CARISSA C RAND (NPI# 1124177118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124177118 |
| Entity Type | Individual |
| Full Name | CARISSA C RAND |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
541 Main St Suite 414 South Weymouth MA 02190-1868 |
| Practice Telephone | 7819521433 |
| Practice Fax Number | 5086302462 |
| Mailing Telephone | 7819521433 |
| Mailing Fax Number | 5086302462 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2012-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1656 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
541 MAIN ST SUITE 414 |
| City | SOUTH WEYMOUTH |
| State | MA |
| Zip Code | 02190-1868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346249000 | Peter A. Grape | Internal Medicine | 541 Main St, Suite 400, South Weymouth, MA 02190-1868 | 2005-07-15 |
| 1750777132 | Shawna Marie Maroney | Counselor | 541 Main St, South Weymouth, MA 02190-1868 | 2015-04-12 |
| 1578991113 | Gk Dermatology, PC | Dermatology | 541 Main St, Suite 318, South Weymouth, MA 02190-1868 | 2013-10-16 |
| 1306100458 | Nicole Sirianni | Counselor | 541 Main St, Suite Number 303, South Weymouth, MA 02190-1868 | 2012-07-03 |
| 1770857286 | Dana Anstett | Counselor | 541 Main St, Suite 303, South Weymouth, MA 02190-1868 | 2012-03-01 |
| 1912296633 | Harbor Medical Associates P.C. | Clinic/Center | 541 Main St, Suite 414, South Weymouth, MA 02190-1868 | 2011-04-04 |
| 1649591983 | Farah Malary | Physician Assistant | 541 Main St, Suite 414, South Weymouth, MA 02190-1868 | 2010-06-22 |
| 1649505967 | Bridget M Freeman | Social Worker | 541 Main St, Suite 317, South Weymouth, MA 02190-1868 | 2009-10-04 |
| 1902079494 | John Wolfert | Physician Assistant | 541 Main St, Suite 414, South Weymouth, MA 02190-1868 | 2008-04-07 |
| 1912181843 | Healthy Heart Sleep Programs, Inc. | Durable Medical Equipment & Medical Supplies | 541 Main St, Suite 314, South Weymouth, MA 02190 | 2007-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
| 1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
| 1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
| 1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
| 1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
| Find all providers in zip 02190 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497914600 | Nathaniel Stillman | Physician Assistant | 42 Russell Rd, South Weymouth, MA 02190-2726 | 2008-06-03 |
| 1598118531 | Lauren Nicole Brayton | Physician Assistant | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2016-07-14 |
| 1265804496 | Stephanie Louise Oppel | Physician Assistant | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2015-10-27 |
| 1619393246 | Breelin Davenport O'hara | Physician Assistant | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2014-03-06 |
| 1871878918 | Kathryn Mcbride | Physician Assistant | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2011-10-20 |
| 1982856084 | Lauren Weindling | Physician Assistant | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2008-10-21 |
| 1649319625 | Stella Maria Matarazzo | Physician Assistant | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2007-02-06 |
| 1811049414 | Tara Armstrong | Physician Assistant | 541 Main St, Suite 414, South Weymouth, MA 02190-1868 | 2007-01-17 |
| 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 | SOUTH WEYMOUTH |
| Zip Code | 02190 |
Please comment or provide details below to improve the information on CARISSA C RAND.
| 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.