MARY FAGO (NPI# 1093929713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093929713 |
| Entity Type | Individual |
| Full Name | MARY FAGO |
| Credential | NP |
| Practice Address |
319 Beech St Teen Clinic Holyoke MA 01040-3968 |
| Mailing Address |
66 Roe Ave Northampton MA 01060-1636 |
| Practice Telephone | 4135342033 |
| Mailing Telephone | 4135841732 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2014-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 109181 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
319 BEECH ST TEEN CLINIC |
| City | HOLYOKE |
| State | MA |
| Zip Code | 01040-3968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700855855 | Dorothy B Merriam | Nurse Practitioner | 319 Beech St, River Vally Counseling,teen Clinic, Holyoke, MA 01040-2767 | 2006-03-14 |
| 1164023727 | Michaelia Daubon | Community/Behavioral Health | 319 Beech St, Holyoke, MA 01040-3968 | 2020-11-02 |
| 1629678297 | Amy M Crowley | Counselor | 319 Beech St, Holyoke, MA 01040-3968 | 2020-10-31 |
| 1831705672 | Heather Walker | Social Worker | 319 Beech St, Holyoke, MA 01040-3968 | 2020-09-17 |
| 1760096291 | Jenny Ferreira | Counselor | 319 Beech St, Holyoke, MA 01040-3968 | 2020-09-02 |
| 1386257616 | Rebecca Cole Leavell | Social Worker | 319 Beech St, Holyoke, MA 01040-3968 | 2020-08-26 |
| 1528679107 | Wiliesha Judy-ann West | Counselor | 319 Beech St, Holyoke, MA 01040-3968 | 2020-08-16 |
| 1730790163 | Katherine Dvorsky | Social Worker | 319 Beech St, Holyoke, MA 01040-3968 | 2020-08-10 |
| 1053939041 | Meaghan Quist | Student in an Organized Health Care Education/Training Program | 319 Beech St, Holyoke, MA 01040-3968 | 2020-07-07 |
| 1922625128 | Teresa Janina Kruzel | Social Worker | 319 Beech St, Holyoke, MA 01040-3968 | 2020-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945325 | Holyoke Care Center, LLC | Skilled Nursing Facility | Holyoke Care Center, LLC, 35 Holy Family Road, Holyoke, MA 01040 | 2020-09-04 |
| 1225646904 | Jasmine Glover | Counselor | 476 Appleton St. Suite 5, Holyoke, MA 01040 | 2020-07-17 |
| 1932662319 | Damaris Santingo Martinez | Registered Nurse | 46 Magnolia Ave, Holyoke, MA 01040 | 2019-04-11 |
| 1104302371 | Cheryl Ann Lauben | Counselor | 476 Appleton Street, Suite 2, Holyoke, MA 01040 | 2018-07-11 |
| 1740704741 | Miranda Lynn Fogg | Behavior Technician | 244 Westfield Rd, Holyoke, MA 01040 | 2017-08-01 |
| 1770020018 | Total Wellness Centers, LLC | Clinical Medical Laboratory | 59 Bobala Rd, Holyoke, MA 01040 | 2017-01-25 |
| 1184097768 | Chi Wan Wong | Physical Therapy Assistant | 110 Cherry Street, Holyoke, MA 01040 | 2015-11-04 |
| 1841666724 | Danielle Moroney | Counselor | River Valley Counseling Center Mental Health Service, 303 Beech St, Holyoke, MA 01040 | 2015-08-14 |
| 1285019638 | Ashley Papineau | Social Worker | 9 Faille Ave, Apt 3, Holyoke, MA 01040 | 2015-07-28 |
| 1205216967 | Vanessa Vazquez | Counselor | 1233 Main St., Holyoke, MA 01040 | 2015-06-08 |
| Find all providers in zip 01040 | ||||
| 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 |
|---|---|---|---|---|
| 1790324317 | Emily Ann Lambert | Nurse Practitioner | 575 Beech St, Holyoke, MA 01040-2223 | 2019-12-30 |
| 1578014551 | Heather Tierney | Nurse Practitioner | 575 Beech St, Holyoke, MA 01040-2223 | 2016-10-14 |
| 1093985640 | Janice Wilson | Nurse Practitioner | 230 Maple St, Holyoke, MA 01040-5144 | 2008-03-10 |
| 1265620017 | Massachusetts Em-1 Medical Services | Nurse Practitioner | 575 Beech St, Holyoke, MA 01040-2223 | 2007-10-05 |
| 1336265313 | Laura M O'donnell | Nurse Practitioner | 575 Beech St, Holyoke, MA 01040-2223 | 2007-03-22 |
| 1891826673 | Cara Heather Soifer | Nurse Practitioner | 319 Beech St, River Valley Counseling Center, Holyoke, MA 01040-3968 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356893 | Alanna Rose Atkinson | Nurse Practitioner | 721 Newport Ave Apt 2, Attleboro, MA 02703-5932 | 2020-11-03 |
| 1770182230 | Elizabeth Anne Sutera | Nurse Practitioner | 725 Concord Ave Ste 3200, Cambridge, MA 02138-1092 | 2020-10-25 |
| 1962001503 | Dana Pallotta | Nurse Practitioner | 43 Saint Dennis Dr, Westwood, MA 02090-1820 | 2020-10-24 |
| 1194332577 | Andrew Wenstrom | Nurse Practitioner | 12 Hemlock St, Norwood, MA 02062-5616 | 2020-09-29 |
| 1801403290 | Jennifer Stewart | Nurse Practitioner | 16 Stonehedge Dr, Wilmington, MA 01887-3191 | 2020-09-29 |
| 1366058463 | Alexandra Paz | Nurse Practitioner | 55 Dartmouth St, Boston, MA 02116-5906 | 2020-09-23 |
| 1225644420 | Jodi M Thompson | Nurse Practitioner | 11 Otis St, Lynn, MA 01904-1816 | 2020-09-22 |
| 1730795238 | Eun Chung Hong | Nurse Practitioner | 2 Sheldon St Apt 1, Boston, MA 02131-2613 | 2020-09-20 |
| 1902411002 | Eva Fiona Muhanuka | Nurse Practitioner | 21 Fillmore Dr, Billerica, MA 01821-2103 | 2020-09-15 |
| 1306450309 | Latoya Browne | Nurse Practitioner | 33 Taunton Ave, Boston, MA 02136-6027 | 2020-09-07 |
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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.