KAYLA PAVAO (NPI# 1336692870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336692870 |
| Entity Type | Individual |
| Full Name | KAYLA PAVAO |
| Credential | NP |
| Practice Address |
1342 Belmont St Brockton MA 02301-4436 |
| Practice Telephone | 5089737041 |
| Mailing Telephone | 5089737041 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2019-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | APRN01989 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | RN2286207 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MASS CONTROLLED SUBSTANCE REGISTRATION | MR1050296N | 01 |
| MA | CERTIFIED NURSE PRACTITIONER | RN2286207 | 01 |
| Street Address |
1342 BELMONT ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-4436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700873999 | Lyudmila Rakita | Psychiatry & Neurology | 1342 Belmont St, Suite 103, Brockton, MA 02301-4436 | 2005-10-03 |
| 1437666799 | Maureen E. Dimilla | Counselor | 1342 Belmont St, Brockton, MA 02301-4436 | 2018-01-08 |
| 1225409253 | Amy Goffredo LLC | Social Worker | 1342 Belmont St, Suite 103, Brockton, MA 02301-4436 | 2015-10-16 |
| 1639515968 | Jennifer Lynn Ulicny | Nurse Anesthetist, Certified Registered | 1342 Belmont St, Brockton, MA 02301-4436 | 2013-05-14 |
| 1588837553 | Lyudmila Rakita M.d.,p.c. | Psychiatry & Neurology | 1342 Belmont St, Suite 103, Brockton, MA 02301-4436 | 2008-04-10 |
| 1013054998 | Karen Hetzel | Clinical Nurse Specialist | 1342 Belmont St, Suite 101, Brockton, MA 02301-4437 | 2007-01-31 |
| 1154498764 | June Louise Chin | Social Worker | 1342 Belmont St, Suite 103, Brockton, MA 02301-4436 | 2006-11-29 |
| 1609962976 | Stephen Gerald Rudin | Psychologist | 1342 Belmont St, Suite 204, Brockton, MA 02301-4436 | 2006-10-05 |
| 1003902958 | Aubrey Lieberman Md PC | Psychiatry & Neurology | 1342 Belmont St, Suite 105, Brockton, MA 02301-4436 | 2006-10-05 |
| 1750477618 | Aubrey Lieberman | Psychiatry & Neurology | 1342 Belmont St, Suite 105, Brockton, MA 02301-4436 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215495452 | Larissa Azevedo Depina | Nurse Practitioner | 635 Summer St, Brockton, MA 02302-4230 | 2019-03-06 |
| 1801378674 | Andre Sabrina Castor | Nurse Practitioner | 33 Bark Cir, Brockton, MA 02302-1928 | 2018-08-29 |
| 1700375201 | Alyson Elizabeth Enmark | Nurse Practitioner | 1 Pearl St Ste 1200, Brockton, MA 02301-2874 | 2018-05-09 |
| 1740526656 | Natacha Nortelus | Nurse Practitioner | 599 Pleasant St, Brockton, MA 02301-2512 | 2012-12-20 |
| 1265567101 | Coleen A. Cummings | Nurse Practitioner | 61 Libby St, Brockton, MA 02302-2949 | 2007-02-22 |
| 1639159783 | Leslie Anne Stefanowicz | Nurse Practitioner | 35 Pearl St, Ste 300, Brockton, MA 02301-2866 | 2006-01-17 |
| 1164403275 | Elizabeth M Chu Hanson | Nurse Practitioner | 830 Oak Street, Suite 123e, Brockton, MA 02301 | 2005-11-07 |
| 1679112163 | Bianca St. Louis | Nurse Practitioner | 63 Main St, Brockton, MA 02301-4042 | 2019-12-31 |
| 1376105130 | Johanne Cazeau | Nurse Practitioner | 63 Main St, Brockton, MA 02301-4042 | 2019-07-02 |
| 1316411481 | Cassandra Desjardins | Nurse Practitioner | 110 Liberty St, Brockton, MA 02301-5521 | 2019-01-11 |
| Find all providers in BROCKTON | ||||
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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.