MARISSA FRONGILLO (NPI# 1588017263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588017263 |
| Entity Type | Individual |
| Full Name | MARISSA FRONGILLO |
| Credential | N.P. |
| Practice Address |
495 Station Ave South Yarmouth MA 02664-1218 |
| Mailing Address |
297 North St Ste 221 Hyannis MA 02601-5133 |
| Practice Telephone | 5087784777 |
| Mailing Telephone | 5088627777 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2298352 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
495 STATION AVE |
| City | SOUTH YARMOUTH |
| State | MA |
| Zip Code | 02664-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013983402 | Jorge A Alfonso | Internal Medicine | 495 Station Ave, South Yarmouth, MA 02664-1218 | 2006-02-24 |
| 1093258832 | Mary Gallagher | Nurse Practitioner | 495 Station Ave, South Yarmouth, MA 02664-1218 | 2016-11-28 |
| 1306141544 | Carol Moore Penfield | Nurse Practitioner | 495 Station Ave, South Yarmouth, MA 02664-1218 | 2011-01-19 |
| 1285843169 | Mahmood Muhammad Rana | Internal Medicine | 495 Station Ave, South Yarmouth, MA 02664-1218 | 2007-05-21 |
| 1447354717 | Elizabeth Sheehan | Nurse Practitioner | 495 Station Ave, South Yarmouth, MA 02664-1218 | 2006-09-08 |
| 1629091608 | Kumara Sidhartha | Internal Medicine | 495 Station Ave, South Yarmouth, MA 02664-1218 | 2006-07-25 |
| 1053389924 | Ann M Gryboski | Internal Medicine | 495 Station Ave, South Yarmouth, MA 02664-1218 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730721648 | Taylor Drew | Behavior Technician | 435 Station Ave., Unit B, South Yarmouth, MA 02664 | 2019-10-11 |
| 1114428794 | Emily Rose Clark | Behavioral Analyst | 936b Station Ave, Yarmouth, MA 02664 | 2018-02-28 |
| 1124547906 | Kylie Joanne Zurn | Speech-Language Pathologist | 76 Phyllis Drive, South Yarmouth, MA 02664 | 2017-09-13 |
| 1841731338 | Meagan Pavao | Counselor | 31 Workshop Road, South Yarmouth, MA 02664 | 2017-03-16 |
| 1205296878 | Howayne A L Hamilton | Behavioral Analyst | 107 West Great Western Road, South Yarmouth, MA 02664 | 2016-02-25 |
| 1053656371 | Susan Elizabeth Davenport | Nurse Practitioner | 23 F. Whites Path, South Yarmouth, MA 02664 | 2012-11-28 |
| 1649444514 | Transitions Centers Inc. | Day Training, Developmentally Disabled Services | 782 Route 28, South Yarmouth, MA 02664 | 2008-04-22 |
| 1902934326 | David Mishkin | Clinical Neuropsychologist | 23p2 Union Station- Whites Path, S. Yarmouth, MA 02664 | 2007-02-28 |
| 1841343084 | Kristin Elizabeth Schmidt | Counselor | 50 Long Pond Dr, South Yarmouth, MA 02664 | 2007-01-19 |
| 1578628111 | Rhetta Annie Scott | Social Worker | 50 Long Pond Drive, South Yarmouth, MA 02664 | 2006-12-26 |
| Find all providers in zip 02664 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073174124 | Compassionate Medical and Behavioral Health Services LLC | Nurse Practitioner | 22 Rita Ave, South Yarmouth, MA 02664-1976 | 2019-06-27 |
| 1093258832 | Mary Gallagher | Nurse Practitioner | 495 Station Ave, South Yarmouth, MA 02664-1218 | 2016-11-28 |
| 1598198079 | Brittany Elizabeth Enz | Nurse Practitioner | 23 Whites Path, Yarmouth Medical Center LLC, South Yarmouth, MA 02664-1221 | 2013-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821885 | Tanya Lee Bailey | Nurse Practitioner | 185 Vining Hill Rd, Southwick, MA 01077-9413 | 2020-11-07 |
| 1134720964 | Arliomey Ambroise | Nurse Practitioner | 2216 Summit Dr, Bridgewater, MA 02324-2178 | 2020-11-06 |
| 1184225161 | Christina Chan Sok | Nurse Practitioner | 24 Hartwell Ave # 204, Lexington, MA 02421-3132 | 2020-11-05 |
| 1871194381 | Stacie Rose | Nurse Practitioner | 131 Hartwell Ave, Lexington, MA 02421-3105 | 2020-11-03 |
| 1881295145 | Heather Thomas | Nurse Practitioner | 39 Brock St Apt 1, Brighton, MA 02135-2661 | 2020-11-03 |
| 1427659069 | Jenna Gunnell | Nurse Practitioner | 700 Greendale Ave Unit 11203, Needham, MA 02492-4362 | 2020-11-02 |
| 1336749936 | Julia Monroe | Nurse Practitioner | 7 Atwood St, Cherry Valley, MA 01611-3332 | 2020-11-01 |
| 1730789744 | Polyana F Barbosa | Nurse Practitioner | 491 Maple St Ste 208, Danvers, MA 01923-4025 | 2020-10-28 |
| 1053910257 | Lauren Michele Flynn | Nurse Practitioner | 173 Sumner St, Quincy, MA 02169-7003 | 2020-10-20 |
| 1043819196 | Kimberly S Christie | Nurse Practitioner | 107 Sheraton Ave, Somerset, MA 02725-1150 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH YARMOUTH |
| Zip Code | 02664 |
Please comment or provide details below to improve the information on MARISSA FRONGILLO.
| 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.