MS. JUDITH LOUISE FORMANEK (NPI# 1689712911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689712911 |
| Entity Type | Individual |
| Full Name | MS. JUDITH LOUISE FORMANEK |
| Credential | NP |
| Practice Address |
101 Amesbury St Suite 202 Lawrence MA 01840-1323 |
| Mailing Address |
33 Pine Rd Westford MA 01886-1421 |
| Practice Telephone | 9786815258 |
| Practice Fax Number | 9786815387 |
| Mailing Telephone | 9786920994 |
| Mailing Fax Number | 9786815387 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
186429 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS | NP 3248 | 01 |
| Street Address |
101 AMESBURY ST SUITE 202 |
| City | LAWRENCE |
| State | MA |
| Zip Code | 01840-1323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992788558 | Bruce D Kater | Nurse Practitioner | 101 Amesbury St, Suite 204, Lawrence, MA 01840-1323 | 2005-11-28 |
| 1174138200 | Amber Peterson | Physical Medicine & Rehabilitation | 101 Amesbury St, Lawrence, MA 01840-1323 | 2020-09-15 |
| 1376153973 | Haleigh Elizabeth Knowlton | Speech-Language Pathologist | 101 Amesbury St, Lawrence, MA 01840-1323 | 2020-08-07 |
| 1932742657 | Gina Lynne Iozzo | Speech-Language Pathologist | 101 Amesbury St, Lawrence, MA 01840-1323 | 2019-10-25 |
| 1144863572 | Lauren Bernick | Speech-Language Pathologist | 101 Amesbury St, Lawrence, MA 01840-1323 | 2019-10-17 |
| 1033779194 | Samantha Miller | Physical Therapist | 101 Amesbury St, Lawrence, MA 01840-1323 | 2019-06-19 |
| 1013412683 | Lauren Marie Andella | Physical Therapist | 101 Amesbury St, Lawrence, MA 01840-1323 | 2018-03-27 |
| 1518470426 | James Robert Turmel | Speech-Language Pathologist | 101 Amesbury St, Lawrence, MA 01840-1323 | 2017-11-14 |
| 1548610280 | Jessi Steinberg | Speech-Language Pathologist | 101 Amesbury St, Lawrence, MA 01840-1323 | 2016-06-14 |
| 1972965358 | Cara Catherine Murphy | Speech-Language Pathologist | 101 Amesbury St, Suite 300, Lawrence, MA 01840-1323 | 2016-03-24 |
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|---|---|---|---|---|
| 1487293569 | Cure-aid Pharmacy Inc | Pharmacy | Cure-aid Pharmacy, 203 Essex Street, Lawrence, MA 01840 | 2020-01-06 |
| 1053819482 | Allied Pharmacy Inc. | Pharmacy | 10-12 Hampshire Street, Lawrence, MA 01840 | 2018-01-31 |
| 1720598626 | Natalie Perez | Counselor | 15 South Union St, 200, Lawrence, MA 01840 | 2017-10-05 |
| 1932636271 | Iluminada De La Cruz | Counselor | 2 Museum Square Apt 412, Lawrence, MA 01840 | 2017-05-17 |
| 1831642867 | Karina Tremiti | Counselor | 599 Canal St, 5th Fl, Lawrence, MA 01840 | 2016-07-26 |
| 1467733717 | Suzanne Beth Macphail | Counselor | 11 Union Street, Lawrence, MA 01840 | 2011-08-31 |
| 1831416767 | Db Practice Management, Inc | Dentist | 488 Essex St, Lawrence, MA 01840 | 2010-05-03 |
| 1033341169 | Michele Davis | Counselor | 15 Union Street, Second Floor, Lawrence, MA 01840 | 2009-08-24 |
| 1447401856 | Erin Grace Mooney | Social Worker | 439 South Union Street, Suite 207a, Lawrence, MA 01840 | 2008-10-03 |
| 1215127840 | Marcia Elaine Nelson-vancini | Nurse Practitioner | Lahey Health Behavioral Services, Inc., 12 Methuen Street, Lawrence, MA 01840 | 2007-07-30 |
| Find all providers in zip 01840 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811122435 | Karla K Currie | Nurse Practitioner | 2108 W 27th Street, Suite J, Lawrence, KS 66047-4236 | 2009-05-27 |
| 1003801846 | Margaret Ann Daly | Nurse Practitioner | 2415 Massachusetts St, Lawrence, KS 66046-4827 | 2005-09-19 |
| 1518391762 | Holly Ann Dunoon | Nurse Practitioner | 330 Arkansas St, Suite 300, Lawrence, KS 66044-1335 | 2013-08-23 |
| 1194924878 | Jan M Morey | Nurse Practitioner | 330 Arkansas St, Suite 300, Lawrence, KS 66044-1335 | 2007-07-13 |
| 1437259249 | Kathy Guth | Nurse Practitioner | 1200 Schwegler Dr, Lawrence, KS 66045-7559 | 2006-09-22 |
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|---|---|---|---|---|
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| 1144839192 | Lisa Anne Ruffy | Nurse Practitioner | 60 Binney St, Cambridge, MA 02142-1512 | 2020-07-27 |
| 1255949939 | Jazz Lesoleil Hicks | Nurse Practitioner | 16 Forest St, Carver, MA 02330-1115 | 2020-07-17 |
| 1841838935 | Katelyn Tulp Mcnair | Nurse Practitioner | 174 3rd St, Cambridge, MA 02141-2140 | 2019-12-19 |
| 1922642800 | Megan A Lovell | Nurse Practitioner | 200 Commerce Dr # 2, Northbridge, MA 01534-1425 | 2019-11-04 |
| 1003459371 | Elizabeth Connelly Kudzma | Nurse Practitioner | 514 Holly Rd, Marshfield, MA 02050-1775 | 2019-10-19 |
| 1144861303 | Jennifer Abjornson | Nurse Practitioner | 99 Hudson St Apt 3, Boston, MA 02111-1812 | 2019-09-30 |
| 1437706470 | Brittany Griffin | Nurse Practitioner | 123 Camelot Dr Ste 1, Plymouth, MA 02360-3038 | 2019-08-23 |
| 1962069930 | Claudia Anastasia Montesdeoca | Nurse Practitioner | 348 Hyde Park Ave # 3, Roslindale, MA 02131-2116 | 2019-05-24 |
| 1134694565 | Theresa C Murphy | Nurse Practitioner | 100 West St Ste 1, Needham, MA 02494-1319 | 2018-10-12 |
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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.