SUSANNA MARY TIERNEY (NPI# 1225106040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225106040 |
| Entity Type | Individual |
| Full Name | SUSANNA MARY TIERNEY |
| Credential | NP |
| Practice Address |
61 Main Street Po 658 Ashburnham MA 01430 |
| Practice Telephone | 9788275167 |
| Mailing Telephone | 9788275167 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 206432 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
61 MAIN STREET PO 658 |
| City | ASHBURNHAM |
| State | MA |
| Zip Code | 01430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427182401 | Ashburnham Family Medicine, Inc. | Family Medicine | 61 Main Street, Ashburnham, MA 01453 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373789 | Rebecca Caitlin Boucher | Behavior Technician | 10 Russell Avenue, Ashburnham, MA 01430 | 2020-07-14 |
| 1033569934 | Julienne Florival Desravines | Nutritionist | 113 Williams Rd, Ashburnham, MA 01430 | 2016-06-21 |
| 1215263413 | Albert Kwang Lee | Pharmacist | 63a Main St., Ashburnham, MA 01430 | 2009-10-22 |
| 1376785196 | Family Pharmacy Ltc Inc | Pharmacy | 63a Main Street, Ashburnham, MA 01430 | 2009-03-25 |
| 1720100431 | Denise H Gosselin | Registered Nurse | 19 Whitney Dr, Ashburnham, MA 01430 | 2007-04-04 |
| 1972638567 | Raymond S Levesque | Social Worker | Mclean Hospital At Naukeag, 216 Lake Road, Ashburnham, MA 01430 | 2007-02-22 |
| 1558445825 | Andrew D Gill | Psychiatry & Neurology | Mclean Hospital @ Naukeag, 216 Lake Road, Ashburham, MA 01430 | 2006-10-24 |
| 1093359895 | Catherine Whitaker | Nurse Practitioner | 61 Main St, Ashburnham, MA 01430 | 2019-11-05 |
| 1700987559 | Noreen S Conlon | Counselor | 486 Chestnut Street, Gardner`, MA 01430 | 2006-09-26 |
| 1881704294 | Victoria Lynn Peterson | Dentist | 61 Main St, Ashburnham, MA 01430 | 2006-08-30 |
| Find all providers in zip 01430 | ||||
| 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 |
|---|---|---|---|---|
| 1093359895 | Catherine Whitaker | Nurse Practitioner | 61 Main St, Ashburnham, MA 01430 | 2019-11-05 |
| 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 | ||||
| City | ASHBURNHAM |
| Zip Code | 01430 |
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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.