COLLEEN FRANCES KUBISCH (NPI# 1275654634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275654634 |
| Entity Type | Individual |
| Full Name | COLLEEN FRANCES KUBISCH |
| Credential | APRN |
| Practice Address |
489 Whitney Ave Holyoke MA 01040-2711 |
| Mailing Address |
843 Country Club Rd Greenfield MA 01301-9793 |
| Practice Telephone | 4135326777 |
| Mailing Telephone | 4137746471 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
151470 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | CIGNA | 2011947 | 01 |
| MA | BCBS | PN0825 | 01 |
| MA | HNE | 31915 | 01 |
| Street Address |
489 WHITNEY AVE |
| City | HOLYOKE |
| State | MA |
| Zip Code | 01040-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467518787 | Mollie Lee Braun | Clinical Nurse Specialist | 489 Whitney Ave, 3rd Floor, Holyoke, MA 01040-2711 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945325 | Holyoke Care Center, LLC | Skilled Nursing Facility | Holyoke Care Center, LLC, 35 Holy Family Road, Holyoke, MA 01040 | 2020-09-04 |
| 1225646904 | Jasmine Glover | Counselor | 476 Appleton St. Suite 5, Holyoke, MA 01040 | 2020-07-17 |
| 1932662319 | Damaris Santingo Martinez | Registered Nurse | 46 Magnolia Ave, Holyoke, MA 01040 | 2019-04-11 |
| 1104302371 | Cheryl Ann Lauben | Counselor | 476 Appleton Street, Suite 2, Holyoke, MA 01040 | 2018-07-11 |
| 1740704741 | Miranda Lynn Fogg | Behavior Technician | 244 Westfield Rd, Holyoke, MA 01040 | 2017-08-01 |
| 1770020018 | Total Wellness Centers, LLC | Clinical Medical Laboratory | 59 Bobala Rd, Holyoke, MA 01040 | 2017-01-25 |
| 1184097768 | Chi Wan Wong | Physical Therapy Assistant | 110 Cherry Street, Holyoke, MA 01040 | 2015-11-04 |
| 1841666724 | Danielle Moroney | Counselor | River Valley Counseling Center Mental Health Service, 303 Beech St, Holyoke, MA 01040 | 2015-08-14 |
| 1285019638 | Ashley Papineau | Social Worker | 9 Faille Ave, Apt 3, Holyoke, MA 01040 | 2015-07-28 |
| 1205216967 | Vanessa Vazquez | Counselor | 1233 Main St., Holyoke, MA 01040 | 2015-06-08 |
| Find all providers in zip 01040 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203263 | Linda I Roedder | Clinical Nurse Specialist | 275 Princess Kate Cir, Taunton, MA 02780-2885 | 2020-07-30 |
| 1003118852 | Sharon Lynne Curtin | Clinical Nurse Specialist | 220 Reservoir St Ste 21, Needham, MA 02494-3133 | 2010-11-30 |
| 1013090430 | Kerri Ryder | Clinical Nurse Specialist | 411 Chandler St, Worcester, MA 01602 | 2006-10-21 |
| 1821179730 | Marilyn Litman | Clinical Nurse Specialist | 102 Grasmere St, Newton, MA 02458 | 2006-10-18 |
| 1952498354 | Anita D Freeman | Clinical Nurse Specialist | 28 Green Street, Newbury, MA 01951 | 2006-10-06 |
| 1295833028 | Gretchen Ann Berkowitch | Clinical Nurse Specialist | 100 Cummings Ctr Ste 365d, Beverly, MA 01915 | 2006-09-20 |
| 1881604635 | Patrice C Creighton | Clinical Nurse Specialist | 251 Fenn Street, Pittsfield, MA 01201 | 2006-08-08 |
| 1336169549 | Susan C. Broughton | Clinical Nurse Specialist | 50 North Second St, New Bedford, MA 02740 | 2006-07-20 |
| 1700815040 | Catherine L Lacoste-hamel | Clinical Nurse Specialist | 1082 Davol St, Arbour Counseling Services, Fall River, MA 02720 | 2006-06-30 |
| 1922073600 | Terese C Chipman | Clinical Nurse Specialist | 14 Fordham Rd, The Boston Center 2nd Floor, Allston, MA 02134-3006 | 2006-02-17 |
| 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.