CASSANDRA JOY SOFFRON (NPI# 1235751157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235751157 |
Entity Type | Individual |
Full Name | CASSANDRA JOY SOFFRON |
Credential | MSN |
Practice Address |
352 Lafayette Street Ellison Campus Center Suite 107 Salem MA 01970 |
Mailing Address |
1 Vermette Ct Ipswich MA 01938-1807 |
Practice Telephone | 9785426413 |
Enumeration Date | 2020-05-13 |
Last Update Date | 2020-09-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WX0106X |
Registered Nurse Specialization: Occupational Health |
RN2334936 | MA | Nursing Service Providers |
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN2334936 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1 Vermette Ct, Ipswich, MA 019381807 | 8572419279 |
Street Address |
352 LAFAYETTE STREET ELLISON CAMPUS CENTER SUITE 107 |
City | SALEM |
State | MA |
Zip Code | 01970 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
1235630336 | Corey John Reeves | Social Worker | 35 Congress Street, Bldg 2, First Floor, Suite 2150, Salem, MA 01970 | 2018-02-23 |
Find all providers in zip 01970 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124642673 | Andrea Danielle Stanley | Nurse Practitioner | 4232 Stanley Ln, Salem, VA 24153-4027 | 2020-06-01 |
1962912964 | Cornelius Bela | Nurse Practitioner | 5 Gables Cir, Salem, MA 01970-1217 | 2017-10-04 |
1164797536 | Corie Ann Shaevitz | Nurse Practitioner | 10550 Lake Dr Se, Salem, OR 97306-8107 | 2012-03-18 |
1134369184 | Anne Marie Stanton | Nurse Practitioner | Dove Ave, Northshore Medical Center Heart and Wellness Center, Salem, MA 01970 | 2009-03-04 |
1932244753 | Kristen Lynn Khanna | Nurse Practitioner | 95 Stiles Rd, Suite 107, Salem, NH 03079-4805 | 2007-02-20 |
1467512277 | Kimberly E Kintz | Nurse Practitioner | 195 Cottage St Se, Salem, OR 97301-3808 | 2006-12-11 |
1710050828 | Lauren M Sherlock | Nurse Practitioner | 6 Ravenna Ave, Salem, MA 01970-1722 | 2006-11-16 |
1295845964 | Patsy Louise Britt | Nurse Practitioner | 510 South Main, Salem, AR 72576 | 2006-08-30 |
1518978469 | Frances Lydia Howe | Nurse Practitioner | 2480 Liberty St Ne Ste 180, Salem, OR 97301-8388 | 2006-08-10 |
1982659926 | Ellen M Russell | Nurse Practitioner | 162 Federal St, Salem, MA 01970-3248 | 2006-05-24 |
Find all providers in SALEM |
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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.