DR. NEIL NORDSTROM (NPI# 1174876981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174876981 |
| Entity Type | Individual |
| Full Name | DR. NEIL NORDSTROM |
| Other Name | DR. DONALD NEIL NORDSTROM |
| Credential | DNP |
| Practice Address |
294 N Main St East Longmeadow MA 01028-1838 |
| Practice Telephone | 4135251870 |
| Practice Fax Number | 4135253883 |
| Mailing Telephone | 4135251870 |
| Mailing Fax Number | 4135253883 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN241808 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
294 N MAIN ST |
| City | EAST LONGMEADOW |
| State | MA |
| Zip Code | 01028-1838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538147129 | Leif George Nordstrom | Pediatrics | 294 N Main St, Suite 101, East Longmeadow, MA 01028-1838 | 2006-01-04 |
| 1225204969 | Meagan Elizabeth Hudak | Nurse Practitioner | 294 N Main St, Suite 101, East Longmeadow, MA 01028-1838 | 2008-05-02 |
| 1790886091 | Pediatric Services of Springfield, Inc. | Pediatrics | 294 N Main St, Suite 101, East Longmeadow, MA 01028-1838 | 2006-09-26 |
| 1053325316 | Boriana Canby | Dentist | 294 N Main St, East Longmeadow, MA 01028-1838 | 2006-07-29 |
| 1538134598 | Kathleen D. Pion | Nurse Practitioner | 294 N Main St, Suite 101, East Longmeadow, MA 01028-1838 | 2006-02-22 |
| 1104891266 | Susan Wilke Kearney | Nurse Practitioner | 294 N Main St, Suite 101, East Longmeadow, MA 01028-1838 | 2006-02-22 |
| 1437124591 | Michelle E. Adams | Pediatrics | 294 N Main St, Suite 101, East Longmeadow, MA 01028-1838 | 2006-02-22 |
| 1609841808 | Rachel Tartaglia | Nurse Practitioner | 294 N Main St, Suite 101, East Longmeadow, MA 01028-1838 | 2006-02-21 |
| 1417922816 | Mark E. Belemjian | Pediatrics | 294 N Main St, Suite 101, East Longmeadow, MA 01028-1838 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174142509 | Golden Years Behavioral Health Group Inc. | Counselor | 16 Shaker Road, East Longmeadow, MA 01028 | 2020-04-15 |
| 1821518747 | Taylor Kirk | Social Worker | 138 Hampden Road, East Longmeadow, MA 01028 | 2017-06-21 |
| 1770039174 | Rebecca Bailey | Physician Assistant | 305a Maple Street, East Longmeadow, MA 01028 | 2016-08-26 |
| 1609261650 | New England Dental Care | Dentist | 132 Canterbury Circle, East Longmeadow, MA 01028 | 2015-04-06 |
| 1629394168 | Angela C Lamothe | Massage Therapist | 80 Center Square, East Longmeadow, MA 01028 | 2010-04-08 |
| 1588807648 | Maria De La Alhambra Gurd | Counselor | 294 N Main St Ste 101, East Longmeadow, MA 01028 | 2009-04-19 |
| 1861522302 | Arthur T Mcguire | Internal Medicine | 160 Pleasant St #307, Gastroenterology Assoc of Springfield, East Longmeadow, MA 01028 | 2007-03-06 |
| 1194874545 | Drs Scannell and Hollinger Inc | Dentist | 79 Maple Street, East Longmeadow, MA 01028 | 2007-01-08 |
| 1053468629 | Gina M Quinlivan | Advanced Practice Midwife | 382 N Main St Ste 205, East Longmeadow, MA 01028 | 2007-01-04 |
| 1609939784 | Belisa Ann Basile | Optometrist | 8 Center Square, E Longmeadow, MA 01028 | 2006-12-19 |
| Find all providers in zip 01028 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720648561 | Samantha Beaudoin | Nurse Practitioner | 250 N Main St Ste 101, East Longmeadow, MA 01028-1834 | 2019-06-14 |
| 1366633307 | Marino L Biagini IIi | Nurse Practitioner | 294 North Main Street, Ste 201, East Longmeadow, MA 01028-1838 | 2007-08-06 |
| 1790035012 | Tamara Lee Connelly | Nurse Practitioner | 98 Shaker Rd, East Longmeadow, MA 01028-2731 | 2012-09-13 |
| 1225204969 | Meagan Elizabeth Hudak | Nurse Practitioner | 294 N Main St, Suite 101, East Longmeadow, MA 01028-1838 | 2008-05-02 |
| 1619953635 | Kathleen A Reid | Nurse Practitioner | 98 Shaker Road, East Longmeadow, MA 01028 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821885 | Tanya Lee Bailey | Nurse Practitioner | 185 Vining Hill Rd, Southwick, MA 01077-9413 | 2020-11-07 |
| 1134720964 | Arliomey Ambroise | Nurse Practitioner | 2216 Summit Dr, Bridgewater, MA 02324-2178 | 2020-11-06 |
| 1184225161 | Christina Chan Sok | Nurse Practitioner | 24 Hartwell Ave # 204, Lexington, MA 02421-3132 | 2020-11-05 |
| 1871194381 | Stacie Rose | Nurse Practitioner | 131 Hartwell Ave, Lexington, MA 02421-3105 | 2020-11-03 |
| 1881295145 | Heather Thomas | Nurse Practitioner | 39 Brock St Apt 1, Brighton, MA 02135-2661 | 2020-11-03 |
| 1427659069 | Jenna Gunnell | Nurse Practitioner | 700 Greendale Ave Unit 11203, Needham, MA 02492-4362 | 2020-11-02 |
| 1336749936 | Julia Monroe | Nurse Practitioner | 7 Atwood St, Cherry Valley, MA 01611-3332 | 2020-11-01 |
| 1730789744 | Polyana F Barbosa | Nurse Practitioner | 491 Maple St Ste 208, Danvers, MA 01923-4025 | 2020-10-28 |
| 1053910257 | Lauren Michele Flynn | Nurse Practitioner | 173 Sumner St, Quincy, MA 02169-7003 | 2020-10-20 |
| 1043819196 | Kimberly S Christie | Nurse Practitioner | 107 Sheraton Ave, Somerset, MA 02725-1150 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | EAST LONGMEADOW |
| Zip Code | 01028 |
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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.