Commonwealth Clinical Alliance

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

252442 Issued in MA

Legal business name

COMMONWEALTH CLINICAL ALLIANCE

Practice address

380 Plainfield St
Springfield, MA 01107-1524

Phone

(888) 255-4525

NPI assigned

Mar 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lynn Ann Minnick, NP

Title

Nurse Practitioner

Phone

(888) 255-4525

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326178062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 PLAINFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071524",
            "telephone_number": "888-255-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 PLAINFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071524",
            "telephone_number": "888-255-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH CLINICAL ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINNICK",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "18882554525",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "MA",
            "license": "252442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tashima Vernice Colthirst, MSW
• Diana Colucci, NP
• Mariana Colussi-Pelaez, MD
• Jaden William Colwell
• Commonpure LLC
• Commonwealth Community Recovery Division Inc (ccrd llc)
• Commonwealth Cummunity Recovery Division (CCRD Inc.)
• Commonwealth Eyecare Professionals, LLC
• Commonwealth of Massachusets (DDS Springfield/Westfield Area Office)
• Commonwealthcare Alliance (No)

• Case Management Registered Nurse in Springfield, MA
• Providers in Springfield, MA by specialty
• Case Management Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.