| Starting Line Wellness, Llc | |
|
50 W Main St Hopkinton MA 01748-1672 | |
| (508) 435-1250 | |
| (508) 435-2213 |
| Full Name | Starting Line Wellness, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 50 W Main St, Hopkinton, Massachusetts |
| Authorized Official Name and Position | Bradford Rolph (MEMBER/MANAGER) |
| Authorized Official Contact | 5084351250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Starting Line Wellness, Llc 50 W Main St Hopkinton MA 01748-1672 Ph: () - | Starting Line Wellness, Llc 50 W Main St Hopkinton MA 01748-1672 Ph: (508) 435-1250 |
| NPI Number | 1003373069 |
|---|---|
| Provider Enumeration Date | 02/26/2019 |
| Last Update Date | 02/26/2019 |
| Medicare PECOS PAC ID | 2961744354 |
|---|---|
| Medicare Enrollment ID | O20190506000806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003373069 | NPI | - | NPPES |
| Provider Name | Robin Bromberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528548609 PECOS PAC ID: 5193614790 Enrollment ID: I20040312000024 |
| Provider Name | Terry A Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174596506 PECOS PAC ID: 9537173638 Enrollment ID: I20060127000416 |
| Provider Name | Marielle Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518215490 PECOS PAC ID: 0840441879 Enrollment ID: I20121121000234 |
| Provider Name | Lauren K Oshea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265859672 PECOS PAC ID: 3274766985 Enrollment ID: I20140505001160 |
| Provider Name | Kristen A Lipresti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629495379 PECOS PAC ID: 6002039237 Enrollment ID: I20141011000010 |
| Provider Name | Gabriel C Belosevic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972861607 PECOS PAC ID: 9436479045 Enrollment ID: I20150522000065 |
| Provider Name | Kristy Poulliot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689183014 PECOS PAC ID: 2466710371 Enrollment ID: I20190603000326 |
| Provider Name | Christiana Dennis-fallah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265073035 PECOS PAC ID: 3971934076 Enrollment ID: I20200505001249 |
| Provider Name | Catherine Cushman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275187825 PECOS PAC ID: 5597196295 Enrollment ID: I20200513001711 |
| Provider Name | Kara Anne Lapierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023509973 PECOS PAC ID: 7719372481 Enrollment ID: I20220315002264 |
| Provider Name | Helen Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417623463 PECOS PAC ID: 9032597687 Enrollment ID: I20220609002610 |
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