NICOLE BURKE TINGLEY (NPI# 1407323686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407323686 |
Entity Type | Individual |
Full Name | NICOLE BURKE TINGLEY |
Practice Address |
123 Summer St Ste 277 Worcester MA 01608-1216 |
Practice Telephone | 9783604524 |
Mailing Telephone | 9783604524 |
Enumeration Date | 2018-10-25 |
Last Update Date | 2019-10-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA6985 | MA | Physician Assistants & Advanced Practice Nursing Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
123 SUMMER ST STE 277 |
City | WORCESTER |
State | MA |
Zip Code | 01608-1216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
Find all providers in zip 01608 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235658014 | Jennifer Tokarev | Physician Assistant | 123 Summer St Ste 270n, Worcester, MA 01608-1216 | 2017-09-13 |
1417213448 | Thea Marie Nolan | Physician Assistant | 55 Lake View Ave North, Umass Memorial Medical Ctr, Worcester, MA 01605 | 2012-04-04 |
1063905396 | Alexandra J O'brien | Physician Assistant | 123 Summer St, Worcester, MA 01608-1216 | 2018-06-12 |
1679969620 | Holly Gardner | Physician Assistant | 123 Summer St, Worcester, MA 01608-1216 | 2015-04-07 |
1477945368 | Colleen Dibara | Physician Assistant | 123 Summer St, Worcester, MA 01608-1216 | 2015-03-02 |
1740671270 | Samantha Roche | Physician Assistant | 123 Summer St, Orthopedics, Worcester, MA 01608-1216 | 2015-02-05 |
1811313513 | Seth A. Brawer | Physician Assistant | 59 Quinsigamond Ave, Worcester County Orthopedics, Worcester, MA 01610-1867 | 2014-03-05 |
1033534805 | Derrin Jarvis | Physician Assistant | 123 Summer St, Worcester, MA 01608-1216 | 2014-03-03 |
1952667800 | Leah K St. Martin | Physician Assistant | 123 Summer St, Worcester, MA 01608-1216 | 2012-04-04 |
1083988273 | Stephanie Castagno | Physician Assistant | 123 Summer St, Worcester, MA 01608-1216 | 2012-03-06 |
Find all providers in WORCESTER |
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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.