HEATHER MARIE L WYSTEPEK (NPI# 1821382599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821382599 |
| Entity Type | Individual |
| Full Name | HEATHER MARIE L WYSTEPEK |
| Practice Address |
30 Old Lyman Rd South Hadley MA 01075-2630 |
| Practice Telephone | 4135337140 |
| Mailing Telephone | 4135337140 |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
30 OLD LYMAN RD |
| City | SOUTH HADLEY |
| State | MA |
| Zip Code | 01075-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245308063 | Lauren Chase | Speech-Language Pathologist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2006-12-01 |
| 1851934830 | Erika Lamagdeleine | Occupational Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-10-23 |
| 1891338174 | Samon Davis | Occupational Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-10-19 |
| 1154982692 | Rachel Guerin | Developmental Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-06-25 |
| 1487218178 | Brenda Bernazar | Psychologist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-04-28 |
| 1407318793 | Chantal Jocelyne Boucher | Occupational Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-04-04 |
| 1922567429 | Elizabeth Reardon | Developmental Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-03-14 |
| 1851859409 | Jamie P Fisher-hertz | Developmental Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-03-02 |
| 1215491923 | Cassandra Elisabeth Goncalves | Speech-Language Pathologist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-01-27 |
| 1285120840 | Elizabeth Gale | Occupational Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2018-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093279267 | Sean Gremillion | Physical Therapist | 2122 573 Granby Rd, South Hadley, MA 01075 | 2019-01-22 |
| 1992226914 | Shalimar Rucci | Community Health Worker | 258 Old Lyman Road, South Hadley, MA 01075 | 2017-06-29 |
| 1104288505 | Northeast Behavioral Associates | Home Health | 285 Brainerd Street, South Hadley, MA 01075 | 2016-03-24 |
| 1326464744 | Integrity Women's Health, LLC | Psychologist | 27 College Street, Suite 201, South Hadley, MA 01075 | 2014-03-10 |
| 1801145222 | Health Imperatives, Inc. | Clinic/Center | 87 Canal Street, South Hadley, MA 01075 | 2012-08-30 |
| 1588832927 | Kindreth D Hamilton | Acupuncturist | 27 College St., Suite 201, South Hadley, MA 01075 | 2008-02-20 |
| 1184802217 | Sabrina Herman | Social Worker | 7 Hadley St., South Hadley, MA 01075 | 2008-01-31 |
| 1528251360 | Nenita G Shea | Psychiatry & Neurology | 30 Riverwood, South Hadley, MA 01075 | 2007-08-24 |
| 1760691687 | Monica J Drew | Physical Therapy Assistant | Wingate At South Hadley, 573 Granby Rd, South Hadley, MA 01075 | 2007-05-21 |
| 1053537142 | Simon Taylor | Social Worker | James Levine & Associates, P.C., 9 College Street, Suite 6, South Hadley, MA 01075 | 2007-04-17 |
| Find all providers in zip 01075 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242812 | Sylvia Katharina Glasberg | Specialist/Technologist | 1 Main St Ste 303, Andover, MA 01810-3985 | 2020-03-28 |
| 1285927905 | Sally Ann Salovitz | Specialist/Technologist | 145 Spyglass Hill Dr, Ashland, MA 01721-2323 | 2011-05-27 |
| 1194248393 | Kensington Therapeutic, LLC | Specialist/Technologist | 46 Prescott St, Watertown, MA 02472-1794 | 2017-07-19 |
| 1013315969 | Maureen Sullivan | Specialist/Technologist | 109 Oak St, Newton, MA 02464-1492 | 2014-12-09 |
| 1215333729 | Michelle Johnston | Specialist/Technologist | 209 Root Rd, Westfield, MA 01085-9832 | 2014-11-10 |
| 1053670455 | Debra Sergel | Specialist/Technologist | 221 Boston Post Rd E, Suite 150, Marlborough, MA 01752-3527 | 2012-05-07 |
| 1841458742 | Andrea Meserve | Specialist/Technologist | 5 Colonial Dr, Westborough, MA 01581-1407 | 2008-05-28 |
| 1013195346 | Dorothy J Minear | Specialist/Technologist | 149 Sylvan St, Danvers, MA 01923-3564 | 2008-02-08 |
| 1912180928 | Leslie A Siciliano | Specialist/Technologist | 32 Osgood St, Andover, MA 01810-5411 | 2007-12-12 |
| 1801078175 | Maureen Frances Mcgough | Specialist/Technologist | 1269 Main St, Concord, MA 01742-3099 | 2007-11-28 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HADLEY |
| Zip Code | 01075 |
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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.