BENJAMIN M TRETTER (NPI# 1336791110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336791110 |
| Entity Type | Individual |
| Full Name | BENJAMIN M TRETTER |
| Credential | MSN, PMH-NP |
| Practice Address |
2033 Main St Athol MA 01331-3535 |
| Mailing Address |
28 Belknap St Arlington MA 02474-6620 |
| Practice Telephone | 9782499490 |
| Mailing Telephone | 6032366538 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2274857 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 205 School St Ste 301, Gardner, MA 014402781 | 9786329400 |
| Street Address |
2033 MAIN ST |
| City | ATHOL |
| State | MA |
| Zip Code | 01331-3535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982691333 | Mark P. Wu | Surgery | 2033 Main St, Athol, MA 01331-3535 | 2005-09-30 |
| 1568069383 | Ashley Marie Ehlen | Counselor | 2033 Main St, Athol, MA 01331-3535 | 2020-10-05 |
| 1063027175 | Stephanie Dalton | Registered Nurse | 2033 Main St, Athol, MA 01331-3535 | 2020-09-15 |
| 1952966491 | Athol Memorial Hospital Incorporated | Clinic/Center | 2033 Main St, Athol, MA 01331-3535 | 2019-05-09 |
| 1740597459 | Olha Duda | Family Medicine | 2033 Main St, Athol, MA 01331-3535 | 2010-09-02 |
| 1821304742 | Mady Katherine Caron | Dietitian, Registered | 2033 Main St, Athol, MA 01331-3535 | 2010-08-30 |
| 1245476548 | Elizabeth Conlon | Speech-Language Pathologist | 2033 Main St, Athol Memorial Hospital, Athol, MA 01331-3535 | 2008-12-17 |
| 1023294568 | Susan Jane Barnes | Speech-Language Pathologist | 2033 Main St, Athol, MA 01331 | 2008-01-15 |
| 1023197035 | Peter N Gorlin | Emergency Medicine | 2033 Main St, Athol, MA 01331-3535 | 2006-11-02 |
| 1639111958 | Western Massachusetts Magnetic Resonance Services LLC | Clinic/Center | 2033 Main St, Athol, MA 01331-3535 | 2006-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053811786 | Joyce Ann Dean | Physical Therapy Assistant | 821 Daniel Shays Highway, Athol, MA 01331 | 2018-02-19 |
| 1073049441 | Athol Memorial Hospital Incorporated | Clinic/Center | 81 Reservoir Drive, Athol, MA 01331 | 2017-05-04 |
| 1043680317 | Mark Lorion | Counselor | 491 Main St., Athol, MA 01331 | 2015-09-30 |
| 1184969875 | Vicky Mae Blake | Licensed Practical Nurse | 116 Chase Road, Athol, MA 01331 | 2012-12-06 |
| 1487733358 | Dwight K Stowell Jr Dmd | Dentist | 38 Exchange Street, Athol, MA 01331 | 2006-11-03 |
| 1801981493 | Heidi J Foley | Family Medicine | 78 Brickyard Road, Suite 2, Athol, MA 01331 | 2006-10-03 |
| 1437183266 | Jennifer S Mark | Family Medicine | Athol Memorial Hospital, 2033 Main Street, Athol, MA 01331 | 2006-07-10 |
| 1790714079 | Ashley Warner | Family Medicine | 81 Reservoir Dr, Athol, MA 01331 | 2006-06-30 |
| 1790732022 | Corazon Yandoc-maramag | Anesthesiology | 298 R Vine Street, Athol, MA 01331 | 2006-05-30 |
| 1336120047 | Athol Memorial Hospital Incorporated | General Acute Care Hospital | 2033 Main Street, Athol, MA 01331 | 2005-11-09 |
| Find all providers in zip 01331 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386953792 | Sarah Denson Poirier | Nurse Practitioner | 491 Main St, Athol, MA 01331-1846 | 2010-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639552 | Kelly Ann Hancock | Nurse Practitioner | 6 Margot Ln, East Bridgewater, MA 02333-1689 | 2020-11-03 |
| 1366042715 | Jacqueline Ann Owens | Nurse Practitioner | 32 Hammond Ave, Cohasset, MA 02025-1928 | 2020-10-27 |
| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
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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.