LISA J PUGH (NPI# 1821055773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821055773 |
| Entity Type | Individual |
| Full Name | LISA J PUGH |
| Credential | NP |
| Practice Address |
2 Essex Center Dr Peabody MA 01960-2902 |
| Mailing Address |
147 Milk St Provider Enrollment - 9th Floor Boston MA 02109-4806 |
| Practice Telephone | 9789774000 |
| Mailing Telephone | 6175598374 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2014-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 197514 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
197514 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
197514 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
197514 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0374971 | 05 | |
| MA | HARVARD PILGRIM | 39158 | 01 |
| MA | BLUE CROSS | NP3032 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689076150 | Lisa Pugh | Counselor | 602 Radford St, Christiansburg, VA 24073-3303 | 2014-09-16 |
| 1588843627 | Lisa Diana Pugh | Licensed Practical Nurse | 110 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1604 | 2007-10-25 |
| 1770861510 | Lisa Gilliam Pugh | Midwife | 90 E 200 S, Pleasant Grove, UT 84062-2602 | 2011-07-27 |
| Street Address |
2 ESSEX CENTER DR |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596054 | Barbara E. Dinenno | Physical Therapist | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2005-08-24 |
| 1013515048 | Meaghan Clarke | Physical Therapist | 2 Essex Center Dr, Peabody, MA 01960-2926 | 2020-10-12 |
| 1902385008 | Darina Carcerano | Nurse Practitioner | 2 Essex Center Dr, Peabody, MA 01960 | 2018-08-09 |
| 1457859969 | Michelle Kristen Ambler | Social Worker | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2018-01-30 |
| 1679023873 | Barry C Jones | Pharmacist | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2016-10-11 |
| 1740637669 | Julianne Sullivan | Nurse Practitioner | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2016-05-20 |
| 1194194951 | Tena Maria Rallis | Dermatology | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2015-09-22 |
| 1790102291 | Timothy Karthas | Podiatrist | 2 Essex Center Dr, Peabody, MA 01960-2926 | 2014-03-21 |
| 1265778294 | Svetlana M Moheydeen | Special Hospital | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2012-12-19 |
| 1295093045 | Andrea R Morris | Optometrist | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2012-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1558673616 | Mercy M Bashir | Nurse Practitioner | 3 Magnolia Way, #3312, Peabody, MA 01960-3871 | 2010-07-06 |
| 1740637669 | Julianne Sullivan | Nurse Practitioner | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2016-05-20 |
| 1427419381 | Oleksandr Barchuk | Nurse Practitioner | 240 Lynnfield St, Peabody, MA 01960-5055 | 2016-03-18 |
| 1083022271 | Catherine Crofoot | Nurse Practitioner | 172 Newbury St, Peabody, MA 01960-2405 | 2014-07-31 |
| 1497174361 | Nightingale Nursing Solutions, LLC. | Nurse Practitioner | 300 Andover St, Suite 243, Peabody, MA 01960-1526 | 2014-04-08 |
| 1053541003 | Melissa Emily Cyr | Nurse Practitioner | 27 Centennial Dr, Peabody, MA 01960-7901 | 2009-07-23 |
| 1376707299 | Natalie L Getty | Nurse Practitioner | 6 Essex Center Dr, Suite 307, Peabody, MA 01960-2910 | 2008-07-10 |
| 1376721464 | Lucette Michelle Parrillo Robinson | Nurse Practitioner | 17 Centennial Dr, Peabody, MA 01960-7923 | 2008-01-31 |
| 1689724718 | Fredrica Ann Preston | Nurse Practitioner | 17 Centennial Dr, Peabody, MA 01960-7923 | 2007-01-11 |
| Find all providers in PEABODY | ||||
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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.