KATIE PASSARELL (NPI# 1669889010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669889010 |
Entity Type | Individual |
Full Name | KATIE PASSARELL |
Practice Address |
799 Concord Ave Suite 4 Cambridge MA 02138-1048 |
Practice Telephone | 6174915111 |
Practice Fax Number | 6174915222 |
Mailing Telephone | 6174915111 |
Mailing Fax Number | 6174915222 |
Enumeration Date | 2014-07-17 |
Last Update Date | 2014-07-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN2272041 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
799 CONCORD AVE SUITE 4 |
City | CAMBRIDGE |
State | MA |
Zip Code | 02138-1048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588659189 | Nancy Anne Legere | Physical Therapist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2005-09-20 |
1780290189 | Marissa Smith-millman | Psychologist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2020-09-21 |
1457906372 | Brittany Jordan-arthur | Psychologist | 799 Concord Ave, Mclean Child Outpatient Services, Cambridge, MA 02138 | 2019-08-07 |
1578115887 | Yudelki Marlin Firpo-perretti | Psychologist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2019-07-16 |
1508323056 | Kayla Perry | Speech-Language Pathologist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2019-02-20 |
1073086088 | Erin Elizabeth Holyoke | Occupational Therapist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2019-01-03 |
1316413156 | Jin's Acupuncture & Herbal Medicine | Acupuncturist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2018-10-19 |
1700368719 | Karmen Koesterer | Clinical Neuropsychologist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2018-09-05 |
1770075848 | Monica Betjemann | Nurse Practitioner | 799 Concord Ave, Cambridge, MA 02138-1048 | 2018-06-04 |
1295257772 | Trudi Beth Koslof | Psychologist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2017-07-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
Find all providers in zip 02138 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548800998 | Colleen Marie Slocum | Nurse Practitioner | 453 Windsor St, Cambridge, MA 02141-1341 | 2020-01-14 |
1700447216 | Emma Josephine Michl | Nurse Practitioner | 23 Andrew St # 2, Cambridge, MA 02139-4409 | 2019-06-25 |
1578781563 | Greta Feinberg | Nurse Practitioner | 575 Mt Auburn St, Epstein Ballenger & Goldstein, Suite 101, Cambridge, MA 02138 | 2007-04-23 |
1770075848 | Monica Betjemann | Nurse Practitioner | 799 Concord Ave, Cambridge, MA 02138-1048 | 2018-06-04 |
1245772235 | Audrie Grigun | Nurse Practitioner | 799 Concord Ave, Cambridge, MA 02138-1048 | 2016-11-08 |
1063854693 | Aislyn Cangialose | Nurse Practitioner | 575 Mount Auburn St, Suite 101, Cambridge, MA 02138-4656 | 2013-07-24 |
1063797819 | Katie Pink Tolley | Nurse Practitioner | 3 Cedar St, Mlms School Wellness Center, Cambridge, MD 21613-2362 | 2011-10-12 |
1770883068 | Megan Mariotti | Nurse Practitioner | 75 Mount Auburn St, Cambridge, MA 02138-4960 | 2010-11-02 |
1477676674 | Cindy Fischer Luthern | Nurse Practitioner | 575 Mount Auburn St, Suite 101 Epstein, Ballenger, Goldstein, Cambridge, MA 02138-4656 | 2007-04-10 |
1255479549 | Susan R Greenberg | Nurse Practitioner | 459 Broadway, Cambridge, MA 02138-4125 | 2007-02-01 |
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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.