ASHIMA MANNAN (NPI# 1134538879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134538879 |
| Entity Type | Individual |
| Full Name | ASHIMA MANNAN |
| Credential | NP |
| Practice Address |
128 Willow St Waltham MA 02453-8329 |
| Practice Telephone | 6178401845 |
| Mailing Telephone | 6178401845 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 259466 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
259466 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
128 WILLOW ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-8329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| 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 |
|---|---|---|---|---|
| 1679193502 | Brittani Taylor Cogliano | Nurse Practitioner | 245 Winter St Ste 110, Waltham, MA 02451-8709 | 2020-04-21 |
| 1942218615 | Lori Shea | Nurse Practitioner | 52 Second Avenue, Suite 2100, Waltham, MA 02451 | 2006-08-04 |
| 1821073586 | Eleftheria Tsavoussis | Nurse Practitioner | 210 Bear Hill Road, Suite 202, Waltham, MA 02451 | 2005-12-14 |
| 1215542717 | Juliana Richardson | Nurse Practitioner | 920 Winter St, Waltham, MA 02451-1521 | 2020-09-10 |
| 1558767269 | Cynthia Gosselin | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2014-11-06 |
| 1861895294 | Rachel Smedile | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2014-09-30 |
| 1992120059 | Xiu Xia Zhang | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2014-02-26 |
| 1821307398 | Caroline Tafadzwa Tigere | Nurse Practitioner | 950 Winter Street, Waltham, MA 02451 | 2010-10-01 |
| 1992033096 | Richard Joseph Waitt | Nurse Practitioner | 950 Winter St, Waltham, MA 02451-1424 | 2009-12-01 |
| 1629234943 | Melissa Robin Plourde | Nurse Practitioner | 950 Winter St, Waltham, MA 02451-1424 | 2008-08-06 |
| Find all providers in WALTHAM | ||||
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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.