MS. CARLA LYNN MONGIACOTTI


Address: 77 Hastrup Road, Spencer, MA 01562
Phone: 7742623513

MS. CARLA LYNN MONGIACOTTI (NPI# 1699890855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699890855
Entity Type Individual
Full Name MS. CARLA LYNN MONGIACOTTI
Credential RN
Practice Address 77 Hastrup Road
Spencer
MA 01562
Mailing Address 425 Oakhill Road
Fitchburg
MA 01420
Practice Telephone 7742623513
Practice Fax Number 5088855048
Mailing Telephone 8574137103
Mailing Fax Number 5088855048
Enumeration Date 2007-03-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0200X Registered Nurse
Specialization: Pediatrics
214054 MA Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA MASS HEALTH 0707341 01

Office Location

Street Address 77 HASTRUP ROAD
City SPENCER
State MA
Zip Code 01562

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912007964 Ronald Lane Maclin Family Medicine 136 Main Street, Spencer, MA 01562 2006-09-22
1790705432 Robert Ernest Maloney Internal Medicine 118 West Main St, Harrington Physician Services, Spencer, MA 01562 2006-07-19
1912105123 Town of Spencer Clinic/Center 157 Main Street, Spencer, MA 01562 2007-07-10
1134347156 Spencer-east Brookfield Reg. School Dist. Local Education Agency (LEA) 306 Main Street, Spencer, MA 01562 2007-04-23
1093854903 Nicole Marie Boucher Counselor 185 Main Street, Suite 22, Spencer, MA 01562 2007-02-06
1275671331 Melissa Jane Ayantota Counselor 185 Main Street, Spencer, MA 01562 2007-02-02
1467512228 Arni Bruno Vito Casareale Counselor 369 Main St, Spencer, MA 01562 2006-12-11
1407956774 Leonard A Simonelli Sr. Optometrist 230 Main St, Spencer, MA 01562 2006-09-25
1699875039 Cvs Pharmacy Inc Pharmacy 131 Main St, Spencer, MA 01562 2006-09-25
1417916875 John C Batbouta Internal Medicine 407 Main St, Spencer, MA 01562 2006-03-22
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Taxonomy Information

Taxonomy Code 163WP0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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1215556618 Karen Anne Mcleavey Registered Nurse 9 Rangeley Rd, Winchester, MA 01890-2610 2020-04-15
1043846736 Olivia Templeton Rabe Registered Nurse 91 Maple Pl, Dedham, MA 02026-1810 2020-03-13
1023643624 Emily Megan Grossman Registered Nurse 72 Congress St, Amesbury, MA 01913-1971 2020-03-04
1487291118 Carisa Elena Clifford Registered Nurse 390 Mohawk Trail, Greenfield, MA 01302 2019-12-02
1518501147 Kerrin Macleod Registered Nurse 36 Saint Paul St, Brookline, MA 02446-6692 2019-11-06
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Competitor

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City SPENCER
Zip Code 01562

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Dataset Information

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.

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