KARYN HARVEY FAREVAAG (NPI# 1215364062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215364062 |
| Entity Type | Individual |
| Full Name | KARYN HARVEY FAREVAAG |
| Credential | NP |
| Practice Address |
11 Quarry Hill Road Chp-lee Family Practice Lee MA 01238 |
| Mailing Address |
P.o. Box 30 Great Barrington MA 01230 |
| Practice Telephone | 4132430536 |
| Practice Fax Number | 4132438040 |
| Mailing Telephone | (413) 528-9311 |
| Mailing Fax Number | 4136440274 |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2017-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 265605 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN265605 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110098110A | 05 |
| Street Address |
11 QUARRY HILL ROAD CHP-LEE FAMILY PRACTICE |
| City | LEE |
| State | MA |
| Zip Code | 01238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114162831 | Jeremy I Stoepker | Family Medicine | 11 Quarry Hill Road, Lee, MA 01238 | 2008-12-09 |
| 1962775262 | Francine M Licata | Counselor | 11 Quarry Hill Road, Lee, MA 01238 | 2012-02-16 |
| 1689945784 | Community Health Programs, Inc | Clinic/Center | 11 Quarry Hill Road, Lee, MA 01238 | 2012-01-20 |
| 1982993234 | Robert Franklin Holub | Family Medicine | 11 Quarry Hill Road, Chp - Lee Family Practice, Lee, MA 01238 | 2011-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851690093 | Darice Michele Taxter | Pharmacist | 10 Pleasant Street, Lee, MA 01238 | 2011-03-26 |
| 1952596488 | Donna Marie Long | Social Worker | 17 Robert St, Lee, MA 01238 | 2007-09-07 |
| 1215157524 | Berkshire County Arc, Inc. | Day Training, Developmentally Disabled Services | 133 Quarry Hill Road, Unit 2, Lee, MA 01238 | 2007-04-27 |
| 1639398696 | Diane R Naventi | Registered Nurse | 765 Stockbridge Rd, Lee, MA 01238 | 2007-04-25 |
| 1598886731 | Naomi F Alson | Acupuncturist | Lee Family Practice, 11 Quarry Hill Road, Lee, MA 01238 | 2007-04-03 |
| 1386780021 | Claudia Ann Colombari | Chiropractor | Lee Family Chiropractic 192 Main Street, Lee, MA 01238 | 2007-01-29 |
| 1063413979 | Melanie R Levitan | Family Medicine | Chp - Lee Family Practice, 11 Quarry Hill Road, Lee, MA 01238 | 2005-08-02 |
| 1881697621 | Lee Regional Visiting Nurse Association, Inc. | Home Health | 32 Park Street, Lee, MA 01238 | 2005-05-24 |
| 1750884599 | Zain Azam | Pharmacist | 25 Park St, Lee, MA 01238 | 2018-03-16 |
| 1801279013 | Ashli Minor | Dietitian, Registered | Chp - Lee Family Practice, 11 Quarry Hill Road, Lee, MA 01238 | 2015-07-07 |
| Find all providers in zip 01238 | ||||
| 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 |
|---|---|---|---|---|
| 1710057229 | Ann T Hummel | Nurse Practitioner | Chp - Lee Family Practice, 11 Quarry Hill Road, Lee, MA 01238 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356893 | Alanna Rose Atkinson | Nurse Practitioner | 721 Newport Ave Apt 2, Attleboro, MA 02703-5932 | 2020-11-03 |
| 1770182230 | Elizabeth Anne Sutera | Nurse Practitioner | 725 Concord Ave Ste 3200, Cambridge, MA 02138-1092 | 2020-10-25 |
| 1962001503 | Dana Pallotta | Nurse Practitioner | 43 Saint Dennis Dr, Westwood, MA 02090-1820 | 2020-10-24 |
| 1194332577 | Andrew Wenstrom | Nurse Practitioner | 12 Hemlock St, Norwood, MA 02062-5616 | 2020-09-29 |
| 1801403290 | Jennifer Stewart | Nurse Practitioner | 16 Stonehedge Dr, Wilmington, MA 01887-3191 | 2020-09-29 |
| 1366058463 | Alexandra Paz | Nurse Practitioner | 55 Dartmouth St, Boston, MA 02116-5906 | 2020-09-23 |
| 1225644420 | Jodi M Thompson | Nurse Practitioner | 11 Otis St, Lynn, MA 01904-1816 | 2020-09-22 |
| 1730795238 | Eun Chung Hong | Nurse Practitioner | 2 Sheldon St Apt 1, Boston, MA 02131-2613 | 2020-09-20 |
| 1902411002 | Eva Fiona Muhanuka | Nurse Practitioner | 21 Fillmore Dr, Billerica, MA 01821-2103 | 2020-09-15 |
| 1306450309 | Latoya Browne | Nurse Practitioner | 33 Taunton Ave, Boston, MA 02136-6027 | 2020-09-07 |
| 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.