KELLY RACICOT (NPI# 1811434855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811434855 |
| Entity Type | Individual |
| Full Name | KELLY RACICOT |
| Practice Address |
800 Cummings Ctr Ste 364u Beverly MA 01915-6174 |
| Mailing Address |
6e Summer St Manchester MA 01944-1579 |
| Practice Telephone | 7742780920 |
| Mailing Telephone | 7742780919 |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2017-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | MA | Student, Health Care |
| Street Address |
800 CUMMINGS CTR STE 364U |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915-6174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134386139 | Bradley T Eardley | Marriage & Family Therapist | 800 Cummings Ctr Ste 364u, Beverly, MA 01915-6174 | 2008-05-19 |
| 1467007948 | Emily Chanda Grabauskas | Counselor | 800 Cummings Ctr Ste 364u, Beverly, MA 01915 | 2019-08-02 |
| 1972157972 | Donna Caroline Diaz | Counselor | 800 Cummings Ctr Ste 364u, Beverly, MA 01915-6174 | 2019-07-29 |
| 1932768843 | Mackenzie May Ganier | Counselor | 800 Cummings Ctr Ste 364u, Beverly, MA 01915-6174 | 2019-06-13 |
| 1760048862 | Flava Galbreath | Social Worker | 800 Cummings Ctr Ste 364u, Beverly, MA 01915-6174 | 2019-05-14 |
| 1174081012 | Tam Sinh | Social Worker | 800 Cummings Ctr Ste 364u, Beverly, MA 01915-6174 | 2019-03-11 |
| 1174095780 | Janine Marie Perry | Counselor | 800 Cummings Ctr Ste 364u, Beverly, MA 01915-6174 | 2018-12-20 |
| 1659856581 | Rhyanna J Anderson | Counselor | 800 Cummings Ctr Ste 364u, Beverly, MA 01915-6174 | 2018-09-26 |
| 1629552807 | Deanna Jc O'keefe | Social Worker | 800 Cummings Ctr Ste 364u, Beverly, MA 01915-6174 | 2018-09-24 |
| 1982188447 | Stephanie Lopez | Social Worker | 800 Cummings Ctr Ste 364u, Beverly, MA 01915-6174 | 2018-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821611807 | Adi Davidyan | Student in an Organized Health Care Education/Training Program | 2 Elm Top Ln, Beverly, MA 01915-4665 | 2020-05-25 |
| 1467803650 | Kali Cook | Student in an Organized Health Care Education/Training Program | 9 Gregg St, Beverly, MA 01915-2913 | 2016-06-29 |
| 1487269247 | Ashley Singh | Student in an Organized Health Care Education/Training Program | 100 Cummings Ctr Ste 307e, Beverly, MA 01915-6107 | 2020-09-09 |
| 1942811807 | Lindsay Duva | Student in an Organized Health Care Education/Training Program | 100 Cummings Ctr Ste 307e, Beverly, MA 01915-6107 | 2020-08-13 |
| 1710597018 | Marysa Clark | Student in an Organized Health Care Education/Training Program | 100 Cummings Ctr Ste 307e, Beverly, MA 01915-6107 | 2020-08-03 |
| 1942761663 | Alexa Myta | Student in an Organized Health Care Education/Training Program | 900 Cummings Ctr Ste 324-s, Beverly, MA 01915-6198 | 2019-03-26 |
| 1588128318 | Cynthia Fichera | Student in an Organized Health Care Education/Training Program | 376 Hale St, Beverly, MA 01915-2096 | 2019-01-25 |
| 1205220753 | Nicole Marie Cronin | Student in an Organized Health Care Education/Training Program | 2 Longwood Ave, Beverly, MA 01915-1040 | 2015-03-23 |
| 1790120756 | Kimberly Ann Phillips | Student in an Organized Health Care Education/Training Program | 800 Cummings Ctr Ste 266t, Beverly, MA 01915-6172 | 2013-05-05 |
| 1871847632 | Aleasa Marie Defilippo | Student in an Organized Health Care Education/Training Program | 900 Cummings Ctr, Beverly, MA 01915-6198 | 2012-11-01 |
| Find all providers in BEVERLY | ||||
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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.