HEATHER SLACK (NPI# 1801270236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801270236 |
| Entity Type | Individual |
| Full Name | HEATHER SLACK |
| Practice Address |
873 Turnpike St North Andover MA 01845-6152 |
| Practice Telephone | 9786888004 |
| Practice Fax Number | 9786868554 |
| Mailing Telephone | 9786888004 |
| Mailing Fax Number | 9786868554 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2019-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN2292267 | MA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2292267 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
873 TURNPIKE ST |
| City | NORTH ANDOVER |
| State | MA |
| Zip Code | 01845-6152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093782286 | Daniel F Callahan Jr. | Podiatrist | 873 Turnpike St, North Andover, MA 01845 | 2006-03-07 |
| 1851748404 | Lisa Dorval | Social Worker | 873 Turnpike St, Somers Trust Psychological, North Andover, MA 01845-6152 | 2016-05-24 |
| 1669677050 | Julie Heim Jackson | Psychologist | 873 Turnpike St, North Andover, MA 01845-6152 | 2007-06-18 |
| 1427186691 | Lise Inger Knakkergaard | Social Worker | 873 Turnpike St, North Andover, MA 01845-6152 | 2007-03-01 |
| 1053461426 | Laura Craig-bray | Psychologist | 873 Turnpike St, North Andover, MA 01845-6152 | 2007-01-10 |
| 1912001066 | Rebecca A Mallen | Social Worker | 873 Turnpike St, North Andover, MA 01845-6152 | 2006-09-11 |
| 1447360011 | Seth David Kleinman | Social Worker | 873 Turnpike St, North Andover, MA 01845-6152 | 2006-08-30 |
| 1366476335 | Heidi Laura Kelleher | Nurse Practitioner | 873 Turnpike St, North Andover, MA 01845-6152 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780222091 | Bh Brightview North Andover Opco, LLC | Alzheimer Center (Dementia Center) | 1275 Turnpike Street, North Andover, MA 01845 | 2019-12-17 |
| 1770132052 | Nancy Boshar | Social Worker | 109 Saw Mill Road, North Andover, MA 01845 | 2019-09-09 |
| 1497307854 | Maria Nappa | Nurse Practitioner | 47 High Street, Suite 101, North Andover, MA 01845 | 2019-07-15 |
| 1235794041 | North Andover Women's Care Pllc | Obstetrics & Gynecology | 100 Andover Bypass, Suite 300, North Andover, MA 01845 | 2019-05-07 |
| 1891278040 | Kristen Dee | Counselor | 6 Garnet Circle, North Andover, MA 01845 | 2018-09-13 |
| 1154809770 | Oped Medical, Inc. | Durable Medical Equipment & Medical Supplies | 37 Flagship Drive, North Andover, MA 01845 | 2018-08-06 |
| 1902382658 | Barry Myers | Physical Therapist | 231 Sutton Street, Suite 1c, North Andover, MA 01845 | 2018-07-16 |
| 1174042337 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | Lahey Health Primary Care, North Andover, 170 Pleasant St., N. Andover, MA 01845 | 2017-09-19 |
| 1174041792 | Eric Tweedie | Specialist/Technologist | 72 Fernview Ave Apt 2, North Andover, MA 01845 | 2017-09-04 |
| 1043734379 | Hiron Health | Internal Medicine | 820a Turnpike Street, North Andover, MA 01845 | 2017-07-28 |
| Find all providers in zip 01845 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1487270112 | Chandler Knight | Nurse Practitioner | 36 Mill Pond, North Andover, MA 01845-2903 | 2020-06-18 |
| 1366476335 | Heidi Laura Kelleher | Nurse Practitioner | 873 Turnpike St, North Andover, MA 01845-6152 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639552 | Kelly Ann Hancock | Nurse Practitioner | 6 Margot Ln, East Bridgewater, MA 02333-1689 | 2020-11-03 |
| 1366042715 | Jacqueline Ann Owens | Nurse Practitioner | 32 Hammond Ave, Cohasset, MA 02025-1928 | 2020-10-27 |
| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
| 1376153494 | Melissa Broughton | Nurse Practitioner | 110 Salem St Apt 4, Boston, MA 02113-1763 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | NORTH ANDOVER |
| Zip Code | 01845 |
Please comment or provide details below to improve the information on HEATHER SLACK.
| 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.