MISS CORI BAILEY (NPI# 1356998587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356998587 |
| Entity Type | Individual |
| Full Name | MISS CORI BAILEY |
| Practice Address |
10 N Main St Charlton MA 01507-1590 |
| Mailing Address |
123 Quarry St Willimantic CT 06226-1247 |
| Practice Telephone | 5082483015 |
| Mailing Telephone | 8603367673 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
9275 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN2301789 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10 N MAIN ST |
| City | CHARLTON |
| State | MA |
| Zip Code | 01507-1590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568029437 | Kelly Ann Diaz | Physician Assistant | 10 N Main St, Charlton, MA 01507-1590 | 2019-05-24 |
| 1568922334 | Randy Wnuk | Physician Assistant | 10 N Main St, Charlton, MA 01507-1590 | 2019-03-20 |
| 1962914143 | Harpreet Kaur | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2017-10-28 |
| 1558883314 | Hillary Rae Fazio | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2017-07-13 |
| 1679934335 | Traci Ann Mercier | Physician Assistant | 10 N Main St, Charlton, MA 01507-1590 | 2016-03-09 |
| 1093119216 | Rebecca Louise Russo | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2014-10-17 |
| 1285060616 | Zareen Lakhani Barry | Registered Nurse | 10 N Main St, Charlton, MA 01507-1590 | 2013-09-17 |
| 1861838997 | Zachary O Waldon | Physician Assistant | 10 N Main St, Charlton, MA 01507 | 2013-05-15 |
| 1528316544 | Heather C. Sienel | Physician Assistant | 10 N Main St, Charlton, MA 01507-1590 | 2012-08-23 |
| 1013187616 | Stacy L. Pominville | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2008-03-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179653 | Lissette Hernandez | Counselor | 159 C Worcester Road, Charlton, MA 01507 | 2020-06-23 |
| 1841657426 | Renee M Gomez-chlebica Od LLC | Optometrist | 109-6 Masonic Home Rd., Charlton, MA 01507 | 2016-01-27 |
| 1467728725 | Rebecca Bullock | Occupational Therapist | 11 Sunset Drive, Charlton, MA 01507 | 2012-03-30 |
| 1326347139 | Michelle Beshire | Pharmacist | 188 Center Depot Rd, Charlton, MA 01507 | 2011-03-18 |
| 1063710762 | Daniel R Tetreault | Specialist/Technologist | 70 Hanson Road, Charlton, MA 01507 | 2011-03-03 |
| 1508901828 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 142 Worcester Rd, Charlton, MA 01507 | 2007-02-21 |
| 1780727743 | Peter Maly | Technician/Technologist | 109-6 Masonic Home Road, Charlton, MA 01507 | 2007-02-15 |
| 1083680128 | Mary-elise Smith | Emergency Medicine | 10 North Main Street, Charlton, MA 01507 | 2006-02-28 |
| 1932183241 | Steven V Vachula II | Optometrist | 20 Southbridge Rd, Charlton, MA 01507 | 2005-11-30 |
| 1154304228 | Teddi Bachawaty | Obstetrics & Gynecology | 9 Trolley Crossing Rd, Charlton, MA 01507 | 2005-11-22 |
| Find all providers in zip 01507 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082366 | Donna Josephine Remmes | Nurse Practitioner | 313 Franklin St, Wrentham, MA 02093-2405 | 2020-11-01 |
| 1912513714 | James Vincent Fournier | Nurse Practitioner | 50 Memorial Dr Ste 205, Leominster, MA 01453-2238 | 2020-09-17 |
| 1386259109 | Maureen Villars | Nurse Practitioner | 32 Orchard Hill Dr, Rutland, MA 01543-1778 | 2020-09-09 |
| 1639783780 | Patricia Varela | Nurse Practitioner | 48 Percival St, Dorchester, MA 02122-1992 | 2020-09-05 |
| 1578172243 | Felicia Mendonca | Nurse Practitioner | 21 Lands End Way, Swansea, MA 02777-2909 | 2020-07-28 |
| 1831716901 | Joan Tiano | Nurse Practitioner | 595 Pawtucket Blvd Ste 3, Lowell, MA 01854-2042 | 2020-07-06 |
| 1720609829 | Angelique Group | Nurse Practitioner | 4 Upland Woods Cir Unit 402, Norwood, MA 02062-3261 | 2020-04-29 |
| 1093341331 | Frew Fikru | Nurse Practitioner | 529 Washington Ave Apt 2, Revere, MA 02151-1962 | 2020-03-18 |
| 1376189084 | Dorcas Korir | Nurse Practitioner | 248 Pleasant St Unit 204, Methuen, MA 01844-7149 | 2019-11-18 |
| 1376194142 | Nicholas Davenport Biscardi | Nurse Practitioner | 6 Wells St, Gloucester, MA 01930-3423 | 2019-09-24 |
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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.