BROOKE LEARY (NPI# 1639684293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639684293 |
| Entity Type | Individual |
| Full Name | BROOKE LEARY |
| Credential | APRN |
| Practice Address |
1 Elliot Way Manchester NH 03103-3502 |
| Mailing Address |
15 Farmhouse Rd Bedford NH 03110-5123 |
| Practice Telephone | 6064253221 |
| Mailing Telephone | 6034253221 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 063482-23 | NH | Allopathic & Osteopathic Physicians |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
063482-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 ELLIOT WAY |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03103-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006253 | Benjamin J Grudinskas Jr. | Anesthesiology | 1 Elliot Way, Manchester, NH 03103-3502 | 2005-07-11 |
| 1437766904 | Samantha Oslin | Nurse Practitioner | 1 Elliot Way, Manchester, NH 03103-3599 | 2020-09-28 |
| 1104439603 | Kerry Mcdonald | Nurse Practitioner | 1 Elliot Way, Manchester, NH 03103-3502 | 2020-08-25 |
| 1851912331 | Katrina M Sibley | Nurse Anesthetist, Certified Registered | 1 Elliot Way, Manchester, NH 03103-3502 | 2020-05-06 |
| 1346861895 | Rebecca Lauren Hicks | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3502 | 2020-05-06 |
| 1386270320 | Brooke E Kanehl | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3599 | 2020-03-22 |
| 1598306383 | Rachel Marie Baroody | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3502 | 2019-10-02 |
| 1407417355 | Oluwatoyin Oshin | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3502 | 2019-06-21 |
| 1316504103 | Diana Renee Tanner | Nurse Practitioner | 1 Elliot Way, Manchester, NH 03103-3502 | 2019-05-28 |
| 1376004622 | Courtney A O'connor | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3599 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1184145898 | Susan E Herman | Physical Therapist | 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 | 2017-07-03 |
| 1316476757 | Sara Rose Hanrahan | Occupational Therapist | 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 | 2017-06-08 |
| 1457802811 | Holly Ann Cekala | Counselor | 140 Central St, Manchester, NH 03103 | 2016-10-20 |
| 1114301249 | Families In Transition | Counselor | 282 Belmont St, Manchester, NH 03103 | 2015-07-18 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| Find all providers in zip 03103 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326111295 | Susan M Mckeown | Nurse Practitioner | 1245 Elm Street, Manchester, NH 03101-1308 | 2006-11-16 |
| 1508834508 | Barbara Renshaw | Nurse Practitioner | 210 Main Street, Manchester, CT 06040 | 2006-03-08 |
| 1285073213 | Kristin Evans Logan | Nurse Practitioner | 1245 Elm St, Manchester, NH 03101-1308 | 2013-06-24 |
| 1891054490 | Suzanne Marie Vance | Nurse Practitioner | 275 Mammoth Rd, Suite 1, Manchester, NH 03109-4133 | 2012-05-16 |
| 1942451646 | Kristen Elizabeth Stevens | Nurse Practitioner | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2008-10-01 |
| 1417153677 | Kids Station Pediatrics | Nurse Practitioner | 191 Main St, Manchester, CT 06042-3556 | 2007-06-25 |
| 1396814612 | Elda Cordero-goodman | Nurse Practitioner | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-11-08 |
| 1235219320 | Cornelia Gonsalves | Nurse Practitioner | 100 Hitchcock Way, Capp, Manchester, NH 03104-4125 | 2006-10-16 |
| 1205921996 | Eileen Mccarthy | Nurse Practitioner | 4 Elliot Way, Suite105, Manchester, NH 03103 | 2006-10-04 |
| 1568490225 | Debra Ann Ritrovato | Nurse Practitioner | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-06-29 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03103 |
Please comment or provide details below to improve the information on BROOKE LEARY.
| 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.