TARA CASELLA (NPI# 1518260397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518260397 |
| Entity Type | Individual |
| Full Name | TARA CASELLA |
| Credential | CPNP |
| Practice Address |
300 1st Ave 4th Floor Boston MA 02129-3109 |
| Practice Telephone | 6179525800 |
| Mailing Telephone | 6179525800 |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2015-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
267766 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 1ST AVE 4TH FLOOR |
| City | BOSTON |
| State | MA |
| Zip Code | 02129-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730160953 | Jonathan Bean | Physical Medicine & Rehabilitation | 300 1st Ave, Srh Spaulding Rehab Hospital, Boston, MA 02129-3109 | 2005-11-07 |
| 1366906505 | Medrhythms Inc. | Music Therapist | 300 1st Ave, Boston, MA 02129-3109 | 2019-01-22 |
| 1043605033 | Rebecca Siegel | Student in an Organized Health Care Education/Training Program | 300 1st Ave, Boston, MA 02129-3109 | 2015-04-06 |
| 1851711170 | Donna Huang | Physical Medicine & Rehabilitation | 300 1st Ave, Boston, MA 02129-3109 | 2014-04-25 |
| 1144645888 | Anna Musman | Nurse Practitioner | 300 1st Ave, Spaulding Rehabilitation Hospital- Pediatric Unit, Boston, MA 02129-3109 | 2014-03-04 |
| 1033558093 | Marisa Flavin | Internal Medicine | 300 1st Ave, Boston, MA 02129-3109 | 2013-06-22 |
| 1366706970 | Edward Nianzheng Wei | Physical Medicine & Rehabilitation | 300 1st Ave, Boston, MA 02129-3109 | 2012-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875984 | Charles Clifford Engel Jr. | Psychiatry & Neurology | Home Base Program, Massachusetts General Hospital, 1 Constitution Road, Charlestown, MA 02129 | 2020-06-10 |
| 1033738489 | Boston Health & Wellness, LLC | Physical Therapist | 250 First Aveneue, #506, Charlestown, MA 02129 | 2020-04-15 |
| 1134693534 | Martavia Richardson | Behavior Technician | 25 Samuel Morse Way Apt 862, 862, Charlestown, MA 02129 | 2019-01-18 |
| 1669940847 | Erika Marie Lundgren | Social Worker | 1 Constitution Wharf, Suite 140, Charlestown, MA 02129 | 2018-11-06 |
| 1558845602 | Christopher Wayne Manzano | Specialist/Technologist | 1 Constitution Wharf, Suite 140, Charlestown, MA 02129 | 2018-09-24 |
| 1023503216 | Justin E Karr | Student in an Organized Health Care Education/Training Program | 79/96 Thirteenth Street, Mgh Charlestown, Charlestown, MA 02129 | 2018-06-29 |
| 1184140162 | Hakan Ay | Psychiatry & Neurology | Mass General Hospital, 13th Street, Building 149-2303, Charlestown, MA 02129 | 2017-08-21 |
| 1396271748 | Acra Care and Recovery Associates, LLC | Clinic/Center | 529 Main Street, Suite 217, The Schraffts Building, Power House, Charlestown, MA 02129 | 2017-05-04 |
| 1003267964 | Allison E White | Student in an Organized Health Care Education/Training Program | Mgh Charlestown Health Ctr, 73 High St, Charlestown, MA 02129 | 2016-06-22 |
| 1588025258 | Adrienne Senneville | Physical Therapist | 529 Main St., Charlestown, MA 02129 | 2016-03-09 |
| Find all providers in zip 02129 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948525 | Kaylee Woods | Nurse Practitioner | 85 Seaport Blvd Unit 714, Boston, MA 02210-2157 | 2020-10-01 |
| 1144838384 | Amanda Rose Bakos | Nurse Practitioner | 218 Marion St, Boston, MA 02128-1758 | 2020-07-14 |
| 1083236749 | Mubina M Rhee | Nurse Practitioner | 170 Brookline Ave Unit 215, Boston, MA 02215-3921 | 2020-05-15 |
| 1629549977 | Michelle Nicole Deonarine | Nurse Practitioner | Center for Spina Bifida and Spinal Cord Conditions, Boston Childrens Hospital Hu 390. 300 Longwood Ave, Boston, MA 02115-0211 | 2018-12-16 |
| 1871060905 | Chloe Faye Banks | Nurse Practitioner | 300 Longwood Ave Dept Farley2, Boston, MA 02115-5724 | 2018-10-26 |
| 1801262050 | Kate Mysak | Nurse Practitioner | 300 Longwood Ave # Fegan9, Boston, MA 02115-5724 | 2015-08-11 |
| 1639501331 | Rebecca Marie Stevens | Nurse Practitioner | 300 First Ave, Boston, MA 02129 | 2013-08-05 |
| 1811290380 | Tracy Mahoney | Nurse Practitioner | 300 Longwood Ave Unit 9nw, Boston, MA 02115 | 2010-12-06 |
| 1639407513 | Courtney Loper Risley | Nurse Practitioner | Boston Children's Hospital, 300 Longwood Avenue, Farley Building Room 403, Boston, MA 02115 | 2009-12-03 |
| 1417103193 | Loren Jean D'angelo | Nurse Practitioner | 300 Longwood Ave -, Children's Hospital Boston Fegan 707, Boston, MA 02113 | 2008-08-13 |
| Find all providers in BOSTON | ||||
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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.