MRS. LESLIE ANN NYSTUEN (NPI# 1295847325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295847325 |
| Entity Type | Individual |
| Full Name | MRS. LESLIE ANN NYSTUEN |
| Credential | MD |
| Practice Address |
548 Lebanon Street Melrose MA 02176 |
| Practice Telephone | 7816654364 |
| Practice Fax Number | 7816622284 |
| Mailing Telephone | 7816654364 |
| Mailing Fax Number | 7816622284 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 80019 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9787119 | 05 |
| Street Address |
548 LEBANON STREET |
| City | MELROSE |
| State | MA |
| Zip Code | 02176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384826 | Edrine Astremont | Registered Nurse | 414 Malden, Massachusetts, NY 02176 | 2020-07-23 |
| 1194203919 | Caroline Bregman | Social Worker | 12 Howard St, Melrose, MA 02176 | 2018-08-02 |
| 1386167682 | Carmen Alicia Fernandez | Community/Behavioral Health | 24 Lynde St, Melrose, MA 02176 | 2017-07-19 |
| 1518316116 | Sheila Kelley | Physical Therapist | 15 Green Street, Melrose, MA 02176 | 2016-06-06 |
| 1083049712 | Randi A Brown | Counselor | 610 A Main Street, Melrose, MA 02176 | 2013-09-12 |
| 1306121488 | Frank Anthony Pennacchio | Pharmacist | 17 Coolidge Road, Melrose, MA 02176 | 2011-10-20 |
| 1245401751 | Meaghan Rudolph | Registered Nurse | 11 Stratford Rd, Melrose, MA 02176 | 2008-03-13 |
| 1104039726 | Judy E Bushee | Custodial Care Facility | The Toole Nursing Home, 92 Franklin Street, Melrose, MA 02176 | 2007-05-08 |
| 1811012776 | Mark Joseph Gianatassio | Dentist | 820 Lynn Fells, Melrose, MA 02176 | 2007-03-20 |
| 1154452993 | City of Melrose | Local Education Agency (LEA) | 360 Lynn Fells Parkway, Melrose, MA 02176 | 2007-03-07 |
| Find all providers in zip 02176 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003824202 | Matthew Philip Brewer | Pediatrics | 548 Lebanon St, Melrose, MA 02176 | 2006-08-03 |
| 1245221951 | Rhonda S Fogle | Pediatrics | 50 Tremont St, Melrose, MA 02176-2721 | 2005-11-02 |
| 1336488774 | Fellsway Pediatrics, PC | Pediatrics | 548 Lebanon St, Melrose, MA 02176-3226 | 2013-02-05 |
| 1831384601 | Jeffrey S. Feldman, Md PC | Pediatrics | 340 Main St, Suite 101, Melrose, MA 02176-4661 | 2007-09-13 |
| 1104034065 | Brewer Nystuen Pediatrics | Pediatrics | 548 Lebanon St, Melrose, MA 02176-3226 | 2007-05-21 |
| 1598858367 | Jeffrey Stuart Feldman | Pediatrics | 340 Main St, Suite 101, Melrose, MA 02176-4661 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030720 | Mebe Massachusetts | Pediatrics | 51 Pleasant St # 1002, Malden, MA 02148-4904 | 2020-10-15 |
| 1801407564 | Catherine M. Vu Morrissey | Pediatrics | 451 Centre St, Milton, MA 02186-4118 | 2020-08-14 |
| 1962025379 | Elizabeth Mary Messineo | Pediatrics | 40 Greenhill Rd, Westwood, MA 02090-2704 | 2020-05-20 |
| 1639790280 | Allison Seats | Pediatrics | 265 Hyde Park Ave Apt 1rf, Boston, MA 02130-4222 | 2020-05-05 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1346871183 | Pm Pediatrics of New England | Pediatrics | 99 Commerce Way, Woburn, MA 01801-5199 | 2020-01-30 |
| 1346871381 | Heather Mccaslin Kempczinski | Pediatrics | 360 Beacon St Apt 1, Boston, MA 02116-1063 | 2020-01-29 |
| 1396388278 | Taylor Cinelli | Pediatrics | 203 John Scott Blvd, Norton, MA 02766-2616 | 2019-10-23 |
| 1972145290 | Lauren Nicole Mabe | Pediatrics | 45 Gordon St Apt 3, Allston, MA 02134-2458 | 2019-10-09 |
| 1417508946 | Devin Veronica Parker | Pediatrics | 2 Crescent St, Plympton, MA 02367-1400 | 2019-09-25 |
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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.