CHRISTY KELLY CICCARIELLO


Address: 4 Samoset Way, Mansfield, MA 02048
Phone: 5082088438

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 9921 MA Allopathic & Osteopathic Physicians

Office Location

Street Address 4 SAMOSET WAY
City MANSFIELD
State MA
Zip Code 02048

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City MANSFIELD
Zip Code 02048

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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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