GLEN EDWARD OLLIS (NPI# 1235641143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235641143 |
| Entity Type | Individual |
| Full Name | GLEN EDWARD OLLIS |
| Credential | NP |
| Practice Address |
378 Maple Ave Shrewsbury MA 01545-2673 |
| Mailing Address |
5 Neponset St Fl Street2 Worcester MA 01606-2714 |
| Practice Telephone | 5085952513 |
| Practice Fax Number | 5085952021 |
| Mailing Telephone | 5083685532 |
| Mailing Fax Number | 5085952021 |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2019-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN285099 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
378 MAPLE AVE |
| City | SHREWSBURY |
| State | MA |
| Zip Code | 01545-2673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457359275 | Susan Cashion Robinson | Pediatrics | 378 Maple Ave, Shrewsbury, MA 01545-2673 | 2005-07-14 |
| 1144706714 | Melissa N. Burdick | Nurse Practitioner | 378 Maple Ave, Shrewsbury, MA 01545-2673 | 2018-07-17 |
| 1013301571 | Jennifer Yu | Psychologist | 378 Maple Ave, Shrewsbury, MA 01545-2675 | 2015-03-23 |
| 1508032095 | Danielle Barry | Clinical Neuropsychologist | 378 Maple Ave, Shrewsbury, MA 01545-2673 | 2008-05-05 |
| 1174663207 | Prashantha Devidas Holla | Internal Medicine | 378 Maple Ave, Shrewsbury, MA 01545-2673 | 2007-02-07 |
| 1801814868 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 378 Maple Ave, Shrewsbury, MA 01545-2675 | 2006-07-18 |
| 1588682983 | Kevin Anderson | Internal Medicine | 378 Maple Ave, Shrewsbury, MA 01545-2673 | 2006-07-17 |
| 1831141688 | Kathleen M Ogrady | Internal Medicine | 378 Maple Ave, Shrewsbury, MA 01545-2673 | 2006-05-17 |
| 1912962051 | Robert E Kossack | Pediatrics | 378 Maple Ave, Shrewsbury, MA 01545-2673 | 2006-04-20 |
| 1922060607 | Smita B Parulkar | Internal Medicine | 378 Maple Ave, Shrewsbury, MA 01545-2673 | 2006-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790252716 | Kerri Mccarty | Pharmacist | 539-571 Boston Turnpike, Shrewsbury, MA 01545 | 2018-10-29 |
| 1710469127 | Emily Graves | Speech-Language Pathologist | 15 Fox Hill Road, Shrewsbury, MA 01545 | 2018-08-31 |
| 1558847780 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 720 Boston Tpke, Shrewsbury, MA 01545 | 2018-07-11 |
| 1023547718 | Anya Wolfe | Dentist | 193 Boston Tpke, Shrewsbury, MA 01545 | 2017-06-07 |
| 1992110506 | Careplus Transports LLC | Private Vehicle | 719 Grafton Street, Shrewsbury, MA 01545 | 2014-06-23 |
| 1699106328 | Marcienne Tallis Richardson | Registered Nurse | 415 Boston Turnpike, Shrewsbury, MA 01545 | 2013-12-05 |
| 1043555873 | Magdalena Barbara Farrell | Community Health Worker | 215 Lake St, Shrewsbury, MA 01545 | 2012-12-05 |
| 1639454507 | Amy Folta | Pharmacist | 225 Boston Trpk Road, Walgreens, Shrewsbury, MA 01545 | 2011-10-11 |
| 1205117710 | Shrewsbury Dental | Home Health | 16a Harrington Ave., Shrewsbury, MA 01545 | 2011-08-30 |
| 1639401334 | Shawn Fuller | Dentist | 193 Boston Tpke Ste 6140, Shrewsbury, MA 01545 | 2010-02-04 |
| Find all providers in zip 01545 | ||||
| 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 |
|---|---|---|---|---|
| 1407347875 | Center for The Functional Restoration of The Spine LLC | Nurse Practitioner | 1131 Broad St Ste 201, Shrewsbury, NJ 07702-4368 | 2018-05-22 |
| 1033666573 | Courtney Ellenberger | Nurse Practitioner | 1131 Broad Street Suite 201 Building B, Shrewsbury, NJ 07702-4368 | 2016-09-01 |
| 1134432305 | Aileen C Cartier | Nurse Practitioner | 222 Boston Tpke # 224, Route 9, Shrewsbury, MA 01545-5224 | 2010-07-16 |
| 1861045825 | Ioana P Scott | Nurse Practitioner | 89 Avenue At The Cmn, Shrewsbury, NJ 07702-4579 | 2019-07-18 |
| 1346618808 | Pain Relief Central New Jersey LLC | Nurse Practitioner | 1131 Broad St, 201, Shrewsbury, NJ 07702-4329 | 2015-09-14 |
| 1609205269 | Monmouth County Pain Management & Wellness Center | Nurse Practitioner | 1131 Broad St, Shrewsbury, NJ 07702-4329 | 2013-11-04 |
| 1972578193 | Kathleen M Zarycki | Nurse Practitioner | 604 Main St, Shrewsbury, MA 01545-5663 | 2006-02-21 |
| 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 | SHREWSBURY |
| Zip Code | 01545 |
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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.