MRS. JODIANNE LYNNE INGERSOLL (NPI# 1679020614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679020614 |
| Entity Type | Individual |
| Full Name | MRS. JODIANNE LYNNE INGERSOLL |
| Credential | PMHNP |
| Practice Address |
76 Summer St Haverhill MA 01830-5814 |
| Mailing Address |
19 Mountain View Dr Hudson NH 03051-5141 |
| Practice Telephone | 9783728008 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN285307 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
76 SUMMER ST |
| City | HAVERHILL |
| State | MA |
| Zip Code | 01830-5814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548261621 | Janice Funk | Legal Medicine | 76 Summer St, Haverhill, MA 01830-5814 | 2005-08-10 |
| 1316595812 | Melissa Carla Provost | Social Worker | 76 Summer St, Haverhill, MA 01830-5814 | 2019-08-28 |
| 1164078713 | Lori Dias | Registered Nurse | 76 Summer St, Haverhill, MA 01830-5814 | 2019-08-09 |
| 1417420811 | Wp Acquisition Sub LLC | Psychiatry & Neurology | 76 Summer St, Haverhill, MA 01830-5814 | 2019-01-08 |
| 1023580479 | Wp Acquisition Sub LLC | Clinic/Center | 76 Summer St, Haverhill, MA 01830-5814 | 2018-12-26 |
| 1750868428 | Jessica Amy Enners | Social Worker | 76 Summer St, Haverhill, MA 01830-5814 | 2018-07-25 |
| 1093291007 | Kimberly Shana Segal | Social Worker | 76 Summer St, Haverhill, MA 01830-5814 | 2018-07-12 |
| 1558854893 | Keri A Bergman | Social Worker | 76 Summer St, Haverhill, MA 01830 | 2018-06-12 |
| 1144712993 | Marisa Wegener Mccormack | Social Worker | 76 Summer St, Haverhill, MA 01830-5814 | 2018-06-06 |
| 1063930006 | Whittier Pavilion Inpatient Specialists Pllc | Internal Medicine | 76 Summer St, Haverhill, MA 01830-5814 | 2017-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171753 | Saint Gemma Health and Wellness Center Inc. | Clinic/Center | C/o Mary Fallavollita, 375 Main St., Haverhill, MA 01830 | 2019-12-16 |
| 1689143968 | Margaret O'day | Social Worker | 621 Main Street, Haverhill, MA 01830 | 2018-11-16 |
| 1396213633 | Michelle Flanagan | Nurse Practitioner | 600 Primrose Street, Haverhill, MA 01830 | 2018-11-05 |
| 1992281265 | Megan Lee Cahill | Social Worker | 150 Water St., Haverhill, MA 01830 | 2018-07-19 |
| 1588116602 | Ronald Charles Jordan Jr. | Counselor | 6 Concordia Drive, Haverhill, MA 01830 | 2016-10-25 |
| 1902269772 | Alta Marie Tusini | Pediatrics | 600 Primrose St Ste 200, Haverhill, MA 01830 | 2016-03-30 |
| 1447611199 | Joan Hatem-roy | Social Worker | 280 Merrimack Street, Suite 400, Lawrence, MA 01830 | 2016-03-09 |
| 1326431818 | Divine Home Care | Home Health | 18 Kenoza St, Haverhill, MA 01830 | 2015-03-09 |
| 1821429861 | Emmaus | Case Manager/Care Coordinator | 127 How St., Haverhill, MA 01830 | 2013-12-02 |
| 1225390362 | Larry Medolo | Homeopath | 606 Broadway Ave, Haverhill, MA 01830 | 2012-06-14 |
| Find all providers in zip 01830 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275932485 | Alice Karanu | Nurse Practitioner | 116 Summer St, Haverhill, MA 01830-6032 | 2014-08-14 |
| 1265855530 | Rebecca Harding-fauth | Nurse Practitioner | 191 Merrimack St, Ste 712, Haverhill, MA 01830-6145 | 2014-01-22 |
| 1811016678 | Rachel York | Nurse Practitioner | 116 Summer St, Haverhill, MA 01830-6032 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639552 | Kelly Ann Hancock | Nurse Practitioner | 6 Margot Ln, East Bridgewater, MA 02333-1689 | 2020-11-03 |
| 1366042715 | Jacqueline Ann Owens | Nurse Practitioner | 32 Hammond Ave, Cohasset, MA 02025-1928 | 2020-10-27 |
| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
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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.