KATIE MCCOY TELLER (NPI# 1083890792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083890792 |
| Entity Type | Individual |
| Full Name | KATIE MCCOY TELLER |
| Other Name | KATIE P MCCOY |
| Credential | PA |
| Practice Address |
320 Washington St North Easton MA 02357-1607 |
| Mailing Address |
2014 Washington St Newton MA 02462-1607 |
| Practice Telephone | 5085651307 |
| Mailing Telephone | 6172436014 |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
100616T | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2014 Washington St, Newton, MA 024621607 | 6172436014 |
| Street Address |
320 WASHINGTON ST |
| City | NORTH EASTON |
| State | MA |
| Zip Code | 02357-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811506108 | Monique Avila | Registered Nurse | 320 Washington St, North Easton, MA 02357-0001 | 2020-07-23 |
| 1942851084 | Terarith Thay | Specialist/Technologist | 320 Washington St, North Easton, MA 02357-7800 | 2019-09-20 |
| 1649760844 | Maria Angela Kavanaugh | Social Worker | 320 Washington St, North Easton, MA 02357-4562 | 2018-05-14 |
| 1831531045 | Lisa Marie Ryan | Nurse Practitioner | 320 Washington St, North Easton, MA 02357-1168 | 2013-07-29 |
| 1366720534 | Caitlin S Reisman | Nurse Practitioner | 320 Washington St, North Easton, MA 02357-0001 | 2011-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609218924 | Kiley Katharine Saegh | Nurse Practitioner | Stonehill College Health Services 320 Washington Street, North Easton, MA 02357 | 2013-07-28 |
| 1366566879 | Kristina Gilardi Flanagan | Nurse Practitioner | 320 Washington Street, Stonehill College Health Services, Easton, MA 02357 | 2007-03-19 |
| 1588670236 | Gary B Prior | Nurse Anesthetist, Certified Registered | 11201 Benton St, Va Medical Center, Loma Linda, CA 02357 | 2006-08-01 |
| 1679786297 | Lucy Blatchford Dillon | Nurse Practitioner | Stonehill College Health Services, 320 Washington Street, North Easton, MA 02357-0001 | 2007-05-08 |
| 1629281738 | Diane Archer Leary | Nurse Practitioner | Stonehill College Health Service, 320 Washington Street, North Easton, MA 02357-0001 | 2007-05-07 |
| 1033322581 | Wendy S. Walsh | Nurse Practitioner | Stonehill College Health Services, 320 Washington St., North Easton, MA 02357-0001 | 2007-05-08 |
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598005530 | Disha Makanji | Physician Assistant | 15 Roche Bros Way, North Easton, MA 02356-1000 | 2013-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
| 1942812334 | Manacey Clermont | Physician Assistant | 21 Robinson Rd, Woburn, MA 01801-6136 | 2020-08-18 |
| 1801411756 | Kimberly Marques | Physician Assistant | 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 | 2020-06-16 |
| 1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
| 1275155590 | Makenna Camara | Physician Assistant | 249 Hixville Rd, North Dartmouth, MA 02747-1937 | 2020-05-08 |
| 1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
| 1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
| 1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
| 1639712011 | Joseph John Milos | Physician Assistant | 201 Carlson Ln, West Barnstable, MA 02668-1224 | 2019-10-18 |
| 1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
| City | NORTH EASTON |
| Zip Code | 02357 |
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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.