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Ivelisse Sully

Technician • Worcester, MA

Active NPI 1942551742 Individual Practitioner Female Practitioner
Practice location in NPPES

19 Tacoma Street
Worcester, MA 016052010

Call 5088521805 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

19 Tacoma Street

Worcester, MA 016052010

Telephone 5088521805
Organization at the Same NPPES Address or Phone
Edward M. Kennedy Community Health Center Facility NPI 1497537179

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Worcester and Massachusetts

9 active clinicians are listed under Technician with a practice address in Worcester, MA (37 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Technician Primary Specialty

NUCC Taxonomy Code: 374700000X

(1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

39 listed
Lenore Azaroff

Family Medicine

NPI 1245617638
Zachary Bay

Family Medicine

NPI 1568801397
Emilia Bialy , APRN, FNP-C

Nurse Practitioner

NPI 1780380501

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Rachael Brow , PA-C

Physician Assistant - Medical

NPI 1861453912

Physician Assistant (Certified)

Karla Burns , NP

Nurse Practitioner - Family

NPI 1255040440

Nurse Practitioner

Edith Claros , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063970234

Certified Nurse Practitioner

Career & Practice History

NPI enumerated September 20, 2012.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1942551742
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2012
Last Update: October 02, 2012
Sole Proprietor: No

Mailing Address

19 Tacoma St

Worcester, MA 016053516

Phone: 5088521805

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.