PAMELA D. KUTZER (NPI# 1801860895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801860895 |
| Entity Type | Individual |
| Full Name | PAMELA D. KUTZER |
| Credential | NP |
| Practice Address |
100 South St Southbridge MA 01550-4051 |
| Practice Telephone | 5087659771 |
| Practice Fax Number | 5087642448 |
| Mailing Telephone | 5087659771 |
| Mailing Fax Number | 5087642448 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2015-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN223639 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN223639 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0706728 | 05 |
| Street Address |
100 SOUTH ST |
| City | SOUTHBRIDGE |
| State | MA |
| Zip Code | 01550-4051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720089063 | John Michael Tumolo | Internal Medicine | 100 South St, Suite 104, Southbridge, MA 01550-4051 | 2005-08-09 |
| 1093316473 | Julianne Brechtl | Counselor | 100 South St, Southbridge, MA 01550-4051 | 2020-11-03 |
| 1164029971 | Teesha Marie Carrasquillo | Social Worker | 100 South St, Southbridge, MA 01550-4051 | 2020-10-05 |
| 1851927347 | Brittany Moreau | Dietitian, Registered | 100 South St, Southbridge, MA 01550-4051 | 2020-03-17 |
| 1548892326 | Kally Ann Petka | Nurse Practitioner | 100 South St, Southbridge, MA 01550-4051 | 2020-02-10 |
| 1497309694 | Laurette E Mcdonald | Registered Nurse | 100 South St, Southbridge, MA 01550-4051 | 2019-07-26 |
| 1033775697 | Cydney Weiner | Physician Assistant | 100 South St, Southbridge, MA 01550-4051 | 2019-05-18 |
| 1245896281 | Heather Lynn Bingham | Counselor | 100 South St, Southbridge, MA 01550-4051 | 2019-05-15 |
| 1982165056 | Imaging Consultants Inc | Clinic/Center | 100 South St, Southbridge, MA 01550-4051 | 2019-03-29 |
| 1609345099 | Alyssa Rose Mitchell | Physician Assistant | 100 South St, Southbridge, MA 01550-4051 | 2018-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726765 | Nathanael Lopez | Counselor | 328 Main St Apt #1, Southbridge, MA 01550 | 2020-09-27 |
| 1356969497 | Sarah Anne Mcnulty | Registered Nurse | Harrington Hospital, 100 South Street, Southbridge, MA 01550 | 2020-07-06 |
| 1699316406 | Adrienne Ellen Soucy | Developmental Therapist | Kennedy Donovan Center, 486 Worcester St., Southbridge, MA 01550 | 2019-10-02 |
| 1184101610 | Charles D Fraser | Nurse Practitioner | 657 Worcester St Apt 204, Southbridge, MA 01550 | 2018-07-26 |
| 1689160954 | Christine Ann Surrette | Nurse Practitioner | 11 Sandersdale Rd, Southbridge, MA 01550 | 2018-07-10 |
| 1528560075 | Danielle Torre Aspinwall | Physician Assistant | 100 South Street Suite 208, Southbridge, MA 01550 | 2018-03-01 |
| 1215455829 | New Beginnings of Southbridge | Marriage & Family Therapist | 146 Ashland Ave Suite B, Southbridge, MA 01550 | 2017-09-03 |
| 1902323835 | Shannon Paisley | Counselor | 328 Main St. #1, Southbridge, NY 01550 | 2017-08-22 |
| 1811300023 | Mary Dayotas | Counselor | 176 Main St., Southbridge, MA 01550 | 2014-06-05 |
| 1962752121 | You Inc | Community/Behavioral Health | 238 Main Street, Southbridge, MA 01550 | 2012-09-14 |
| Find all providers in zip 01550 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244770 | Paul Thomas Bruemmer | Nurse Practitioner | 23 Captain Curtis Way, Orleans, MA 02653-2601 | 2020-10-27 |
| 1962001693 | Joseph Prendergast | Nurse Practitioner | 5 Jasmine Rd, Oxford, MA 01540-3304 | 2020-10-23 |
| 1669071601 | Katherine Parrott | Nurse Practitioner | 95 Prince St Apt 8, Boston, MA 02113-1738 | 2020-10-21 |
| 1154928687 | Mary A Hodgerney | Nurse Practitioner | 3 Johnny Cake Rd, Centerville, MA 02632-2446 | 2020-10-07 |
| 1083221659 | Alexis Casimir | Nurse Practitioner | 495 Varnum Ave, Lowell, MA 01854-2123 | 2020-09-28 |
| 1760009476 | Rohit Prakash Shah | Nurse Practitioner | 1884 River St, Hyde Park, MA 02136-1419 | 2020-06-29 |
| 1790307825 | Erin Anne Hennigan | Nurse Practitioner | 54 Payson St, Attleboro, MA 02703-1612 | 2020-05-12 |
| 1639712060 | Elizabeth Gina Hayden | Nurse Practitioner | 330 Brookline Ave # Baker304, Boston, MA 02215-5400 | 2019-10-17 |
| 1477107910 | Deanna Louise Benjamin | Nurse Practitioner | Harvard Rd, Shirley, MA 01464 | 2019-08-01 |
| 1295397545 | Sandy Love Hunt | Nurse Practitioner | 994 Middle St, Weymouth, MA 02188-3957 | 2019-07-07 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHBRIDGE |
| Zip Code | 01550 |
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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.