 3rd Fl, Suite A, Springfield, MA 01107-1112 | 2018-07-17 |
| 1972093938 | Hillary Ann Morisset | Physician Assistant | 3300 Main Street, 3rd Fl, Suite A&b, Springfield, MA 01107-1112 | 2018-05-15 |
| 1922520972 | Lisa M. Ledoux | Nurse Practitioner | 3300 Main Street, 3rd Fl, Suite C&d, Springfield, MA 01107-1112 | 2017-07-12 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217873 | Ifeoma E Iherobiem | Nurse Practitioner | 884 S Springfield Ave Apt 18, Springfield, NJ 07081-3320 | 2020-08-28 |
| 1477178978 | Eric Avent | Nurse Practitioner | 111 5th Ave W Ste 103, Springfield, TN 37172-2428 | 2020-06-10 |
| 1043722770 | Mary Catherine Knutson | Nurse Practitioner | 1201 S 4th St, Springfield, IL 62703-2228 | 2017-11-03 |
| 1922422617 | Azuka Ofodike | Nurse Practitioner | 31 Tooker Pl, Springfield, NJ 07081-2227 | 2014-02-14 |
| 1306117189 | Mark Anthony Lynch | Nurse Practitioner | 7108 Neuman St, Springfield, VA 22150-4419 | 2012-01-25 |
| 1609100973 | Cindy Michael | Nurse Practitioner | 841 E Northern Ave, Springfield, OH 45503-3848 | 2009-09-18 |
| 1811097058 | Jain A Lattes | Nurse Practitioner | 3300 Main St Fl 4, Springfield, MA 01107-1112 | 2006-09-25 |
| 1174540504 | Johnson Komolafe | Nurse Practitioner | 7011 Calamo St, #105, Springfield, VA 22150 | 2006-07-15 |
| 1083648604 | Dawn M Vanderhoef | Nurse Practitioner | 713 Cheatham St, Springfield, TN 37172-2828 | 2006-07-10 |
| 1316992019 | Ruben Montanez | Nurse Practitioner | 1695 Main St Fl 400, Springfield, MA 01103-1063 | 2006-05-23 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
Please comment or provide details below to improve the information on MS. JULIE RAE BERMANT.
| 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.