ANN L WISSINK (NPI# 1215001540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215001540 |
| Entity Type | Individual |
| Full Name | ANN L WISSINK |
| Credential | RNCS |
| Practice Address |
330 Mount Auburn St Clark 1 Cambridge MA 02138-5502 |
| Mailing Address |
One Arsenal Marketplace Watertown MA 02472 |
| Practice Telephone | 6174995054 |
| Practice Fax Number | 6174995465 |
| Mailing Telephone | 6176731851 |
| Mailing Fax Number | 6174995579 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
117810 | MA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | RAILROAD MEDICARE | P00317875 | 01 |
| MA | BLUE CROSS | PN0296 | 01 |
| Street Address |
330 MOUNT AUBURN ST CLARK 1 |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859762 | Susan A Abookire | Internal Medicine | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2005-05-31 |
| 1013515279 | Alaaeldin Ahmed | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5597 | 2020-10-10 |
| 1447863618 | Omar Hamzeh Al Omari | Internal Medicine | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-08-27 |
| 1043833221 | Nicholas D Gottshall | Physician Assistant | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-22 |
| 1881217263 | Claire C Alexanian | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5597 | 2020-05-20 |
| 1689297087 | Arun Cumpelik | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-20 |
| 1104448125 | Alireza Ghajar | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-13 |
| 1902427768 | Alexis Sholtis | Social Worker | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-04 |
| 1043839814 | Max Joseph Wallack | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-04-13 |
| 1821617010 | Hezha Seradji Aghdam | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| 1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
| Find all providers in zip 02138 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508094327 | Kathryn Kunze Brackett | Registered Nurse | 1493 Cambridge St, Pes, Cambridge, MA 02139-1047 | 2009-07-01 |
| 1831332220 | Janet F. Hales | Registered Nurse | 1493 Cambridge St, Psychiatry Transition Service, Cahill One, Cambridge, MA 02139-1047 | 2009-04-14 |
| 1508811407 | Roberta M. Harding Wrubel | Registered Nurse | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2006-05-23 |
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|---|---|---|---|---|
| 1548878812 | Manabi Dhakal | Registered Nurse | 300 Tremont St Apt 2, Newton, MA 02458-2115 | 2020-07-22 |
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| 1114548294 | Patricia Anne Kenny | Registered Nurse | 20 Fosters Pt, Beverly, MA 01915-3912 | 2020-04-30 |
| 1467071001 | Lisa Ann Lamore | Registered Nurse | 296 Federal St, Greenfield, MA 01301-1932 | 2020-04-14 |
| 1881227965 | Kathleen L Tracy | Registered Nurse | 1 Hilary St, Boston, MA 02129-2507 | 2020-02-18 |
| 1346893187 | Lisa Napoli | Registered Nurse | 10 Menlo St, Brighton, MA 02135-2910 | 2019-07-22 |
| 1649838129 | Maame A Essoun | Registered Nurse | 33 Harley Dr Apt 4, Worcester, MA 01606-1740 | 2019-05-30 |
| 1063903714 | Natalie Baker | Registered Nurse | 2 Shepherds Hollow Rd, Leeds, MA 01053-9707 | 2018-05-29 |
| 1861997744 | Circle Care Behavioral Health LLC | Registered Nurse | 24 Spring Bars Rd Ste 3a, Falmouth, MA 02540-3938 | 2018-03-24 |
| 1831614692 | Henry Kengong Ntoro LLC | Registered Nurse | 144 Merrimack St Ste 441, Lowell, MA 01852-1709 | 2017-08-13 |
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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.