GRACE MBUYA (NPI# 1104225341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104225341 |
| Entity Type | Individual |
| Full Name | GRACE MBUYA |
| Practice Address |
997 Millbury St Worcester MA 01607-2105 |
| Mailing Address |
51 Brook Trl Shirley MA 01464-2139 |
| Practice Telephone | 9783373860 |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
284646 | MA | Nursing Service Providers |
| Street Address |
997 MILLBURY ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01607-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578962718 | Deborah Adams | Registered Nurse | 997 Millbury St, Worcester, MA 01607-2105 | 2014-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194334482 | Kara Louise Fluet | Behavior Technician | 45a Greenwood St, Worcester, MA 01607 | 2020-07-23 |
| 1245890664 | Hajarah Shakir | Developmental Therapist | 35a Greenwood St, Worcester, MA 01607 | 2019-06-18 |
| 1881199289 | Erin Valcourt | Developmental Therapist | 345 A Greenwood St., Suite B, Worcester, MA 01607 | 2018-03-27 |
| 1215466644 | Danielle M Costa | Behavioral Analyst | 345a Greenwood Stree, Suite B, Worceter, MA 01607 | 2017-06-08 |
| 1679007397 | Tara Faford | Developmental Therapist | 345a Greenwood Sreet, Suite B, Worcester, MA 01607 | 2017-04-19 |
| 1598201006 | Destiny Johnson | Developmental Therapist | 345a Greenwich Street Suite B, Worcester, MA 01607 | 2017-01-09 |
| 1962945642 | Anthony Mastrocola | Developmental Therapist | 345a Greenwood St. Suite B, Worcester, MA 01607 | 2016-11-29 |
| 1821444159 | Victoria Lucarini | Behavioral Analyst | 345 Greenwood St. Suite B, Worcester, MA 01607 | 2016-05-05 |
| 1558722173 | Timothy Donahue | Developmental Therapist | 345a Greenwood Street, Suite B, Worcester, MA 01607 | 2016-03-09 |
| 1689033078 | Christine Grudoff | Developmental Therapist | 345a Greendwood Street, Suite B, Worcester, MA 01607 | 2016-02-15 |
| Find all providers in zip 01607 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134755028 | Ademola Solomon Obele | Registered Nurse | 11 Paper Birch Path, Worcester, MA 01605-3372 | 2020-03-23 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1255445532 | Paula L Diperri | Registered Nurse | 45 Jacques Ave, Worcester, MA 01610-0000 | 2006-08-17 |
| 1073166112 | Justin Eusebio | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2019-07-18 |
| 1639677917 | Jamaal C Hedrington | Registered Nurse | 1183 Main St, Worcester, MA 01603-2012 | 2018-02-01 |
| 1477909836 | Stephen Bunting | Registered Nurse | 72 Jacques Ave, Worcester, MA 01610 | 2016-05-04 |
| 1598123432 | Robert C Metzger | Registered Nurse | 411 Chandler St, Worcester, MA 01602-3339 | 2016-02-07 |
| 1184016537 | Michael Kenneth Culver | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2015-02-23 |
| 1972930550 | Sharyn Dilauro | Registered Nurse | 55 Lake Ave N, Umass Memorial Medical Center, Psychiatry, Worcester, MA 01655-0002 | 2013-09-27 |
| 1851727564 | Maryann A Ampadu | Registered Nurse | 55 Lake Ave N, Umass Memorial Medical Center, Psychiatry, Worcester, MA 01655-0002 | 2013-09-26 |
| Find all providers in WORCESTER | ||||
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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.