LESLIE ANNE BUBLICK (NPI# 1811482391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811482391 |
| Entity Type | Individual |
| Full Name | LESLIE ANNE BUBLICK |
| Credential | NP |
| Practice Address |
978 Worcester St Wellesley MA 02482-3709 |
| Mailing Address |
30 Gardner Rd Apt 4d Brookline MA 02445-4595 |
| Practice Telephone | 7812355200 |
| Mailing Telephone | 7606834125 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F06182444 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
F06182444 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
978 WORCESTER ST |
| City | WELLESLEY |
| State | MA |
| Zip Code | 02482-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477800100 | Carolyn Chandler | Nurse Practitioner | 978 Worcester St, Wellesley, MA 02482-3709 | 2012-08-13 |
| 1457731044 | Wellesley Hyperbarics | Internal Medicine | 978 Worcester St, Suite 2, Wellesley, MA 02482-3709 | 2015-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830454 | Hope F. Schroy | Social Worker | 52 Cottage St, Wellesley, MA 02482 | 2020-10-27 |
| 1417586090 | Caroline Otoole | Pharmacist | 10 Thomas Rd, Wellesley, MA 02482 | 2020-04-06 |
| 1134767312 | Jordan David Moore | Specialist/Technologist | Boston Sports Institute, 900 Worcester St, Wellesley, MA 02482 | 2019-12-18 |
| 1386198422 | Bradford Richard Mattison | Dentist | 1 Hollis St Ste 340, Wellesley, MA 02482 | 2016-08-05 |
| 1245614957 | Alexandra Alexandra Rogers | Nurse Practitioner | 984 Worcester Street, Wellesley, MA 02482 | 2015-07-13 |
| 1467628347 | Marilyn D Feldman | Marriage & Family Therapist | 11 Turner Rd, Wellesley, MA 02482 | 2008-05-01 |
| 1093861668 | Joel Morris Prives | Dentist | 316 Weston Rd, Wellesley, MA 02482 | 2007-01-26 |
| 1679630826 | Richard H Stellar | Psychologist | 486 Washington Street, Wellesley, MA 02482 | 2007-01-03 |
| 1669540407 | Jane K Martin | Acupuncturist | Wellesley Acupuncture Center, 148 Linden Street - #104, Wellesley, MA 02482 | 2006-12-01 |
| 1568574788 | Kathleen Leah Macnaughton Rodrigue | Psychologist | 486 Washington St., Wellesley, MA 02482 | 2006-09-01 |
| Find all providers in zip 02482 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205964665 | Cheryl Soderlund | Nurse Practitioner | 65 Walnut St Ste 360, Wellesley, MA 02481-2111 | 2007-02-28 |
| 1568986339 | Abigail Mae Richman | Nurse Practitioner | 65 Walnut St Ste 500, Wellesley, MA 02481-2112 | 2017-08-02 |
| 1366813263 | Kara Allison Sullivan | Nurse Practitioner | 230 Worcester St, Wellesley, MA 02481-5420 | 2015-10-18 |
| 1871982454 | Lorelei Hipolito Dwyer | Nurse Practitioner | 378 Washington St, Wellesley, MA 02481-6207 | 2015-01-20 |
| 1275886285 | Barbara Ann Stjohn | Nurse Practitioner | 20 William St Ste G15, Wellesley, MA 02481-4102 | 2012-10-16 |
| 1548397268 | Maureen Walsh | Nurse Practitioner | 65 Walnut St, Wellesley, MA 02481-2118 | 2007-02-28 |
| 1053448365 | Colleen Rooney | Nurse Practitioner | 65 Walnut St Ste 440, Wellesley, MA 02481-2196 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082366 | Donna Josephine Remmes | Nurse Practitioner | 313 Franklin St, Wrentham, MA 02093-2405 | 2020-11-01 |
| 1912513714 | James Vincent Fournier | Nurse Practitioner | 50 Memorial Dr Ste 205, Leominster, MA 01453-2238 | 2020-09-17 |
| 1386259109 | Maureen Villars | Nurse Practitioner | 32 Orchard Hill Dr, Rutland, MA 01543-1778 | 2020-09-09 |
| 1639783780 | Patricia Varela | Nurse Practitioner | 48 Percival St, Dorchester, MA 02122-1992 | 2020-09-05 |
| 1578172243 | Felicia Mendonca | Nurse Practitioner | 21 Lands End Way, Swansea, MA 02777-2909 | 2020-07-28 |
| 1831716901 | Joan Tiano | Nurse Practitioner | 595 Pawtucket Blvd Ste 3, Lowell, MA 01854-2042 | 2020-07-06 |
| 1720609829 | Angelique Group | Nurse Practitioner | 4 Upland Woods Cir Unit 402, Norwood, MA 02062-3261 | 2020-04-29 |
| 1093341331 | Frew Fikru | Nurse Practitioner | 529 Washington Ave Apt 2, Revere, MA 02151-1962 | 2020-03-18 |
| 1376189084 | Dorcas Korir | Nurse Practitioner | 248 Pleasant St Unit 204, Methuen, MA 01844-7149 | 2019-11-18 |
| 1376194142 | Nicholas Davenport Biscardi | Nurse Practitioner | 6 Wells St, Gloucester, MA 01930-3423 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
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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.