EMILY DOUGLAS NEAL (NPI# 1306296306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306296306 |
| Entity Type | Individual |
| Full Name | EMILY DOUGLAS NEAL |
| Credential | NP |
| Practice Address |
55 Lake Ave N Worcester MA 01655-0002 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 5088564062 |
| Practice Fax Number | 5088564287 |
| Mailing Telephone | 8002258885 |
| Mailing Fax Number | 5083341977 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2017-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN2305523 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN2305523 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MEDICARE | S400323457 | 01 |
| MA | 110115288A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356548481 | Emily Irene Neal | Physical Therapy Assistant | 1916 N 2nd St, Saint Joseph, MO 64505-2512 | 2007-07-02 |
| 1881187904 | Emily Neal | Nurse Practitioner | 221 Ne 2nd St, England, AR 72046 | 2018-06-13 |
| 1154848091 | Emily Neal | Physical Therapist | 9368 N Lilley Rd, Plymouth, MI 48170 | 2017-08-22 |
| 1255782181 | Emily Neal | Physician Assistant | 181 W Meadow Dr, Suite 400, Vail, CO 81657-5242 | 2016-06-22 |
| 1710350400 | Emily Neal | Nurse Practitioner | 4859 Nixon Park Dr, Suite A, Mason, OH 45040-8106 | 2015-11-04 |
| 1023335874 | Emily Neal | Speech-Language Pathologist | 741 Kenilworth Avenue, Suite 100, Charlotte, NC 28204-3874 | 2010-05-03 |
| Street Address |
55 LAKE AVE N |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556587 | James E Liebmann | Internal Medicine | 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 | 2005-05-23 |
| 1518568732 | Justin Bullard | Psychologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-11-04 |
| 1346849825 | Meghan Moore | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-26 |
| 1174122899 | Jessica Goncalves Ferreira | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-23 |
| 1235746686 | Desiree Mytych | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-29 |
| 1659986248 | Rebecca Lynn Harris | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-10 |
| 1639781487 | Gabriella Kathleen Holland | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-21 |
| 1730791898 | Kerry Anne Benedict | Speech-Language Pathologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1902418999 | Natasha R. Turner | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1144830712 | Abbey Corsini | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205489713 | Darryl Sweeper Jr. | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-23 |
| 1225690530 | Ryan Zenevitch | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-08 |
| 1932688454 | Victoria Sayeg | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 | 2018-08-07 |
| 1114425675 | Judith Dio Wentzell | Social Worker | Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 | 2018-01-30 |
| 1861927386 | Muhammad Waqas Khan | Student in an Organized Health Care Education/Training Program | University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 | 2017-04-21 |
| 1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
| 1073858981 | Heidi Glover | Nurse Practitioner | 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 | 2012-12-04 |
| 1972867992 | Anna Bjornsdottir | Psychiatry & Neurology | 55 Lake Av N, Worcester, MA 01655 | 2012-06-25 |
| 1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
| 1851582951 | Robin I Davidson | Neurological Surgery | 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 | 2007-08-05 |
| Find all providers in zip 01655 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679696363 | Leanne Mazeika | Nurse Practitioner | 123 Summer St Ste 690, Worcester, MA 01608-1216 | 2007-04-09 |
| 1295341410 | Cody Matthew Deeds | Nurse Practitioner | 10 Winthrop St Ste 319, Worcester, MA 01604-4438 | 2020-09-22 |
| 1972151496 | Kathryn Jean Devinney | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2473 | 2019-08-28 |
| 1821532391 | Kelsey Lynn Vannostrand | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2016-12-18 |
| 1225580871 | Samantha Duncan | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2016-10-31 |
| 1083098107 | Alyssa Ann Sundstrom | Nurse Practitioner | 630 Plantation St, Wot 12th Fl, Worcester, MA 01605-2038 | 2015-07-18 |
| 1699101188 | Johanna Mcdermott | Nurse Practitioner | 119 Belmont St, Worcester, MA 01605 | 2013-09-17 |
| 1285079269 | Elizabeth F Denver | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2473 | 2013-05-06 |
| 1053568048 | Karen Courtney Shellenbarger | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655 | 2008-08-21 |
| 1902088743 | Marilyn Jean Cowan | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2473 | 2007-12-04 |
| Find all providers in WORCESTER | ||||
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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.