DIANNA FULREADER (NPI# 1023593761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023593761 |
| Entity Type | Individual |
| Full Name | DIANNA FULREADER |
| Practice Address |
29 Northwoods Rd Groton MA 01450-1043 |
| Practice Telephone | 1978496776 |
| Mailing Telephone | 1978496776 |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 1023399 | MA | Behavioral Health & Social Service Providers |
| Street Address |
29 NORTHWOODS RD |
| City | GROTON |
| State | MA |
| Zip Code | 01450-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184149577 | Anthony Delmonte | Occupational Therapist | 108 Riverbend Dr, Groton, MA 01450 | 2017-08-07 |
| 1235368242 | Hilde Hamar Westvik | Internal Medicine | 1 Forge Village Road, Ste C, Groton, MA 01450 | 2009-07-11 |
| 1275796351 | Groton Medical Wellness Spa LLC | Acupuncturist | 493 Main Street, Groton, MA 01450 | 2008-07-08 |
| 1629231709 | Groton Dental Wellness Center | Dental Hygienist | 495 Main Street, Groton, MA 01450 | 2008-07-08 |
| 1174793731 | Jane Shustin | Social Worker | 493 A Main St, Mill Run Plaza, Groton, MA 01450 | 2008-03-10 |
| 1609085083 | Nancy Douglas Foster | Nurse Practitioner | 282 Farmers Row, Groton, MA 01450 | 2007-05-22 |
| 1689716813 | John P. Katzenberg | Internal Medicine | 292 Main St., Groton, MA 01450 | 2007-02-13 |
| 1801942768 | Palm Lorraine Riposa | Registered Nurse | 144 Clinics One, Boston, MA 01450 | 2007-01-25 |
| 1316001233 | Mark Lane Randall | Dentist | 16a Hollis St., Groton, MA 01450 | 2006-12-22 |
| 1346359957 | John P Scollard | Social Worker | 145 Lowell Road, Groton, MA 01450 | 2006-08-29 |
| Find all providers in zip 01450 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053952077 | Julianne Morse | Counselor | 28 Shattuck St, Groton, MA 01450-1304 | 2019-10-01 |
| 1336591924 | Jeannine Cleaver | Counselor | 591 Poquonnock Rd, Groton, CT 06340-4571 | 2016-07-07 |
| 1710336235 | Stefanie M Marino-goodrich | Counselor | 591 Poquonnock Rd, Groton, CT 06340-4571 | 2016-06-06 |
| 1255741716 | Veronica Findlay | Counselor | 591 Poquonnock Rd, Groton, CT 06340-4571 | 2014-05-05 |
| 1457614190 | Sarah E Del Grosso | Counselor | 1353 Gold Star Hwy, Groton, CT 06340-2739 | 2012-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303739 | Michael James Brackett | Counselor | 81 Bedford St, Bridgewater, MA 02324-2504 | 2020-10-14 |
| 1245838200 | Rachel Lamusta | Counselor | 76 Crest Rd, Lynnfield, MA 01940-1904 | 2020-10-13 |
| 1336747435 | Jackline Alston | Counselor | 50 Lebanon St, Melrose, MA 02176-6311 | 2020-10-12 |
| 1366049652 | Sabrina Salameh | Counselor | 11 Freely Drive, Stoughton, MA 02072-0207 | 2020-10-08 |
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1396342234 | Albert Jusu | Counselor | Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 | 2020-10-05 |
| 1508463688 | April Chante Rowell | Counselor | 25 Kingston St Ste 4r, Boston, MA 02111-2200 | 2020-10-02 |
| 1720695919 | Albert Bruce Myers Iv | Counselor | 139 Ash St, Brockton, MA 02301-3663 | 2020-09-30 |
| 1033726765 | Nathanael Lopez | Counselor | 328 Main St Apt #1, Southbridge, MA 01550 | 2020-09-27 |
| 1588271274 | Simon Hayward Waters | Counselor | 67 Rockrimmon Rd, Worcester, MA 01602-2231 | 2020-09-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.