DIANE E GRASSO (NPI# 1417965765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417965765 |
| Entity Type | Individual |
| Full Name | DIANE E GRASSO |
| Other Name | DIANE E TELLIER |
| Credential | NP |
| Practice Address |
201 S Main St Ste 1 Athol MA 01331-2117 |
| Practice Telephone | 9782490099 |
| Practice Fax Number | 9782497227 |
| Mailing Telephone | 9782490099 |
| Mailing Fax Number | 9782497227 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2016-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 191199 | MA | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
191199 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
201 S MAIN ST STE 1 |
| City | ATHOL |
| State | MA |
| Zip Code | 01331-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275604 | Jamie Patel | Nurse Practitioner | 201 S Main St Ste 1, Athol, MA 01331-2119 | 2020-11-05 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508864760 | Mary M Djaferis | Nurse Practitioner | 201 S Main St, Athol, MA 01331-2102 | 2005-07-12 |
| 1689275604 | Jamie Patel | Nurse Practitioner | 201 S Main St Ste 1, Athol, MA 01331-2119 | 2020-11-05 |
| 1952888398 | Amy Elizabeth Deluca | Nurse Practitioner | 81 Reservoir Dr, Athol, MA 01331-4901 | 2018-07-27 |
| 1376081992 | Stephanie Richardson | Nurse Practitioner | 81 Reservoir Dr, Athol, MA 01331-4901 | 2017-02-02 |
| 1689073256 | Erin Koshinsky | Nurse Practitioner | 81 Reservoir Dr, Athol, MA 01331-4901 | 2014-08-19 |
| 1619318359 | Carrie-anne Hale Case | Nurse Practitioner | 81 Reservoir Dr, Athol, MA 01331-4901 | 2013-07-10 |
| 1225036486 | Kristin A Mccarthy | Nurse Practitioner | 201 S Main St, Athol, MA 01331-2102 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821885 | Tanya Lee Bailey | Nurse Practitioner | 185 Vining Hill Rd, Southwick, MA 01077-9413 | 2020-11-07 |
| 1134720964 | Arliomey Ambroise | Nurse Practitioner | 2216 Summit Dr, Bridgewater, MA 02324-2178 | 2020-11-06 |
| 1184225161 | Christina Chan Sok | Nurse Practitioner | 24 Hartwell Ave # 204, Lexington, MA 02421-3132 | 2020-11-05 |
| 1871194381 | Stacie Rose | Nurse Practitioner | 131 Hartwell Ave, Lexington, MA 02421-3105 | 2020-11-03 |
| 1881295145 | Heather Thomas | Nurse Practitioner | 39 Brock St Apt 1, Brighton, MA 02135-2661 | 2020-11-03 |
| 1427659069 | Jenna Gunnell | Nurse Practitioner | 700 Greendale Ave Unit 11203, Needham, MA 02492-4362 | 2020-11-02 |
| 1336749936 | Julia Monroe | Nurse Practitioner | 7 Atwood St, Cherry Valley, MA 01611-3332 | 2020-11-01 |
| 1730789744 | Polyana F Barbosa | Nurse Practitioner | 491 Maple St Ste 208, Danvers, MA 01923-4025 | 2020-10-28 |
| 1053910257 | Lauren Michele Flynn | Nurse Practitioner | 173 Sumner St, Quincy, MA 02169-7003 | 2020-10-20 |
| 1043819196 | Kimberly S Christie | Nurse Practitioner | 107 Sheraton Ave, Somerset, MA 02725-1150 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.