MRS. MELISSA ANN BLACKBURN-KIERKLA (NPI# 1164461273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164461273 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA ANN BLACKBURN-KIERKLA |
| Credential | NP |
| Practice Address |
218 Cedar Swamp Rd Monson MA 01057-9307 |
| Practice Telephone | 4132373232 |
| Mailing Telephone | 4132373232 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2017-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
200805 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
218 CEDAR SWAMP RD |
| City | MONSON |
| State | MA |
| Zip Code | 01057-9307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871039024 | Mk-urology LLC | Nurse Practitioner | 218 Cedar Swamp Rd, Monson, MA 01057-9307 | 2017-01-12 |
| 1790987345 | Monson Pediatrics PC | Family Medicine | 218 Cedar Swamp Rd, Monson, MA 01057-9307 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811444953 | Samantha Rose Lloyd | Counselor | 18 Palmer Rd, Monson, MA 01057 | 2016-09-07 |
| 1205049335 | Richard M Smith | Chiropractor | 59 Main St, Monson, MA 01057 | 2007-05-07 |
| 1790801165 | Town of Monson | Local Education Agency (LEA) | 29 Thompson St, Monson, MA 01057-1014 | 2007-03-21 |
| 1982031266 | Brian Douglas Conners | Counselor | 6 Gates St, Monson, MA 01057-1115 | 2013-10-02 |
| 1598171373 | Deborah Avery | Hearing Instrument Specialist | 8 Heritage Ln, Monson, MA 01057-1157 | 2014-07-01 |
| 1619394269 | Stacy Politis | Physical Therapy Assistant | 3 Main St, Monson, MA 01057-1301 | 2014-03-20 |
| 1568981504 | Connie Leung | Nurse Practitioner | 2 Main Street, Monson, MA 01057-1302 | 2017-09-11 |
| 1346464468 | Pamela M Paton | Nurse Practitioner | 2 Main St, Monson, MA 01057-1302 | 2007-04-12 |
| 1235226655 | John Ramey Diggs | Internal Medicine | 2 Main Street, Monson, MA 01057-1302 | 2006-10-06 |
| 1487666194 | Joanna M. Preibisz | Internal Medicine | 2 Main St, Monson, MA 01057-1302 | 2006-08-12 |
| Find all providers in zip 01057 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666203 | Eileen Whyte O'holleran | Nurse Practitioner | 12 Autumn Ln, South Hamilton, MA 01982-1400 | 2020-10-14 |
| 1356948525 | Kaylee Woods | Nurse Practitioner | 85 Seaport Blvd Unit 714, Boston, MA 02210-2157 | 2020-10-01 |
| 1063026946 | Alexandra Louise Lester | Nurse Practitioner | 7 Doris Cir, Newton, MA 02458-1929 | 2020-09-08 |
| 1023627833 | Jennifer Suxin Yu | Nurse Practitioner | 63 Cedar St, Malden, MA 02148-3647 | 2020-07-28 |
| 1417566563 | Julianna Marie Roberts | Nurse Practitioner | 5 Helen Dr, Peabody, MA 01960-1235 | 2020-07-24 |
| 1144838384 | Amanda Rose Bakos | Nurse Practitioner | 218 Marion St, Boston, MA 02128-1758 | 2020-07-14 |
| 1710504949 | Angela Vu | Nurse Practitioner | 83 Nightingale Ave # 1l, Quincy, MA 02169-6413 | 2020-07-03 |
| 1083236749 | Mubina M Rhee | Nurse Practitioner | 170 Brookline Ave Unit 215, Boston, MA 02215-3921 | 2020-05-15 |
| 1841823911 | Rachel N Mick | Nurse Practitioner | 77 Winsor St Ste 103, Ludlow, MA 01056-3470 | 2020-02-18 |
| 1326670803 | Ashley Laverdiere | Nurse Practitioner | 1 Ferncroft Rd, Danvers, MA 01923-4017 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
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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.