MRS. MIKAILA ANN TURNER CLARKE (NPI# 1740336882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740336882 |
| Entity Type | Individual |
| Full Name | MRS. MIKAILA ANN TURNER CLARKE |
| Credential | NP |
| Practice Address |
326 Nichols Road Fitchburg MA 01420 |
| Practice Telephone | 8788788100 |
| Practice Fax Number | 9788788537 |
| Mailing Telephone | 9788788516 |
| Mailing Fax Number | 9788788537 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2015-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
5553 | MA | Behavioral Health & Social Service Providers |
| N | 163W00000X | Registered Nurse | RN2275336 | MA | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN2275336 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | GROUP MEDICAID NUMBER | 1301071 | 01 |
| MA | 1302604 | 05 |
| Street Address |
326 NICHOLS ROAD |
| City | FITCHBURG |
| State | MA |
| Zip Code | 01420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447218474 | Kathleen A. Sweeney | Family Medicine | 326 Nichols Road, Fitchburg, MA 01420 | 2006-05-01 |
| 1043615321 | Chithu Abraham | Dentist | 326 Nichols Road, Fitchburg, MA 01420 | 2014-10-29 |
| 1316239239 | Carol Lemay Mccarter | Social Worker | 326 Nichols Road, Fitchburg, MA 01420 | 2011-05-11 |
| 1689975484 | Kathryn Elizabeth Bettencourt | Psychologist | 326 Nichols Road, Fitchburg, MA 01420 | 2010-11-10 |
| 1891011318 | Wade A. Munroe | Psychologist | 326 Nichols Road, Fitchburg, MA 01420 | 2010-04-08 |
| 1487981684 | Sarita M. Fage | Physician Assistant | 326 Nichols Road, Fitchburg, MA 01420 | 2009-11-09 |
| 1922230366 | Tina Gupta | Dentist | 326 Nichols Road, Fitchburg, MA 01420-1914 | 2009-08-19 |
| 1780820829 | Rafael A Yanez | Dentist | 326 Nichols Road, Fitchburg, MA 01420 | 2008-12-19 |
| 1215173356 | Andreza Rosetti Castro | Dentist | 326 Nichols Road, Fitchburg, MA 01420 | 2008-12-19 |
| 1831345990 | Gleidistoney Jose Deoliveira | Registered Nurse | 326 Nichols Road, Fitchburg, MA 01420 | 2008-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039121 | Maria A Neizvestnaya | Student in an Organized Health Care Education/Training Program | Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 | 2020-07-06 |
| 1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
| 1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
| 1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
| 1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
| 1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
| 1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
| 1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
| Find all providers in zip 01420 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508136946 | Lijy Mathew | Nurse Practitioner | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2012-01-03 |
| 1265766570 | Elizabeth Conwell | Nurse Practitioner | 5395 E Cheryl Pkwy, Fitchburg, WI 53711-5395 | 2009-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576121 | Alexander I Hoffman | Nurse Practitioner | 54 Southbourne Rd, Jamaica Plain, MA 02130-4633 | 2020-10-26 |
| 1104423482 | Paola Buchanan | Nurse Practitioner | 351 Engamore Ln Apt T3, Norwood, MA 02062-2505 | 2020-10-08 |
| 1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
| 1902411341 | Anne Marie Marie Dicredico | Nurse Practitioner | 916 Sherwood Forest Ln Unit 916, Saugus, MA 01906-1973 | 2020-09-12 |
| 1407460322 | Devi Sivanandan | Nurse Practitioner | 18 Dale St Unit 5c, Andover, MA 01810-5663 | 2020-09-08 |
| 1447863600 | Diana Stephanie Freiberger | Nurse Practitioner | 965 West St, Walpole, MA 02081-1200 | 2020-08-27 |
| 1063023216 | Christine Cibotti | Nurse Practitioner | 8 Forty Acres Dr, Wayland, MA 01778-2702 | 2020-08-12 |
| 1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
| 1295344547 | Janelle Sherry Romain | Nurse Practitioner | 91 Codman Hill Ave, Dorchester, MA 02124-4636 | 2020-07-23 |
| 1245848852 | Patrice Nicholas | Nurse Practitioner | 14 Shipway Pl, Charlestown, MA 02129-4301 | 2020-07-20 |
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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.