KERRY A WILLEY (NPI# 1417250580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417250580 |
| Entity Type | Individual |
| Full Name | KERRY A WILLEY |
| Other Name | KERRY A TREACY |
| Credential | NP |
| Practice Address |
116 Belmont St Suite 12 Worcester MA 01605-2964 |
| Practice Telephone | 5087701602 |
| Practice Fax Number | 5087701605 |
| Mailing Telephone | 5087701602 |
| Mailing Fax Number | 5087701605 |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
260333 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
116 BELMONT ST SUITE 12 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-2964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619959202 | David L. Dykhuizen | Specialist | 116 Belmont St, Worcester, MA 01605-2964 | 2005-11-18 |
| 1497982102 | Mary K. Flynn | Family Medicine | 116 Belmont St, Suite 11, Worcester, MA 01605-2964 | 2009-06-20 |
| 1386852358 | David L. Dykhuizen, M.d., P.C. | Specialist | 116 Belmont St, Worcester, MA 01605-2964 | 2007-05-21 |
| 1043220049 | Mary F Sullivan | Nurse Practitioner | 116 Belmont St, Suite 11, Worcester, MA 01605-2964 | 2006-08-09 |
| 1750399358 | Worcester Family Practice, Inc | Family Medicine | 116 Belmont St, Unit 24, Worcester, MA 01605-2964 | 2006-08-03 |
| 1790701977 | Ellen M Ruell | Physician Assistant | 116 Belmont St, Suite 11, Worcester, MA 01605-2964 | 2006-07-14 |
| 1427091784 | Mark A. Aversa Md PC | Obstetrics & Gynecology | 116 Belmont St, Worcester, MA 01605-2964 | 2006-06-14 |
| 1063454668 | Guenter L. Spanknebel | Internal Medicine | 116 Belmont St, Worcester, MA 01605-2964 | 2006-06-11 |
| 1477519866 | Richard H Whitten | Surgery | 116 Belmont St, Worcester, MA 01605-2964 | 2006-04-25 |
| 1205806908 | Mark A Aversa | Obstetrics & Gynecology | 116 Belmont St, Worcester, MA 01605-2964 | 2006-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479593 | Belina Pupi | Nurse Practitioner | 3 Mabelle St, Worcester, MA 01602-2017 | 2020-08-28 |
| 1457996704 | Augusta Oluremi Ishola | Nurse Practitioner | 17 Nizam Dr, Worcester, MA 01605-4017 | 2019-11-11 |
| 1891346854 | Phoebe Ofosua Amoako | Nurse Practitioner | 63 Frank St Apt 97, Worcester, MA 01604-1091 | 2019-09-21 |
| 1295390227 | Irene Acheampong | Nurse Practitioner | 2 Pineland Ave Apt 9a, Worcester, MA 01604-1473 | 2019-05-06 |
| 1538660386 | Viana Bernard | Nurse Practitioner | 363 Belmont St, Worcester, MA 01604-1011 | 2018-02-27 |
| 1598137663 | Kristen Marie Haviland | Nurse Practitioner | 180 Vernon St, Worcester, MA 01610-2036 | 2015-10-28 |
| 1801233127 | Rachel N Derry | Nurse Practitioner | 358 Shrewsbury St, Worcester, MA 01604 | 2013-05-28 |
| 1902145287 | Virginia Haddad | Nurse Practitioner | 10 Crillon Rd, Worcester, MA 01605-2308 | 2013-02-06 |
| 1073858981 | Heidi Glover | Nurse Practitioner | 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 | 2012-12-04 |
| 1497083984 | Amy Kristen Aviles | Nurse Practitioner | 3 Aster Pl, Worcester, MA 01603-2201 | 2009-11-23 |
| 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.