KRISTIN LOUCKS (NPI# 1306465273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306465273 |
Entity Type | Individual |
Full Name | KRISTIN LOUCKS |
Credential | PA-C |
Practice Address |
13 E Hoyle St Norwood MA 02062-3405 |
Mailing Address |
122a Englewood Ave Apt 2 Boston MA 02135-7029 |
Practice Telephone | 7815518002 |
Mailing Telephone | 5204192012 |
Enumeration Date | 2020-04-10 |
Last Update Date | 2020-09-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
435 N 5th St, Phoenix, AZ 850042157 | 6028272450 |
Street Address |
13 E HOYLE ST |
City | NORWOOD |
State | MA |
Zip Code | 02062-3405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962408278 | Groden Eye Care PC | Ophthalmology | 13 E Hoyle St, Norwood, MA 02062-3405 | 2005-06-22 |
1871709139 | Groden Eye Care, P.C. | Ophthalmology | 13 E Hoyle St, Norwood, MA 02062-3405 | 2007-05-15 |
1912905571 | Joseph M Groden | Ophthalmology | 13 E Hoyle St, Norwood, MA 02062-3405 | 2005-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225647530 | Lauren Taylor Robbins | Licensed Practical Nurse | 21 Centennial Drive Apt. #3, Norwood, MA 02062 | 2020-07-23 |
1013566645 | David Ora Bailey | Counselor | 109 Lenox St., Norwood, MA 02062 | 2019-09-06 |
1124599154 | Larisa Stein Dmd, PC-family Dentist | Dentist | 661 Washington Street, Suite 211, Norwood, MA 02062 | 2018-12-17 |
1861963134 | Noreen Donne O'hear | Social Worker | 33 George Willett Parkway, Cleveland School, Norwood, MA 02062 | 2018-12-16 |
1194242719 | Bidmc Pharmacy, Inc. | Pharmacy | 128 Carnegie Row Ste 110, Norwood, MA 02062 | 2017-08-24 |
1023534153 | Foscaldo Healthcare LLC | Home Health | 639 Washington Street, Norwood, MA 02062 | 2017-08-21 |
1841710845 | Julia Rose Straus | Speech-Language Pathologist | 101 Vanderbilt Avenue, Norwood, MA 02062 | 2017-06-21 |
1043754484 | Recovery Solutions LLC | Clinical Medical Laboratory | 151 Edgehill Rd, Norwood, MA 02062 | 2016-12-05 |
1780137273 | Gentle Dental Associates, LLC | Clinic/Center | 980 Providence Highway, Norwood, MA 02062 | 2016-08-01 |
1720458094 | Jada Evans | Psychologist | 18 Sturtevant Ave, Apt. 1, Norwood, MA 02062 | 2015-09-30 |
Find all providers in zip 02062 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366513574 | Michelle Marie Hopkins | Physician Assistant | 41 Talbot Ave, Norwood, MA 02062-4617 | 2006-11-10 |
1558847830 | Anna Dalence | Physician Assistant | 1210 Providence Hwy, Norwood, MA 02062-5061 | 2018-07-19 |
1164899050 | Scott Collorone | Physician Assistant | 1210 Boston Providence Tpke, Norwood, MA 02062-5061 | 2015-08-26 |
1659700599 | Ed Fortune Aguilos Mangio | Physician Assistant | 800 Washington St, Norwood, MA 02062-3487 | 2013-11-01 |
1831230341 | Lisa B Morin | Physician Assistant | 825 Washington St, Suite 240, Norwood, MA 02062-3441 | 2007-02-08 |
1023043783 | Stephen G Galante | Physician Assistant | 800 Washington St, Norwood, MA 02062-3487 | 2006-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
1942812334 | Manacey Clermont | Physician Assistant | 21 Robinson Rd, Woburn, MA 01801-6136 | 2020-08-18 |
1801411756 | Kimberly Marques | Physician Assistant | 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 | 2020-06-16 |
1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
1275155590 | Makenna Camara | Physician Assistant | 249 Hixville Rd, North Dartmouth, MA 02747-1937 | 2020-05-08 |
1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
1639712011 | Joseph John Milos | Physician Assistant | 201 Carlson Ln, West Barnstable, MA 02668-1224 | 2019-10-18 |
1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
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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.