WANDA D VISNICK (NPI# 1538636303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538636303 |
| Entity Type | Individual |
| Full Name | WANDA D VISNICK |
| Credential | BSN, RN, NCSN, HN-BC |
| Practice Address |
20 Central Ave Lynn MA 01901-1201 |
| Practice Telephone | 7814777222 |
| Practice Fax Number | 7815988137 |
| Mailing Telephone | 7814777222 |
| Mailing Fax Number | 7815988137 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN195173 | MA | Nursing Service Providers |
| Street Address |
20 CENTRAL AVE |
| City | LYNN |
| State | MA |
| Zip Code | 01901-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962485748 | Anthony Carl Erdmann | Psychiatry & Neurology | 20 Central Ave, Lynn, MA 01901-1201 | 2005-11-25 |
| 1760035836 | Christine Marie Leibert | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2019-07-18 |
| 1336708734 | Mary Dy | Optometrist | 20 Central Ave, Lynn, MA 01901-1201 | 2019-06-10 |
| 1043782717 | Kannika Chap | Student in an Organized Health Care Education/Training Program | 20 Central Ave, Lynn, MA 01901-1201 | 2018-12-19 |
| 1568931459 | Cindi C Flores | Student in an Organized Health Care Education/Training Program | 20 Central Ave, Lynn, MA 01901-1201 | 2018-11-20 |
| 1962902569 | Nakiba Nelson | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2018-02-20 |
| 1033619879 | Saida Aitbouali | Counselor | 20 Central Ave, Lynn, MA 01901-1201 | 2018-02-19 |
| 1245730258 | Sheillanne Wambui | Student in an Organized Health Care Education/Training Program | 20 Central Ave, Lynn, MA 01901-1201 | 2018-02-16 |
| 1255849733 | Catherine Giello | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2018-01-18 |
| 1023523354 | Laura Jean Couillard | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2017-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515923 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 173 Oxford Street, Lowel Level, Suite P, Lynn, MA 01901 | 2019-02-21 |
| 1730680125 | Sarah Sawulski | Registered Nurse | 269 Union Stree01901t, Lynn, MA 01901 | 2018-02-22 |
| 1184142895 | Adrienne Wood | Case Manager/Care Coordinator | 100 Willow Street, Lynn, MA 01901 | 2017-09-01 |
| 1831613199 | Marie Linda Yannaco-grant | Social Worker | 62 Market Street, Lynn, MA 01901 | 2017-07-28 |
| 1942723457 | Michael Xinyu Miao | Physical Therapy Assistant | 1 Market Street, 3rd Floor, Lynn, MA 01901 | 2017-07-18 |
| 1730544743 | Pediatric Dental Professionals LLC | Dentist | 391 Lynn Way, Bldg A, Lynn, MA 01901 | 2015-12-17 |
| 1346667748 | Emily G. Joseph | Social Worker | 112 Market Street, 2nd Floor, Lynn, MA 01901 | 2014-03-24 |
| 1548510621 | Serena M Smith | Counselor | 181 Union Street, Suite J, Lynn, MA 01901 | 2012-09-14 |
| 1043575624 | Timothy J Bossie | Optometrist | 20 Central Avenue, Lynn, MA 01901 | 2012-07-10 |
| 1689946923 | Lynn Dental Center | Dentist | 232 Union Street, Lynn, MA 01901 | 2012-02-02 |
| Find all providers in zip 01901 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235334723 | Rodeena Porter | Registered Nurse | 269 Unioin St, Lynn, MA 01901 | 2007-06-15 |
| 1801898846 | Ruth Priscilla Masterson | Registered Nurse | 37 Friend St, Lynn, MA 01902 | 2005-08-10 |
| 1871117556 | Morgan Taylor Doherty | Registered Nurse | 95 Pleasant St # 1, Lynn, MA 01901-1524 | 2020-05-29 |
| 1467075614 | Henry Lou-goode | Registered Nurse | 280 Union St, Lynn, MA 01901-1353 | 2020-05-22 |
| 1760035836 | Christine Marie Leibert | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2019-07-18 |
| 1255849733 | Catherine Giello | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2018-01-18 |
| 1043736291 | Maeghan Dillon | Registered Nurse | 95 Pleasant St, Lynn, MA 01901-1524 | 2017-08-19 |
| 1548702384 | Samantha Heim | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2016-11-10 |
| 1659747665 | Rachael L Matos | Registered Nurse | 95 Pleasant St, Lynn, MA 01901-1524 | 2015-08-12 |
| 1295021970 | Bonnie Jean Dumont | Registered Nurse | 95 Pleasant St, Lynn, MA 01901-1524 | 2011-06-22 |
| Find all providers in LYNN | ||||
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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.