DR. NICOLE TAN KIRCHEN (NPI# 1851507941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851507941 |
| Entity Type | Individual |
| Full Name | DR. NICOLE TAN KIRCHEN |
| Credential | MD |
| Practice Address |
421 N Main St Primary Care (111) Leeds MA 01053-9764 |
| Practice Telephone | 4135844040 |
| Practice Fax Number | 4135823185 |
| Mailing Telephone | 4135844040 |
| Mailing Fax Number | 4135823185 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2017-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 241900 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
421 N MAIN ST PRIMARY CARE (111) |
| City | LEEDS |
| State | MA |
| Zip Code | 01053-9764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922096205 | Alice Mccormick Abbott | Internal Medicine | 421 N Main St, Leeds, MA 01053-9764 | 2005-10-11 |
| 1346850088 | Elisa Roberts | Nurse Practitioner | 421 N Main St, Leeds, MA 01053-9764 | 2020-08-07 |
| 1558906669 | Tatiana K. Lakalo | Social Worker | 421 N Main St, Leeds, MA 01053-9764 | 2019-11-12 |
| 1831743954 | Sabina Camponogara | Psychologist | 421 N Main St, Leeds, MA 01053-9764 | 2019-07-26 |
| 1528627551 | Kimberly Marie Grey | Audiologist | 421 N Main St, Leeds, MA 01053-9764 | 2019-06-12 |
| 1912464694 | Rachael M Wilson | Psychologist | 421 N Main St, Leeds, MA 01053-9764 | 2019-02-28 |
| 1508331554 | Shamus Sullivan | Counselor | 421 N Main St, Leeds, MA 01053-9764 | 2018-10-05 |
| 1962982363 | Shayna Alexis Bronstein | Registered Nurse | 421 N Main St, Leeds, MA 01053-9764 | 2018-08-16 |
| 1114413713 | Matthew J Charette | Social Worker | 421 N Main St, Leeds, MA 01053-9764 | 2018-07-06 |
| 1386130268 | Linda Darlene Hinkle | Social Worker | 421 N Main St, Leeds, MA 01053-9764 | 2018-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790297448 | Theresa Koloski | Nurse Practitioner | 38 Mulberry St # 204, Po Box 313, Leeds, MA 01053 | 2017-11-02 |
| 1881881878 | Geneva R Schmitt | Psychologist | 421 N. Main St. Va Central Western Ma, Leeds, MA 01053 | 2007-10-03 |
| 1457545014 | Angela Marie Park | Pharmacist | 421 N. Main St, Department of Veterans Affairs Medical Center, Leeds, MA 01053 | 2007-08-28 |
| 1720297351 | Amy Rowen | Social Worker | 421 No. Main St, Building 9a, Leeds, MA 01053 | 2007-05-21 |
| 1124125687 | Harry Savas Vulopas | Counselor | 421 North Main, Leeds, MA 01053 | 2006-09-19 |
| 1861506966 | Benjamin F Thompson | Social Worker | 38 Mulberry Street, P.o. Box 479, Leeds, MA 01053 | 2006-08-18 |
| 1003849969 | Ahmad Karagah | Specialist | 421 North Main Street, Northampton Va Medical Center, Leeds, MA 01053 | 2006-07-07 |
| 1043299456 | Steven Gary Kessler | Psychiatry & Neurology | 421 N. Main St., Northampton Va Medical Center, Leeds, MA 01053 | 2006-01-13 |
| 1619500774 | Martila Hooks | Counselor | 401 N Main Street, Leeds, MA 01053 | 2020-02-18 |
| 1215572839 | William Theodore Bryant | Student in an Organized Health Care Education/Training Program | 421 N. Main Street, Leeds, MA 01053 | 2019-11-07 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154618155 | Sara Lindsey Thurgood | Family Medicine | 1115 Payton Way Ste 111, Leeds, AL 35094-1135 | 2011-06-29 |
| 1811038177 | Larry L Catlett | Family Medicine | 306 Campbell Rd, Leeds, ME 04263-3034 | 2007-02-09 |
| 1427012558 | Bhc - Leeds | Family Medicine | 7530 Parkway Dr, Leeds, AL 35094-4808 | 2006-04-14 |
| 1083682082 | Joshua Mintz | Family Medicine | 38 Mulberry St Ste 204, Leeds, MA 01053-5339 | 2006-03-08 |
| 1801875018 | Lydia Thorp | Family Medicine | 180 Church Hill Rd Ste 1, Leeds, ME 04263-3418 | 2006-01-16 |
| 1265419550 | Kurtis W Eaton | Family Medicine | 2050 Village Dr Ste A, Leeds, AL 35094-1107 | 2005-12-28 |
| 1558475608 | Joseph R Germann | Family Medicine | 7530 Parkway Dr, Leeds, AL 35094-4808 | 2006-08-18 |
| 1073627121 | William P Morris | Family Medicine | 7530 Parkway Dr, Leeds, AL 35094-4808 | 2006-08-18 |
| 1831178458 | Shannon M Deschenes | Family Medicine | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 | 2006-01-12 |
| 1154306462 | George F. Fuller | Family Medicine | 421 N Main St, Leeds, MA 01053-9764 | 2005-12-08 |
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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.