STEPHANIE MARIE MITCHELL (NPI# 1467071175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467071175 |
| Entity Type | Individual |
| Full Name | STEPHANIE MARIE MITCHELL |
| Credential | NP |
| Practice Address |
55 Lake Ave N Worcester MA 01655-0002 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 5088565599 |
| Practice Fax Number | 5083347284 |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN2341767 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN2341767 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604394 | Stephanie Mitchell | Massage Therapist | 600 Harbor Blvd Unit 841, Weehawken, NJ 07086-6729 | 2018-03-28 |
| 1457713067 | Stephanie Mitchell | Social Worker | 2717 Seville Blvd, Apt 14102, Clearwater, FL 33764-1163 | 2016-03-23 |
| 1073903126 | Stephanie Mitchell | Massage Therapist | 2105 Electric Rd, Suite 103, Roanoke, VA 24018-2315 | 2015-01-28 |
| 1649606195 | Stephanie M Mitchell | Doula | 2812 W 1975 N, Plain City, UT 84404-9236 | 2013-09-16 |
| 1629380332 | Stephanie Danielle Mitchell | Counselor | 30 Maxi Ct Apt 1, Staten Island, NY 10304 | 2010-07-10 |
| 1821222654 | Stephanie Lynn Mitchell | Nurse Practitioner | 604 New York Ave, Arlington, TX 76010-7610 | 2009-05-07 |
| 1518503622 | Stephanie Nicole Mitchell | Massage Therapist | 35 Washington St, East Stroudsburg, PA 18301-2816 | 2019-11-24 |
| 1780144618 | Stephanie Mitchell | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-67, Knoxville, TN 37920-1511 | 2019-03-25 |
| 1326504127 | Stephanie Mitchell | Nurse Practitioner | 555 E Cheves St, Florence, SC 29506-2617 | 2019-02-16 |
| 1902306988 | Stephanie Mitchell | Behavior Technician | 107 New Edition Ct, Cary, NC 27511-4450 | 2018-02-16 |
| Street Address |
55 LAKE AVE N |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556587 | James E Liebmann | Internal Medicine | 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 | 2005-05-23 |
| 1518568732 | Justin Bullard | Psychologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-11-04 |
| 1346849825 | Meghan Moore | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-26 |
| 1174122899 | Jessica Goncalves Ferreira | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-23 |
| 1235746686 | Desiree Mytych | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-29 |
| 1659986248 | Rebecca Lynn Harris | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-10 |
| 1639781487 | Gabriella Kathleen Holland | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-21 |
| 1730791898 | Kerry Anne Benedict | Speech-Language Pathologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1902418999 | Natasha R. Turner | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1144830712 | Abbey Corsini | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205489713 | Darryl Sweeper Jr. | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-23 |
| 1225690530 | Ryan Zenevitch | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-08 |
| 1932688454 | Victoria Sayeg | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 | 2018-08-07 |
| 1114425675 | Judith Dio Wentzell | Social Worker | Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 | 2018-01-30 |
| 1861927386 | Muhammad Waqas Khan | Student in an Organized Health Care Education/Training Program | University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 | 2017-04-21 |
| 1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
| 1073858981 | Heidi Glover | Nurse Practitioner | 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 | 2012-12-04 |
| 1972867992 | Anna Bjornsdottir | Psychiatry & Neurology | 55 Lake Av N, Worcester, MA 01655 | 2012-06-25 |
| 1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
| 1851582951 | Robin I Davidson | Neurological Surgery | 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 | 2007-08-05 |
| Find all providers in zip 01655 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183545 | Integral Health Partners LLC | Nurse Practitioner | 67 Millbrook St Ste 406a, Worcester, MA 01606-2845 | 2020-08-05 |
| 1548813728 | Christina Marie Cruz | Nurse Practitioner | 123 Summer St Ste 685n, Worcester, MA 01608-1216 | 2019-07-17 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
| 1609023985 | Rosemary A Kirousis | Nurse Practitioner | 366 Shrewsbury St Apt 3, Worcester, MA 01604-4647 | 2008-08-19 |
| 1639231426 | Addie Lawrence | Nurse Practitioner | 416 Belmont St, Worcester, MA 01604-1086 | 2006-12-15 |
| 1164521712 | Kathy Volin Pulda | Nurse Practitioner | 378 Plantation St, Geriatrics Department, Worcester, MA 01605-2324 | 2006-09-21 |
| 1194822650 | Patricia A Macculloch | Nurse Practitioner | 119 Belmont Street, Spince Center, Worcester, MA 01605 | 2006-09-19 |
| 1922111525 | Claire C Davison | Nurse Practitioner | 299 Lincoln Street, Suite 100, Worcester, MA 01605 | 2006-08-16 |
| 1801861471 | Paula Flanagan | Nurse Practitioner | 530 Plantation St, Worcester, MA 01605 | 2006-02-17 |
| 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.