HEATHER GUSTAFSON (NPI# 1538541883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538541883 |
| Entity Type | Individual |
| Full Name | HEATHER GUSTAFSON |
| Other Name | HEATHER MORTELL |
| Credential | PA-C |
| Practice Address |
1400 Computer Dr Ste 301 Westborough MA 01581-1790 |
| Mailing Address |
14 Cypress St Oxford MA 01540-2418 |
| Practice Telephone | 6174205316 |
| Mailing Telephone | 7743643083 |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA5421 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10 Dorrance St Ste 700, Providence, RI 029032014 | 8332290957 | |
| 123 Summer St, Worcester, MA 016081216 | 7643643083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174698781 | Heather Lynn Gustafson | Speech-Language Pathologist | 1400 Jackson St, Denver, CO 80206-2761 | 2006-11-21 |
| 1073518676 | Heather L Gustafson | Dietitian, Registered | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-20 |
| Street Address |
1400 COMPUTER DR STE 301 |
| City | WESTBOROUGH |
| State | MA |
| Zip Code | 01581-1790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861483752 | Claus Hamann | Internal Medicine | 1400 Computer Dr Ste 301, Westborough, MA 01581-1790 | 2005-10-31 |
| 1295377562 | Denise Summers | Pharmacist | 1400 Computer Dr Ste 301, Westborough, MA 01581-1790 | 2019-10-08 |
| 1114393865 | Carissa Colleen Foley | Nurse Practitioner | 1400 Computer Dr Ste 301, Westborough, MA 01581-1790 | 2015-08-18 |
| 1770962094 | Jennifer Catherine Para | Nurse Practitioner | 1400 Computer Dr Ste 301, Westborough, MA 01581-1790 | 2015-05-19 |
| 1518398775 | Isabelle Joseph | Nurse Practitioner | 1400 Computer Dr Ste 301, Westborough, MA 01581-1790 | 2013-12-12 |
| 1780028977 | Jessica F Caron | Nurse Practitioner | 1400 Computer Dr Ste 301, Westborough, MA 01581-1790 | 2013-04-18 |
| 1669736872 | Steven Hyunjoon Yoo | Internal Medicine | 1400 Computer Dr Ste 301, Westborough, MA 01581 | 2012-07-02 |
| 1982976775 | Jedediah Joel Holland | Nurse Practitioner | 1400 Computer Dr Ste 301, Westborough, MA 01581-1790 | 2012-02-08 |
| 1063719961 | Oluwatoyin Oladosu | Nurse Practitioner | 1400 Computer Dr Ste 301, Westborough, MA 01581-1790 | 2011-02-12 |
| 1720397755 | Elizabeth C O'doherty | Nurse Practitioner | 1400 Computer Dr Ste 301, Westborough, MA 01581-1790 | 2010-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043791957 | Colby Schulz | Occupational Therapist | Kindred Transitional Care - Therapy Department, 8 Colonial Drive, Westborough, MA 01581 | 2018-08-28 |
| 1134621055 | Rachel Bennet | Counselor | 288 Lyman Street, Allen Hall- Suite 2, Westborough, MA 01581 | 2018-03-07 |
| 1003318031 | Adrienne Gladding | Social Worker | 288 Lynam St, Suite 2, Westborough, MA 01581 | 2018-03-06 |
| 1760997670 | Westborough Dental Partners, P.C. | Dentist | 176 E Main St Ste 2, Westborough, MA 01581 | 2017-12-14 |
| 1578912432 | Daylene Marshall | Counselor | 155a Oak Street, Westborough, MA 01581 | 2016-06-10 |
| 1366890709 | Autism Resource &therapy Center | Behavioral Analyst | 1900 West Park Dr, Westborough, MA 01581 | 2016-05-26 |
| 1649699802 | Jean Breen | Counselor | 154 Oak Street, Westboro, MA 01581 | 2014-04-15 |
| 1760772123 | Ayon Bose | Counselor | 45 Lyman St Ste 11, Westborough, MA 01581 | 2011-04-19 |
| 1437472917 | Sharon Levesque Courville | Social Worker | 5 East Main St., Ste. 3, Westborough, MA 01581 | 2010-03-11 |
| 1063645844 | Town of Westborough | Counselor | 45 West Main St, Westborough, MA 01581 | 2009-08-27 |
| Find all providers in zip 01581 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508213471 | Eastern Medical Associates LLC | Physician Assistant | 290 Turnpike Rd, Ste # 150-414, Westborough, MA 01581-2843 | 2016-05-19 |
| 1750636130 | Leslie Buffo | Physician Assistant | 21 Kay St, Westborough, MA 01581-3808 | 2012-07-20 |
| 1992206205 | Natalie M Dolan | Physician Assistant | 900 Union St, Westborough, MA 01581-5408 | 2018-02-22 |
| 1356798227 | Farah Hakim | Physician Assistant | 290 Turnpike Rd, Ste 150-414, Westborough, MA 01581-2843 | 2016-05-19 |
| 1093846578 | Jennifer Halterman Hilgenberg | Physician Assistant | 1400 Computer Dr Ste 301, Westborough, MA 01581-1790 | 2007-03-08 |
| 1063583169 | Jennifer Lynn Badalamenti | Physician Assistant | 1400 Computer Dr Ste 301, Westborough, MA 01581-1790 | 2006-11-11 |
| 1679547368 | Erin M O'toole | Physician Assistant | 154 E Main St, Suite 101, Westborough, MA 01581-1768 | 2006-02-17 |
| 1154301091 | Susan E Kellogg | Physician Assistant | 900 Union St, Westborough, MA 01581-5408 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869274 | David M Correll | Physician Assistant | 45 Wollaston Ave, Arlington, MA 02476-5836 | 2020-10-23 |
| 1699374660 | Sarah Ilana Katz | Physician Assistant | 11a Laurel St, Salem, MA 01970-4657 | 2020-10-21 |
| 1205435393 | Allison Lee Nocon | Physician Assistant | 289 Beacon St Apt 8, Boston, MA 02116-1263 | 2020-10-20 |
| 1841898384 | Chloe Friedman | Physician Assistant | 62 Patricia Dr, Abington, MA 02351-1081 | 2020-10-16 |
| 1760080378 | Jason Lee | Physician Assistant | 42 Electric Ave, Somerville, MA 02144-1604 | 2020-10-15 |
| 1700484656 | Emily Cioffi | Physician Assistant | 5 Cosma Rd, North Easton, MA 02356-1331 | 2020-10-13 |
| 1407453806 | Emily Louis | Physician Assistant | 174 Groton Rd, North Chelmsford, MA 01863-1205 | 2020-10-08 |
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1073110433 | Ellen Boyle | Physician Assistant | 11 Castle Gate Rd, Wayland, MA 01778-4310 | 2020-10-07 |
| 1992302897 | Marissa Pond | Physician Assistant | 95 Concord St, Haverhill, MA 01830-2809 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | WESTBOROUGH |
| Zip Code | 01581 |
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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.