CARISSA GLAVINE (NPI# 1871779587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871779587 |
| Entity Type | Individual |
| Full Name | CARISSA GLAVINE |
| Credential | N.P. |
| Practice Address |
74 Loomis St Bedford MA 01730-2248 |
| Practice Telephone | 7816742900 |
| Mailing Telephone | 7816742900 |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
232662 | MA | Nursing Service Providers |
| Street Address |
74 LOOMIS ST |
| City | BEDFORD |
| State | MA |
| Zip Code | 01730-2248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598755688 | Mitchell J Feldman | Pediatrics | 74 Loomis St, Patriot Pediatrics, Bedford, MA 01730-2248 | 2005-10-28 |
| 1780121293 | Christine Marie Larsen | Registered Nurse | 74 Loomis St, Bedford, MA 01730-2248 | 2017-01-22 |
| 1659557452 | Elaine Rothstein | Registered Nurse | 74 Loomis St, Bedford, MA 01730-2248 | 2008-01-11 |
| 1710194410 | Patriot Pediatrics | Pediatrics | 74 Loomis St, Bedford, MA 01730-2248 | 2007-05-16 |
| 1144326059 | Tara Lee Stevens | Nurse Practitioner | 74 Loomis St, Bedford, MA 01730-2248 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779614 | Access Physical Therapy, LLC | Physical Therapist | 158 Great Rd Unit J, #661, Bedford, MA 01730 | 2019-09-16 |
| 1578113478 | Holly Babineau | Counselor | Building 7, Springs Rd, Bedford, MA 01730 | 2019-09-13 |
| 1205318656 | Ella Bitman | Social Worker | 9 Mudge Way, Bedford, MA 01730 | 2018-09-02 |
| 1578045928 | Abaigeal Doherty | Counselor | 205 Burlington Road, Bedford, MA 01730 | 2018-09-02 |
| 1669950853 | Patriot Urgent Care Professionals, PC | General Practice | 154 Great Road, Bedford, MA 01730 | 2018-07-31 |
| 1609369701 | Katharine Smidt | Psychologist | 61 Springs Rd, Bedford, MA 01730 | 2018-06-13 |
| 1043702053 | Bethel Care International Inc | Home Health Aide | 114 Page Rd, Bedford, MA 01730 | 2018-06-05 |
| 1689187064 | Lori Merlo | Physical Therapist | 6 Paul Revere Road, Bedford, MA 01730 | 2017-11-08 |
| 1093268260 | Patriot Urgent Care Professionals, PC | Clinic/Center | 160 Great Road, Unit 4a, Bedford, MA 01730 | 2016-07-25 |
| 1568839991 | Amy Bonneau | Social Worker | 59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730 | 2015-09-02 |
| Find all providers in zip 01730 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265753644 | Terri Michelle Waddell | Registered Nurse | 302 Center Rd, Bedford, OH 44146-2206 | 2010-06-19 |
| 1780121293 | Christine Marie Larsen | Registered Nurse | 74 Loomis St, Bedford, MA 01730-2248 | 2017-01-22 |
| 1487830295 | Mary Shupe | Registered Nurse | 58 Hawthorne Dr, Bedford, NH 03110-6912 | 2008-01-11 |
| 1659557452 | Elaine Rothstein | Registered Nurse | 74 Loomis St, Bedford, MA 01730-2248 | 2008-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062339 | Shannon Wooster | Registered Nurse | 27 Stonewall Dr, Northampton, MA 01060-1133 | 2020-10-29 |
| 1033727599 | Joanne Ivette Mellen | Registered Nurse | 243 Charles St Fl 10, Boston, MA 02114-3002 | 2020-07-21 |
| 1568089019 | Caitlin M Crawford | Registered Nurse | 370 Chestnut Hill Ave Apt 32, Brighton, MA 02135-7778 | 2020-07-01 |
| 1912524760 | Morgan Brady | Registered Nurse | 26 Michigan Ave, Somerville, MA 02145-2228 | 2020-06-28 |
| 1396364683 | Lynn Doyle | Registered Nurse | 303 Adams St, Milton, MA 02186-4253 | 2020-04-16 |
| 1215556618 | Karen Anne Mcleavey | Registered Nurse | 9 Rangeley Rd, Winchester, MA 01890-2610 | 2020-04-15 |
| 1043846736 | Olivia Templeton Rabe | Registered Nurse | 91 Maple Pl, Dedham, MA 02026-1810 | 2020-03-13 |
| 1023643624 | Emily Megan Grossman | Registered Nurse | 72 Congress St, Amesbury, MA 01913-1971 | 2020-03-04 |
| 1487291118 | Carisa Elena Clifford | Registered Nurse | 390 Mohawk Trail, Greenfield, MA 01302 | 2019-12-02 |
| 1518501147 | Kerrin Macleod | Registered Nurse | 36 Saint Paul St, Brookline, MA 02446-6692 | 2019-11-06 |
| 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.