CHRISTINE K W NDISSI (NPI# 1487122289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487122289 |
| Entity Type | Individual |
| Full Name | CHRISTINE K W NDISSI |
| Credential | NP |
| Practice Address |
1049 Main St Springfield MA 01103-2114 |
| Practice Telephone | 4136931002 |
| Mailing Telephone | 4136931002 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
266890 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1049 MAIN ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01103-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154306934 | Leslie Zide | Dentist | 1049 Main St, Caring Health Center, Inc, Springfield, MA 01103-2114 | 2005-12-14 |
| 1740898204 | Regina Yahaira Santana | Physician Assistant | 1049 Main St, Springfield, MA 01103-2114 | 2020-07-20 |
| 1154947349 | Holdunn Rutkoski | Dentist | 1049 Main St, Springfield, MA 01103-2114 | 2020-06-23 |
| 1366084287 | Rosimar Alicea | Physician Assistant | 1049 Main St, Springfield, MA 01103-2114 | 2019-10-11 |
| 1639731011 | Halah Alsari | Physician Assistant | 1049 Main St, Springfield, MA 01103-2114 | 2019-07-05 |
| 1023579885 | Latonya Sheriee King | Nurse Practitioner | 1049 Main St, Springfield, MA 01103-2114 | 2019-03-26 |
| 1952868937 | Areen Kharashgeh | Dentist | 1049 Main St, Springfield, MA 01103-2114 | 2019-02-26 |
| 1700352465 | Samantha Jean Ferriter | Nurse Practitioner | 1049 Main St, Springfield, MA 01103-2114 | 2018-10-22 |
| 1457827917 | Sarah Karevicius | Nurse Practitioner | 1049 Main St, Springfield, MA 01103-2114 | 2018-10-22 |
| 1740764497 | Michael Merrill Child | Physician Assistant | 1049 Main St, Springfield, MA 01103-2114 | 2018-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
| 1427521749 | Pedro Cruz | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray, Springfield, MA 01103 | 2019-01-09 |
| 1003325010 | Amber Lynn Chisholm | Counselor | 130 Maple St., Springfield, MA 01103 | 2017-09-21 |
| 1750737391 | Mande' Counseling | Community/Behavioral Health | 1365 Main St Suite 401, Springfield, MA 01103 | 2016-05-13 |
| 1528467248 | Amanda M Galloway | Physician Assistant | 1038-1050 Main St, Springfield, MA 01103 | 2014-08-19 |
| 1114326113 | Anne Marie Belinda | Nurse Practitioner | 1049 Main St., Springfield, MA 01103 | 2014-08-15 |
| 1538575295 | Sunrise Behavioral Health Clinic, LLC | Clinic/Center | 95 Frank B. Murray Street, Springfield, MA 01103 | 2014-07-02 |
| 1548675093 | Jessica Lynn Pasalacqua | Dietitian, Registered | 870 Main St., Springfield, MA 01103 | 2014-06-24 |
| 1003220443 | Ivan Rosario | Counselor | 1695 Main St Ste400, Springfield, MA 01103 | 2014-06-13 |
| 1275964769 | Leeandrew Rick Wilson | Counselor | 1695 Main St., Springfield, MA 01103 | 2013-12-09 |
| Find all providers in zip 01103 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
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|---|---|---|---|---|
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| 1275146268 | Courtney Wilbern | Nurse Practitioner | 1200 W Centre St, Springfield, IL 62704-5812 | 2020-08-28 |
| 1588276240 | Andrew Ronald Mouser | Nurse Practitioner | 607 Prospect Rd, Springfield, PA 19064-2819 | 2020-08-23 |
| 1821609082 | William Coleman Bryant | Nurse Practitioner | 5552 W Longleaf Dr, Springfield, MO 65802-7834 | 2020-08-12 |
| 1386254399 | Ashley Lynn Murray | Nurse Practitioner | 2443 E Greenwood St, Springfield, MO 65804-3907 | 2020-08-04 |
| 1679182281 | Erica Gail Hunt | Nurse Practitioner | 2813 Haverford Rd, Springfield, IL 62704-4267 | 2020-07-29 |
| 1063020063 | Gage Azeez | Nurse Practitioner | 46 Timber Ln, Springfield, MA 01119-2828 | 2020-07-16 |
| 1033737440 | Janne L Nicholson | Nurse Practitioner | 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 | 2020-07-13 |
| 1922623156 | Amanda E Hildebrand | Nurse Practitioner | 3370 Carman Ave, Springfield, IL 62703-4642 | 2020-06-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01103 |
Please comment or provide details below to improve the information on CHRISTINE K W NDISSI.
| 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.