MS. TAMARA LEE CONNELLY APRN NPI 1790035012

NPI Information

NPI: 1790035012
Provider Name: MS. TAMARA LEE CONNELLY, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: HEALTHDRIVE BEHAVIORAL HEALTH SERVICES, PLLC

PECOS Registration: Yes

Address:
98 SHAKER RD
EAST LONGMEADOW, MA
ZIP 01028
Phone: (413) 525-3958
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MS. Tamara Lee Connelly, APRN is a family nurse practitioner in East Longmeadow, MA with 12 years of experience. MS. Tamara Lee Connelly, APRN NPI is 1790035012. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

98 SHAKER RD
EAST LONGMEADOW, MA
ZIP 01028-731
Phone: (413) 525-3958
Fax: (413) 525-3943

The NPI 1790035012 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/13/2012 and was last updated on 2/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN2285565	MASSACHUSETTS	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5106	CONNECTICUT	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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