CHRISTY KELLY CICCARIELLO (NPI# 1700123049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700123049 |
Entity Type | Individual |
Full Name | CHRISTY KELLY CICCARIELLO |
Credential | MS OTR/L |
Practice Address |
4 Samoset Way Mansfield MA 02048 |
Mailing Address |
213 Florence Rd Waltham MA 02453-7600 |
Practice Telephone | 5082088438 |
Mailing Telephone | 6178276291 |
Enumeration Date | 2013-01-07 |
Last Update Date | 2013-01-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 9921 | MA | Allopathic & Osteopathic Physicians |
Street Address |
4 SAMOSET WAY |
City | MANSFIELD |
State | MA |
Zip Code | 02048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386293181 | Taylor Dabney | Specialist/Technologist | 1912 Francis Ave, Station Pointe Apt, Mansfield, MA 02048 | 2019-09-05 |
1720643935 | Emily Cecilia Pavidis | Doula | 1705 West Street, Mansfield, MA 02048 | 2019-05-02 |
1942784244 | Mary Rego Perry | Social Worker | 19 North White Pine Lane, Mansfield, MA 02048 | 2018-09-21 |
1306341078 | Danielle Haradon | Student in an Organized Health Care Education/Training Program | 42 Fieldstone Drve, Mansfield, MA 02048 | 2018-03-26 |
1750882353 | Mansfield Physical Therapy & Wellness LLC | Physical Therapist | 200 Chauncy St Ste 4, Mansfield, MA 02048 | 2018-02-28 |
1548671498 | Angela Silva | Developmental Therapist | 73 Elyse Rd, Mansfield, MA 02048 | 2014-05-14 |
1659620292 | Deirdre J Manning | Physical Therapist | 31 Oxford Road, Mansfield, MA 02048 | 2012-08-29 |
1043514706 | Carpen, Inc. | Health Maintenance Organization | 287 School St., Mansfield, MA 02048 | 2011-01-10 |
1295062545 | Theresa Melchionna Rhein | Social Worker | 450 Chauncy Street, Mansfield, MA 02048 | 2009-11-06 |
1710135033 | Wahid Mistikawi | Dentist | 792 South Main St., Suite 24 Greatwoods Family of Cosmetic Dentistry, Mansfield, MA 02048 | 2008-08-28 |
Find all providers in zip 02048 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891055117 | Rebecca J Nduaguba | Pediatrics | 1029 S Trimble Rd, Mansfield, OH 44906-3427 | 2012-05-21 |
1396952263 | Erin Elizabeth Wallace | Pediatrics | 252 Matlock Rd Ste 330, Mansfield, TX 76063-4294 | 2007-05-17 |
1992917702 | Arlington Physicians, P.a. | Pediatrics | 706 Hunters Row Ct, Mansfield, TX 76063-4001 | 2007-05-04 |
1497892061 | Chandra R. Shaker | Pediatrics | 120 Sturges Ave Ste 1, Mansfield, OH 44903-2399 | 2007-01-31 |
1275689788 | Colleen J Mckinney | Pediatrics | 540 S Trimble Rd, Mansfield, OH 44906-3418 | 2007-01-26 |
1811096696 | Gretchen R Prater | Pediatrics | 2140 Fm 157 North, Mansfield, TX 76063-4847 | 2006-09-21 |
1235245895 | Linda K Phan | Pediatrics | 252 Matlock Rd Ste 300, Mansfield, TX 76063-4294 | 2006-08-23 |
1376550244 | Marcia T Sampson Md Pa | Pediatrics | 2140 Fm 157 N, Mansfield, TX 76031 | 2006-08-02 |
1407821655 | Kerstin Ann Archer | Pediatrics | 2140 Highway 157 N, Mansfield, TX 76063-4847 | 2006-02-21 |
1396715215 | Julie A Tomberlin | Pediatrics | 706 Hunters Court, Mansfield, TX 76063 | 2006-01-24 |
Find all providers in MANSFIELD |
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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.