KEDESHIA MALIN (NPI# 1124664313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124664313 |
| Entity Type | Individual |
| Full Name | KEDESHIA MALIN |
| Credential | NP |
| Practice Address |
5 Neponset St Worcester MA 01606-2714 |
| Practice Telephone | 5083687800 |
| Mailing Telephone | 5083687800 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN2292522 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5 NEPONSET ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01606-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203856 | Thomas Lee Rosenfeld | Dermatology | 5 Neponset St, Worcester, MA 01606-2714 | 2005-05-24 |
| 1831708841 | Lucy Kirakous | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2020-07-26 |
| 1174157259 | Krystal Leblanc | Social Worker | 5 Neponset St, Worcester, MA 01606-2714 | 2020-02-27 |
| 1730627472 | Jessica E. Valletta | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2017-02-02 |
| 1447700182 | Margaret Tu-anh Nguyen | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2016-10-06 |
| 1922551746 | Danielle N. Lawrence | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2016-07-28 |
| 1679929004 | Samuel Schieffelin Nordberg | Psychologist | 5 Neponset St, Worcester, MA 01606-2714 | 2016-05-04 |
| 1225496938 | Quynh V. Tu | Dietitian, Registered | 5 Neponset St, Worcester, MA 01606-2714 | 2016-02-09 |
| 1295105476 | Justin Hall | Physician Assistant | 5 Neponset St, Worcester, MA 01606-2714 | 2015-10-01 |
| 1407274129 | Hung Giai Trinh | Internal Medicine | 5 Neponset St, Worcester, MA 01606-2714 | 2014-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548742612 | Aishea Irine Henry | Counselor | 29 E. Mountian St., Worccester, MA 01606 | 2018-09-05 |
| 1932689874 | Donna Kesler Pearce | Social Worker | Department of Children and Families, 151 West Boylston Drive, Worcester, MA 01606 | 2018-08-20 |
| 1689169914 | Ashley Kalel | Social Worker | 151 W Boylston Dr, Worcester, MA 01606 | 2018-06-28 |
| 1588189039 | Michael Joseph Peters Sr. | Counselor | 56 Malden St, Worcester, MA 01606 | 2017-08-06 |
| 1811418528 | Shan Rai | Social Worker | 29 East Mountain Street, Worcester, MA 01606 | 2017-07-03 |
| 1639608045 | Kim Marie Ceccarini | Case Manager/Care Coordinator | 11 Delaval Rd, Worcester, MA 01606 | 2017-06-08 |
| 1669806139 | Lauren Giuliano | Counselor | 392 Burncoat St, Worcester, MA 01606 | 2013-09-02 |
| 1508132911 | Joshua D Zierler-broudo | Social Worker | 29 East Mountain St, Worcester, MA 01606 | 2012-03-29 |
| 1609096098 | Alternatives Unlimited Inc | Day Training, Developmentally Disabled Services | 367 Burncoat Street, Worcester, MA 01606 | 2007-04-26 |
| 1407908213 | Class One Orthodontic Asso LLC | Dentist | 365 Burncoat St, Worcester, MA 01606 | 2007-01-18 |
| Find all providers in zip 01606 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183545 | Integral Health Partners LLC | Nurse Practitioner | 67 Millbrook St Ste 406a, Worcester, MA 01606-2845 | 2020-08-05 |
| 1548813728 | Christina Marie Cruz | Nurse Practitioner | 123 Summer St Ste 685n, Worcester, MA 01608-1216 | 2019-07-17 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
| 1609023985 | Rosemary A Kirousis | Nurse Practitioner | 366 Shrewsbury St Apt 3, Worcester, MA 01604-4647 | 2008-08-19 |
| 1639231426 | Addie Lawrence | Nurse Practitioner | 416 Belmont St, Worcester, MA 01604-1086 | 2006-12-15 |
| 1164521712 | Kathy Volin Pulda | Nurse Practitioner | 378 Plantation St, Geriatrics Department, Worcester, MA 01605-2324 | 2006-09-21 |
| 1194822650 | Patricia A Macculloch | Nurse Practitioner | 119 Belmont Street, Spince Center, Worcester, MA 01605 | 2006-09-19 |
| 1922111525 | Claire C Davison | Nurse Practitioner | 299 Lincoln Street, Suite 100, Worcester, MA 01605 | 2006-08-16 |
| 1801861471 | Paula Flanagan | Nurse Practitioner | 530 Plantation St, Worcester, MA 01605 | 2006-02-17 |
| Find all providers in WORCESTER | ||||
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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.