MRS. LORETTA E CUSICK (NPI# 1366477614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366477614 |
| Entity Type | Individual |
| Full Name | MRS. LORETTA E CUSICK |
| Credential | RNCS |
| Practice Address |
100 Cummings Ctr Suite 307l Beverly MA 01915 |
| Practice Telephone | 9789223301 |
| Practice Fax Number | 9789278556 |
| Mailing Telephone | 9789223301 |
| Mailing Fax Number | 9789278556 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
138190 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | BCBS | PN0128 | 01 |
| MA | BCBS | PN0128 | 01 |
| Street Address |
100 CUMMINGS CTR SUITE 307L |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444739 | Cornell Orthotics and Prosthetics, Inc | Prosthetic/Orthotic Supplier | 100 Cummings Ctr, Suite 207h, Beverly, MA 01915-6115 | 2005-08-15 |
| 1063013878 | Amanda Finn | Behavioral Analyst | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-11-06 |
| 1477153336 | Chris Vecchio | Behavior Technician | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-10-29 |
| 1316544653 | Keyshanna Edwards | Behavior Technician | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-10-08 |
| 1649885930 | Taryn May Andrews | Behavior Technician | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-09-13 |
| 1538771548 | Karenah Renee Harewood | Assistant Behavior Analyst | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-08-20 |
| 1750991501 | Emilia Ronchi | Behavioral Analyst | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-08-06 |
| 1609491067 | Sophia Teresa Cawlina | Behavioral Analyst | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-06-11 |
| 1417570706 | Elizabeth Rose Horan | Speech-Language Pathologist | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-05-21 |
| 1033633631 | Leanne Deterra | Registered Nurse | 100 Cummings Ctr, Element Care Suite 166d, Beverly, MA 01915 | 2017-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| 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 |
|---|---|---|---|---|
| 1316589385 | Mental Health Plus LLC | Nurse Practitioner | 100 Cummings Ctr Ste 325k, Beverly, MA 01915-6119 | 2019-10-11 |
| 1750994430 | Kristy Anne Morrison | Nurse Practitioner | 800 Cummings Ctr Ste 266t, Beverly, MA 01915-6172 | 2020-08-24 |
| 1275013047 | Kimberly Alana O'brien | Nurse Practitioner | 800 Cummings Ctr, Beverly, MA 01915-6175 | 2018-08-20 |
| 1760858120 | Katherine Elizabeth Murphy | Nurse Practitioner | 85 Herrick St, Beverly, MA 01915-1790 | 2015-08-19 |
| 1831573476 | Kimberly Seaward | Nurse Practitioner | 85 Herrick St, Beverly, MA 01915-1790 | 2015-07-14 |
| 1184939613 | Johann Ross Hepner | Nurse Practitioner | 100 Cummings Ctr, Bldg 100 Suite 166d, Beverly, MA 01915-6115 | 2010-08-09 |
| 1548279060 | Eleni M Klostri | Nurse Practitioner | 800 Cummings Ctr, Suite 266t, Beverly, MA 01915-6175 | 2006-08-05 |
| 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.