MARY SHUPE (NPI# 1487830295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487830295 |
| Entity Type | Individual |
| Full Name | MARY SHUPE |
| Practice Address |
58 Hawthorne Dr Bedford NH 03110-6912 |
| Practice Telephone | 6036228619 |
| Mailing Telephone | 6036228619 |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2016-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
062997-23 | NH | Nursing Service Providers |
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
231472 | MA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881861250 | Mary A Shupe | Registered Nurse | 6 N Minnesota St, New Ulm, MN 56073-1728 | 2008-05-14 |
| Street Address |
58 HAWTHORNE DR |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558323071 | Martin Edward Schwartzberg | Pediatrics | 58 Hawthorne Dr, Bedford, NH 03110-6912 | 2006-04-03 |
| 1194330142 | Valerie Marie Boles | Occupational Therapist | 58 Hawthorne Dr, Bedford, NH 03110-6912 | 2020-09-15 |
| 1093340069 | Ashley Williston | Occupational Therapist | 58 Hawthorne Dr, Bedford, NH 03110-6912 | 2020-03-10 |
| 1912481060 | Ashlen Rooney | Occupational Therapist | 58 Hawthorne Dr, Bedford, NH 03110-6912 | 2018-09-24 |
| 1477037356 | Brianna Katherine Worcester | Occupational Therapist | 58 Hawthorne Dr, Bedford, NH 03110-6912 | 2018-09-18 |
| 1487190591 | Alexandra Cousins | Occupational Therapist | 58 Hawthorne Dr, Bedford, NH 03110-6912 | 2017-01-12 |
| 1720522196 | Amy Caron | Speech-Language Pathologist | 58 Hawthorne Dr, Bedford, NH 03110-6912 | 2016-12-05 |
| 1720481559 | Milestones Pediatric Therapy Center, LLC | Occupational Therapist | 58 Hawthorne Dr, Bedford, NH 03110-6912 | 2014-10-07 |
| 1619380375 | Gabrielle Smith | Occupational Therapist | 58 Hawthorne Dr, Bedford, NH 03110-6912 | 2014-06-10 |
| 1508929456 | River Road Pediatrics, P.l.l.c. | Pediatrics | 58 Hawthorne Dr, Bedford, NH 03110-6912 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265753644 | Terri Michelle Waddell | Registered Nurse | 302 Center Rd, Bedford, OH 44146-2206 | 2010-06-19 |
| 1780121293 | Christine Marie Larsen | Registered Nurse | 74 Loomis St, Bedford, MA 01730-2248 | 2017-01-22 |
| 1659557452 | Elaine Rothstein | Registered Nurse | 74 Loomis St, Bedford, MA 01730-2248 | 2008-01-11 |
| 1871779587 | Carissa Glavine | Registered Nurse | 74 Loomis St, Bedford, MA 01730-2248 | 2008-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083686620 | Wendy Brown-perry | Registered Nurse | 248 Pleasant St Ste 1700, Concord, NH 03301-7544 | 2006-02-07 |
| 1811396625 | Heather Merrill | Registered Nurse | 253 Pleasant St, Concord, NH 03301-7560 | 2014-08-18 |
| 1730416173 | Scott M Lannon | Registered Nurse | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2009-11-05 |
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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.