DEANNA TRAVERSA (NPI# 1265551261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265551261 |
| Entity Type | Individual |
| Full Name | DEANNA TRAVERSA |
| Credential | PA |
| Practice Address |
426 East St Pittsfield MA 01201-5308 |
| Practice Telephone | 4134428267 |
| Practice Fax Number | 4134428253 |
| Mailing Telephone | 4134428267 |
| Mailing Fax Number | 4134428253 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
155179 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
426 EAST ST |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-5308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235178229 | John C Dallenbach | Pediatrics | 426 East St, Pittsfield, MA 01201-5308 | 2006-06-05 |
| 1184249914 | Emily Christensen | Nurse Practitioner | 426 East St, Pittsfield, MA 01201-5308 | 2020-06-08 |
| 1871018093 | Jill Leigh Jolin | Pediatrics | 426 East St, Pittsfield, MA 01201-5308 | 2017-08-09 |
| 1215452610 | Courtney Marie Montferret | Physician Assistant | 426 East St, Pittsfield, MA 01201-5308 | 2017-08-07 |
| 1740710003 | Jordan Elizabeth Azinger | Physician Assistant | 426 East St, Pittsfield, MA 01201-5308 | 2017-06-19 |
| 1497132708 | East Elm Pediatrics | Clinic/Center | 426 East St, Pittsfield, MA 01201-5308 | 2015-05-06 |
| 1245651728 | Alexandra Nicole Smith | Nurse Practitioner | 426 East St, Pittsfield, MA 01201-5308 | 2013-12-30 |
| 1215296777 | East Elm Pediatrics | Pediatrics | 426 East St, Pittsfield, MA 01201-5308 | 2012-05-03 |
| 1639298342 | Rebecca Geoffroy | Physician Assistant | 426 East St, Pittsfield, MA 01201-5308 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174099386 | Shannon Patricia O'driscoll | Physician Assistant | 777 North St, Pittsfield, MA 01201-4147 | 2018-10-16 |
| 1225503410 | Sarah Elizabeth Lui | Physician Assistant | 725 North Street, Hospitalist Office, Pittsfield, MA 01201-4109 | 2018-10-04 |
| 1972996551 | Chelsea Palmeri | Physician Assistant | 725 North St, Pittsfield, MA 01201-4109 | 2015-03-06 |
| 1831589092 | Whitney Elan Colella | Physician Assistant | 426 South St, Pittsfield, MA 01201-8228 | 2015-01-27 |
| 1679988737 | Nicole Moore | Physician Assistant | 447 N Main St, Pittsfield, ME 04967-3707 | 2014-06-27 |
| 1174886469 | Austin James Michael | Physician Assistant | 725 North St, Pittsfield, MA 01201-4109 | 2012-06-21 |
| 1124307681 | Elyse N Levesque | Physician Assistant | 725 North St, Pittsfield, MA 01201-4109 | 2011-08-15 |
| 1972890929 | Mark D Mozzi | Physician Assistant | 725 North St, Pittsfield, MA 01201-4109 | 2011-06-28 |
| 1538492848 | Erika L Valenzuela | Physician Assistant | 195 South St, Pittsfield, MA 01201-6866 | 2009-09-18 |
| 1104078120 | Glenda Boykin | Physician Assistant | 165 Tor Ct, Pain Center, Pittsfield, MA 01201-3001 | 2008-10-22 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
Please comment or provide details below to improve the information on DEANNA TRAVERSA.
| 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.