CAROLYN ANN WALLMAN (NPI# 1578684411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578684411 |
| Entity Type | Individual |
| Full Name | CAROLYN ANN WALLMAN |
| Credential | APRN |
| Practice Address |
103 Garland St Everett MA 02149-5066 |
| Practice Telephone | 6177974267 |
| Mailing Telephone | 6177974267 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2012-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 164236 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | UPIN | S72844 | 01 |
| MA | 110076801A | 05 | |
| MA | MEDICARE RAIL ROAD | 500030719 | 01 |
| MA | BCBS | WANP1602 | 01 |
| Street Address |
103 GARLAND ST |
| City | EVERETT |
| State | MA |
| Zip Code | 02149-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962498378 | Gary Blair | Emergency Medicine | 103 Garland St, Everett, MA 02149-5066 | 2005-09-21 |
| 1093379737 | Lisa Marie Shoulders | Physician Assistant | 103 Garland St, Everett, MA 02149-5066 | 2019-04-29 |
| 1952964983 | Samantha Christine Bianchi | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2019-04-16 |
| 1851862080 | Nicole Theresa Desimone | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-12-16 |
| 1194210542 | Susan Catherine Reilly | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-06-28 |
| 1962995738 | Catherine Ande Sinelien | Respiratory Therapist, Registered | 103 Garland St, Everett, MA 02149-5066 | 2018-06-07 |
| 1912499625 | Karla Marie Osorio | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-05-30 |
| 1417447475 | Justin Puckett | Physician Assistant | 103 Garland St, Everett, MA 02149-5066 | 2018-05-15 |
| 1508362633 | Stephanie Healy | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-04-05 |
| 1639695554 | Beili Zhu | Physical Therapist | 103 Garland St, Everett, MA 02149-5066 | 2017-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
| 1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
| 1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
| 1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
| 1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
| 1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| Find all providers in zip 02149 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933642 | Julia Kase | Nurse Practitioner | 728 134th St Sw Ste 207, Everett, WA 98204-5322 | 2019-10-13 |
| 1740765650 | Joan W Kamata | Nurse Practitioner | 38 Carter St Apt 313, Everett, MA 02149-2525 | 2018-09-26 |
| 1679092704 | Bethell Assefa | Nurse Practitioner | 3624 Colby Ave Ste B, Everett, WA 98201-4789 | 2017-09-09 |
| 1518011089 | Susan Farist Butler | Nurse Practitioner | Tri City Mhc, 173 Chelsea St, Everett, MA 02149 | 2007-01-22 |
| 1780643973 | Jessica Susan Webb | Nurse Practitioner | 12728 19th Ave Se, Suite 300, Everett, WA 98208-6526 | 2006-03-17 |
| 1063499168 | Tracy J Wilbraham | Nurse Practitioner | 173 Chelsea St, Everett, MA 02149-4632 | 2005-12-29 |
| 1912518093 | Holly Anne Bernstein | Nurse Practitioner | 3927 Rucker Ave, Everett, WA 98201-4833 | 2020-08-12 |
| 1073124491 | Alana Brianne Beck | Nurse Practitioner | 1818 121st St Se, Everett, WA 98208-5985 | 2020-08-10 |
| 1588273114 | Dayna Wong | Nurse Practitioner | 1818 121st St Se, Everett, WA 98208-5985 | 2020-07-29 |
| 1063021137 | Katelyn Pedersen | Nurse Practitioner | 3927 Rucker Ave, Everett, WA 98201-4833 | 2020-07-24 |
| Find all providers in EVERETT | ||||
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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.