LAURA J ALTAVILLA (NPI# 1538173380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538173380 |
| Entity Type | Individual |
| Full Name | LAURA J ALTAVILLA |
| Credential | DC |
| Practice Address |
123 Whitney Street Gardner MA 01440 |
| Practice Telephone | 9786325885 |
| Practice Fax Number | 9786303774 |
| Mailing Telephone | 9786325885 |
| Mailing Fax Number | 9786303774 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1336 | MA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ACS DEPT OF LABOR | 203139600 | 01 | |
| AETNA | 4481980 | 01 | |
| PRIVATE HEALTHCARE SYSTEM | RRCAT810191834 | 01 | |
| ACN ASHN | 210035 | 01 | |
| MA | 1609149 | 05 | |
| RR MEDICARE PALMETTO | 350053673 | 01 | |
| NEIGHBORHOOD | OO13407 | 01 | |
| TAX ID | 043116527 | 01 | |
| NETWORK HEALTH | 986271 | 01 | |
| FIRST HEALTH CNN HCVM | 2045784 | 01 | |
| MASSHEALTH | 1609149 | 01 | |
| CIGNA | 30700 | 01 | |
| HARVARD PILGRIM | 351050 | 01 | |
| FOCUS BEECH STREET | 898687 | 01 | |
| BCBS | Y35953 | 01 | |
| FALLON | 15021 | 01 | |
| ONE HEALTH GREAT WEST | 80705 | 01 | |
| MEDICARE | Y35953 | 01 |
| Street Address |
123 WHITNEY STREET |
| City | GARDNER |
| State | MA |
| Zip Code | 01440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
| 1528563392 | Seth Adam Wytrwal | Chiropractor | 31 Lake St Ste 151, Gardner, MA 01440 | 2018-03-26 |
| 1184141632 | Diane M. Wilson | Counselor | 205 School St. #202, Gardner, MA 01440 | 2017-08-25 |
| 1346778511 | Bonnie Jean Wallace | Counselor | 205 School St., # 202, Gardner, MA 01440 | 2017-05-31 |
| 1598212144 | Simon Hawes | Social Worker | 6 Lake Street, Gardner, MA 01440 | 2016-09-01 |
| 1932555349 | Trinity Home Healthcare LLC | Home Health | 62 Parker Street. Suite 11, Gardner, MA 01440 | 2016-05-05 |
| 1811247208 | Laurie Anne Richard | Licensed Practical Nurse | 17 Tobey Street, Gardner, MA 01440 | 2012-09-13 |
| 1568739829 | Gaamha, Inc | Non-emergency Medical Transport (VAN) | 208 Coleman St. Ext., Gardner, MA 01440 | 2011-11-30 |
| 1275821522 | Marie Edith Woodard | Speech-Language Pathologist | 31 Lake St. Suite 180, Wachusett Criterion Early Intervention, Gardner, MA 01440 | 2011-07-20 |
| 1962725747 | Antonina Salvatrice Klauzinski | Nurse Practitioner | 32 Hospital Hill Rd., Gardner, MA 01440 | 2010-03-08 |
| Find all providers in zip 01440 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467063776 | Gardner Family Chiropractic Inc. | Chiropractor | 123 Whitney St, Gardner, MA 01440-3247 | 2020-08-11 |
| 1528563392 | Seth Adam Wytrwal | Chiropractor | 31 Lake St Ste 151, Gardner, MA 01440 | 2018-03-26 |
| 1609061795 | Cook Family Chiropractic Inc. | Chiropractor | 969 E. Lincoln Ln., Gardner, KS 66030 | 2007-09-11 |
| 1396954483 | Brian Todd Cook | Chiropractor | 969 E. Lincoln Lane, Gardner, KS 66030 | 2007-05-22 |
| 1144244815 | David A Matheny | Chiropractor | 122 E Park St, Gardner, KS 66030-1343 | 2006-07-27 |
| 1386672590 | David A Hedman | Chiropractor | 1815 E Santa Fe St, Gardner, KS 66030-2500 | 2006-06-28 |
| 1033168752 | Todd James Winters | Chiropractor | 802 E Main St, Gardner, KS 66030-1287 | 2006-05-09 |
| 1821605007 | Britney Ward | Chiropractor | 122 E Park St, Gardner, KS 66030-1343 | 2020-09-30 |
| 1316156136 | Mccauley Chiropractic Center, P.C. | Chiropractor | 31 Lake St, Suite 151, Gardner, MA 01440-3879 | 2007-05-21 |
| 1184784092 | Tobi Jeurink | Chiropractor | 325 E Main St, Ste C, Gardner, KS 66030-1313 | 2006-12-11 |
| Find all providers in GARDNER | ||||
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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.