Basic Information
Provider Information | |||||||||
NPI: | 1649221276 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | VIELE | ||||||||
FirstName: | CLAUDIA | ||||||||
MiddleName: | R | ||||||||
NamePrefix: | MS. | ||||||||
NameSuffix: |   | ||||||||
Credential: | N.P. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | PO BOX 8019 | ||||||||
Address2: |   | ||||||||
City: | SPRINGFIELD | ||||||||
State: | MA | ||||||||
PostalCode: | 011028000 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8004314077 | ||||||||
FaxNumber: | 4137747448 | ||||||||
Practice Location | |||||||||
Address1: | 179 NORTHAMPTON ST STE H | ||||||||
Address2: | EASTHAMPTON HEALTH CENTER | ||||||||
City: | EASTHAMPTON | ||||||||
State: | MA | ||||||||
PostalCode: | 010271057 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4135299300 | ||||||||
FaxNumber: | 4135279793 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 05/16/2006 | ||||||||
LastUpdateDate: | 06/18/2008 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 157502 | MA | Y |   | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
ID | Type | State | Issuer | Description | 123466 | 01 | MA | FALLON COMMUNITY HEALTH PLAN | OTHER | 157502 | 01 | MA | CONNECTICARE, INC. | OTHER | NP2074 | 01 | MA | BLUE CROSS BLUE SHIELD | OTHER | 0700533 | 05 | MA |   | MEDICAID |