MISS KERRY LYNN KORBA (NPI# 1851456388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851456388 |
Entity Type | Individual |
Full Name | MISS KERRY LYNN KORBA |
Credential | RN, MSN, CPNP |
Practice Address |
Westborough State Hospital Lyman St. Westborough MA 01581 |
Mailing Address |
55 Lake Ave N Ummhc Dept of Pediatrics C/o Ann Sattler Worcester MA 01655-0002 |
Practice Telephone | 5086162100 |
Mailing Telephone | 6152687938 |
Enumeration Date | 2006-12-26 |
Last Update Date | 2009-11-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
266107 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
WESTBOROUGH STATE HOSPITAL LYMAN ST. |
City | WESTBOROUGH |
State | MA |
Zip Code | 01581 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144235433 | Jacob C Holzer | Psychiatry & Neurology | Westborough State Hospital, 288 Lyman St, Westborough, MA 01581 | 2006-07-29 |
1649458209 | Ewa M. Mamber | Optometrist | Westborough State Hospital, Lyman Street, Westborough, MA 01581-0288 | 2008-02-06 |
1295887693 | Laurie Adelstein | Occupational Therapist | Westborough State Hospital, Lyman Street, Westborough, MA 01581 | 2007-01-17 |
1720138944 | Diane Trikakis | Occupational Therapist | Westborough State Hospital, Lyman Street, Westborough, MA 01582 | 2007-01-11 |
1942367255 | Westborough State Hospital | Long Term Care Hospital | Westborough State Hospital, 288 Lyman Street, Westborough, MA 01606 | 2007-01-03 |
1518022706 | John Weagraff | Psychologist | Westborough State Hospital, Lyman Street, Westborough, MA 01581-0288 | 2006-12-27 |
1245395888 | Terrie Burda | Psychologist | Westborough State Hospital, Lyman Street, Westborough, MA 01581 | 2006-12-26 |
1578628335 | Robert Mulvey | Psychiatry & Neurology | Westborough State Hospital, 288 Lyman Street, Westborough, MA 01581-0288 | 2006-12-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043791957 | Colby Schulz | Occupational Therapist | Kindred Transitional Care - Therapy Department, 8 Colonial Drive, Westborough, MA 01581 | 2018-08-28 |
1134621055 | Rachel Bennet | Counselor | 288 Lyman Street, Allen Hall- Suite 2, Westborough, MA 01581 | 2018-03-07 |
1003318031 | Adrienne Gladding | Social Worker | 288 Lynam St, Suite 2, Westborough, MA 01581 | 2018-03-06 |
1760997670 | Westborough Dental Partners, P.C. | Dentist | 176 E Main St Ste 2, Westborough, MA 01581 | 2017-12-14 |
1578912432 | Daylene Marshall | Counselor | 155a Oak Street, Westborough, MA 01581 | 2016-06-10 |
1366890709 | Autism Resource &therapy Center | Behavioral Analyst | 1900 West Park Dr, Westborough, MA 01581 | 2016-05-26 |
1649699802 | Jean Breen | Counselor | 154 Oak Street, Westboro, MA 01581 | 2014-04-15 |
1760772123 | Ayon Bose | Counselor | 45 Lyman St Ste 11, Westborough, MA 01581 | 2011-04-19 |
1437472917 | Sharon Levesque Courville | Social Worker | 5 East Main St., Ste. 3, Westborough, MA 01581 | 2010-03-11 |
1063645844 | Town of Westborough | Counselor | 45 West Main St, Westborough, MA 01581 | 2009-08-27 |
Find all providers in zip 01581 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609410927 | Maryellen Tetreault | Nurse Practitioner | 288 Lyman St, Westborough, MA 01581-2664 | 2019-10-30 |
1528618089 | Elizabeth Carew | Nurse Practitioner | 288 Lyman St, Westborough, MA 01581-2664 | 2019-09-17 |
1518276575 | Brittney Jayne Van De Water | Nurse Practitioner | 288 Lyman St, Dys Medical, Westborough, MA 01581 | 2010-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528666203 | Eileen Whyte O'holleran | Nurse Practitioner | 12 Autumn Ln, South Hamilton, MA 01982-1400 | 2020-10-14 |
1356948525 | Kaylee Woods | Nurse Practitioner | 85 Seaport Blvd Unit 714, Boston, MA 02210-2157 | 2020-10-01 |
1063026946 | Alexandra Louise Lester | Nurse Practitioner | 7 Doris Cir, Newton, MA 02458-1929 | 2020-09-08 |
1023627833 | Jennifer Suxin Yu | Nurse Practitioner | 63 Cedar St, Malden, MA 02148-3647 | 2020-07-28 |
1417566563 | Julianna Marie Roberts | Nurse Practitioner | 5 Helen Dr, Peabody, MA 01960-1235 | 2020-07-24 |
1144838384 | Amanda Rose Bakos | Nurse Practitioner | 218 Marion St, Boston, MA 02128-1758 | 2020-07-14 |
1710504949 | Angela Vu | Nurse Practitioner | 83 Nightingale Ave # 1l, Quincy, MA 02169-6413 | 2020-07-03 |
1083236749 | Mubina M Rhee | Nurse Practitioner | 170 Brookline Ave Unit 215, Boston, MA 02215-3921 | 2020-05-15 |
1841823911 | Rachel N Mick | Nurse Practitioner | 77 Winsor St Ste 103, Ludlow, MA 01056-3470 | 2020-02-18 |
1326670803 | Ashley Laverdiere | Nurse Practitioner | 1 Ferncroft Rd, Danvers, MA 01923-4017 | 2020-02-12 |
Find all providers with the same taxonomy |
City | WESTBOROUGH |
Zip Code | 01581 |
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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.