MISS LARA BASTAJIAN (NPI# 1922443746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922443746 |
| Entity Type | Individual |
| Full Name | MISS LARA BASTAJIAN |
| Credential | NP |
| Practice Address |
344 Great Rd Acton MA 01720-4004 |
| Mailing Address |
1 Carl Forester Lane Woburn MA 01801-2142 |
| Practice Telephone | 9782649130 |
| Mailing Telephone | 6179303992 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2015-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2270224 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
344 GREAT RD |
| City | ACTON |
| State | MA |
| Zip Code | 01720-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255430617 | Cvs Pharmacy Inc | Pharmacy | 344 Great Rd, Acton, MA 01720-4004 | 2006-09-22 |
| 1861845521 | Melissa Marie Esau | Nurse Practitioner | 344 Great Rd, Acton, MA 01720 | 2016-07-18 |
| 1699159848 | Scotlyn Yeates | Nurse Practitioner | 344 Great Rd, Acton, MA 01720-4004 | 2015-07-17 |
| 1306270707 | Maren Hennigan Janson | Nurse Practitioner | 344 Great Rd, Acton, MA 01720-4004 | 2013-08-21 |
| 1407289895 | Elisha Jill Hisoler | Nurse Practitioner | 344 Great Rd, Acton, MA 01720-4004 | 2013-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346872322 | Gianpiero De Mari | Behavior Technician | 8 Post Office Square Suite 204, Acton, MA 01720 | 2020-02-07 |
| 1871134890 | Rachel Vinicor | Social Worker | 171 Pope Rd., Acton, MA 01720 | 2019-10-01 |
| 1295387991 | Manman Zhang | Nurse Practitioner | Apt B9, 9 Davis Road, Acton, MA 01720 | 2019-07-12 |
| 1215595608 | Karen Weeks | Clinical Medical Laboratory | 526 Main St, One Acton Pl, Suite 102, Acton, MA 01720 | 2019-05-31 |
| 1689165151 | Richard J. Cowen | Psychologist | 16 Charter Road, Acton, MA 01720 | 2018-05-21 |
| 1265929798 | Angela Madge | Psychologist | 525 Massachusetts Ave Ste 101g, Acton, MA 01720 | 2018-04-19 |
| 1811404544 | B-xi Operations Holding Company LLC | Assisted Living Facility | Benchmark At Robbins Brook, 10 Devon Drive, Acton, MA 01720 | 2018-01-03 |
| 1396265211 | Kristen Devenezia | Counselor | 360 Massachusetts Avenue, Suite 201, Acton, MA 01720 | 2017-06-21 |
| 1760886592 | Waybond Pllc | Clinic/Center | 31 Powder Mill Rd, Acton, MA 01720 | 2014-10-22 |
| 1760802797 | Kimberly Greene Murachver | Dietitian, Registered | 525 Massachusetts Ave Ste 101c, Acton, MA 01720 | 2014-04-17 |
| Find all providers in zip 01720 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638507 | Jill D Salamon | Nurse Practitioner | 312 Nagog Hill Rd, Acton, MA 01720-3234 | 2020-07-31 |
| 1295387991 | Manman Zhang | Nurse Practitioner | Apt B9, 9 Davis Road, Acton, MA 01720 | 2019-07-12 |
| 1194118836 | Debbie Welch | Nurse Practitioner | 2310 West Ave Y8, Acton, CA 93510 | 2015-03-05 |
| 1861845521 | Melissa Marie Esau | Nurse Practitioner | 344 Great Rd, Acton, MA 01720 | 2016-07-18 |
| 1699159848 | Scotlyn Yeates | Nurse Practitioner | 344 Great Rd, Acton, MA 01720-4004 | 2015-07-17 |
| 1306270707 | Maren Hennigan Janson | Nurse Practitioner | 344 Great Rd, Acton, MA 01720-4004 | 2013-08-21 |
| 1407289895 | Elisha Jill Hisoler | Nurse Practitioner | 344 Great Rd, Acton, MA 01720-4004 | 2013-08-20 |
| 1063766970 | Kristy P Smith | Nurse Practitioner | 321 Main St, Acton, MA 01720-3718 | 2012-10-30 |
| 1023367356 | Nadia Tikhomirova | Nurse Practitioner | 321 Main St, Acton, MA 01720-3799 | 2012-08-31 |
| 1578520623 | Alexandra Weld | Nurse Practitioner | 321 Main St, Acton, MA 01720-3718 | 2006-05-01 |
| Find all providers in ACTON | ||||
Please comment or provide details below to improve the information on MISS LARA BASTAJIAN.
| 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.