MRS. AMANDA JANE-BEAN CLANCEY (NPI# 1972938983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972938983 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA JANE-BEAN CLANCEY |
| Credential | NP |
| Practice Address |
416 Belmont St Worcester MA 01604-1086 |
| Practice Telephone | 5087566609 |
| Mailing Telephone | 5087566609 |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2016-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN2270040 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
416 BELMONT ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01604-1086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639231426 | Addie Lawrence | Nurse Practitioner | 416 Belmont St, Worcester, MA 01604-1086 | 2006-12-15 |
| 1003469230 | Kristen M Derosa | Nurse Practitioner | 416 Belmont St, Worcester, MA 01604-1086 | 2019-07-17 |
| 1548742364 | Florence Mumbi Gichuhi | Nurse Practitioner | 416 Belmont St, Worcester, MA 01604-1086 | 2018-08-29 |
| 1427576453 | Amanda Murray | Nurse Practitioner | 416 Belmont St, Worcester, MA 01604-1086 | 2017-08-30 |
| 1649641689 | Kathleen Marie Spadoni | Nurse Practitioner | 416 Belmont St, Worcester Internal Medicine, Worcester, MA 01604-1086 | 2015-10-16 |
| 1578956595 | Worcester Internal Medicine | Nurse Practitioner | 416 Belmont St, Worcester, MA 01604-1086 | 2015-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
| 1285123034 | Sandra Jean Golden | Social Worker | 240 Belmont Street, Worcester, MA 01604 | 2018-05-08 |
| 1669961348 | Cindy Truong Choe | Behavior Technician | 330 Southwest Cutoff Suite 203, Worcester, MA 01604 | 2018-05-08 |
| 1013412915 | Michelle Marie Gaudet | Behavioral Analyst | 330 Southwest Cutoff, Suite 203, Worcester, MA 01604 | 2018-03-24 |
| 1104336593 | Younghwa Kim | Counselor | 2 Granite Street, Worcester, MA 01604 | 2017-10-11 |
| 1134640857 | Desiree Oquendo | Developmental Therapist | 43 Dillon Street, Worcester, MA 01604 | 2017-07-03 |
| 1457803686 | Reliable Home Care Services | Foster Care Agency | 35a Houghton Strret, Worcester, MA 01604 | 2016-11-04 |
| 1639530876 | Emily Capstick | Counselor | 81 Plantation Steet, Worcester, MA 01604 | 2016-03-16 |
| 1144696519 | Christian Caban I | Developmental Therapist | 25 Orient St, Worcester, MA 01604 | 2015-08-19 |
| 1750770160 | Ayanna Ortiz | Developmental Therapist | 16 Bangor St, Worcester, MA 01604 | 2015-01-22 |
| Find all providers in zip 01604 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548742364 | Florence Mumbi Gichuhi | Nurse Practitioner | 416 Belmont St, Worcester, MA 01604-1086 | 2018-08-29 |
| 1043694862 | Elizabeth Tomkinson | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2473 | 2015-07-10 |
| 1578956595 | Worcester Internal Medicine | Nurse Practitioner | 416 Belmont St, Worcester, MA 01604-1086 | 2015-03-16 |
| 1518393065 | Sara Jane Brzykcy | Nurse Practitioner | 189 May St, Worcester, MA 01602-4339 | 2013-09-16 |
| 1366778953 | Benjamin Scott Alfred | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2473 | 2009-11-02 |
| 1952367112 | Donna Marie Scavone | Nurse Practitioner | 605 Lincoln St, Worcester, MA 01605 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082366 | Donna Josephine Remmes | Nurse Practitioner | 313 Franklin St, Wrentham, MA 02093-2405 | 2020-11-01 |
| 1912513714 | James Vincent Fournier | Nurse Practitioner | 50 Memorial Dr Ste 205, Leominster, MA 01453-2238 | 2020-09-17 |
| 1386259109 | Maureen Villars | Nurse Practitioner | 32 Orchard Hill Dr, Rutland, MA 01543-1778 | 2020-09-09 |
| 1639783780 | Patricia Varela | Nurse Practitioner | 48 Percival St, Dorchester, MA 02122-1992 | 2020-09-05 |
| 1578172243 | Felicia Mendonca | Nurse Practitioner | 21 Lands End Way, Swansea, MA 02777-2909 | 2020-07-28 |
| 1831716901 | Joan Tiano | Nurse Practitioner | 595 Pawtucket Blvd Ste 3, Lowell, MA 01854-2042 | 2020-07-06 |
| 1720609829 | Angelique Group | Nurse Practitioner | 4 Upland Woods Cir Unit 402, Norwood, MA 02062-3261 | 2020-04-29 |
| 1093341331 | Frew Fikru | Nurse Practitioner | 529 Washington Ave Apt 2, Revere, MA 02151-1962 | 2020-03-18 |
| 1376189084 | Dorcas Korir | Nurse Practitioner | 248 Pleasant St Unit 204, Methuen, MA 01844-7149 | 2019-11-18 |
| 1376194142 | Nicholas Davenport Biscardi | Nurse Practitioner | 6 Wells St, Gloucester, MA 01930-3423 | 2019-09-24 |
| 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.