LEANNE BORDEN (NPI# 1174930382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174930382 |
| Entity Type | Individual |
| Full Name | LEANNE BORDEN |
| Practice Address |
535 Faunce Corner Rd Dartmouth MA 02747-1242 |
| Practice Telephone | 5089963991 |
| Mailing Telephone | 5089963991 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2018-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LICENSE# | PA5112 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 795 Middle St, Fall River, MA 027211733 | 5086745600 |
| Street Address |
535 FAUNCE CORNER RD |
| City | DARTMOUTH |
| State | MA |
| Zip Code | 02747-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528062858 | Robert Wade Conroy | Psychiatry & Neurology | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2005-05-31 |
| 1215596945 | Stephanie Noble | Audiologist | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2019-06-06 |
| 1437668241 | Joymon K Sebastian | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2017-09-25 |
| 1275918286 | Kathryn Fallavollita | Physician Assistant | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2015-07-21 |
| 1861883571 | Optomeyes Health PC | Optometrist | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2015-02-17 |
| 1982002028 | Michelle Kallevik | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2014-12-05 |
| 1275934382 | Erica Lopes Cabral | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2014-09-08 |
| 1699187575 | Rachel Hoffmann | Dermatology | 535 Faunce Corner Rd, Dartmouth, MA 02747 | 2014-05-27 |
| 1568891620 | Erica Michelle Ahaesy | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2013-11-08 |
| 1326476094 | Steven Konicki | Physical Therapist | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2013-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432531 | Michelle Mulvey-sylvia | Nurse Practitioner | 237 State Road, Dartmouth, MA 02747 | 2019-02-05 |
| 1679078232 | Andrew Paul Macedo | Emergency Medical Technician, Basic | 80 Alpha Street, Dartmouth, MA 02747 | 2018-03-27 |
| 1255712378 | Courtney Mota Trevino | Optometrist | 83b Faunce Corner Rd, North Dartmouth, MA 02747 | 2015-06-15 |
| 1215323852 | Kara J. Kopaczewski | Family Medicine | 49 State Rd Pequot Bldg, Ste 204, North Dartmouth, MA 02747 | 2015-04-10 |
| 1427465368 | Glicksman-gomes, LLC | Dentist | 49 State Road Nauset Bldg., Dartmouth, MA 02747 | 2014-07-11 |
| 1033544846 | Blackstone Behavioral Health Services | Psychologist | 145k Faunce Corner Rd., North Dartmouth, MA 02747 | 2013-09-11 |
| 1477999894 | Christina Nicolau | Counselor | 145k Faunce Corner Road, North Dartmouth, MA 02747 | 2013-05-13 |
| 1770823882 | Wendy Stacy | Behavioral Analyst | 145 Fauce Corner Rd., N. Dartmouth, MA 02747 | 2013-02-26 |
| 1952653131 | Eye Health Associates Inc | Optometrist | 51 State Road, Dartmouth, MA 02747 | 2012-10-11 |
| 1265782866 | Helpful Hands, Inc | Home Health | 106a State Rd, N Dartmouth, MA 02747 | 2012-09-12 |
| Find all providers in zip 02747 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700205713 | Jacob Freitas | Physician Assistant | 300a Faunce Corner Rd, Dartmouth, MA 02747-1280 | 2014-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627106 | Taia Maria Tieland | Physician Assistant | 9 Hunting St Apt 1, Cambridge, MA 02141-1010 | 2020-07-24 |
| 1003434275 | Antonious Jonah Abraham | Physician Assistant | 99 Corn Rd, Bolton, MA 01740-1055 | 2020-07-13 |
| 1407479272 | Mackenzie Malcolm Gray | Physician Assistant | 35 Pynchon Rd, Holyoke, MA 01040-1514 | 2020-05-27 |
| 1780235333 | Emily Fregeau | Physician Assistant | 1 Canal St Unit 518, Boston, MA 02114-2053 | 2019-09-25 |
| 1992369524 | Jaclyn Hynes | Physician Assistant | 234 Otis St, Hingham, MA 02043-4504 | 2019-04-29 |
| 1376002931 | Jack City, LLC | Physician Assistant | 290 Pleasant St Apt 212, Watertown, MA 02472-2429 | 2019-03-13 |
| 1578021911 | Ashley Piemonte | Physician Assistant | 15 1/2 Russell St Apt 1, Charlestown, MA 02129-2492 | 2019-03-05 |
| 1407323686 | Nicole Burke Tingley | Physician Assistant | 123 Summer St Ste 277, Worcester, MA 01608-1216 | 2018-10-25 |
| 1386111706 | Nicole Laura Solman | Physician Assistant | 16 Deerhaven Rd, Lincoln, MA 01773-1806 | 2018-10-24 |
| 1881160943 | Philip Apraku Bondzie | Physician Assistant | 266 Sportsmans Trl, Whitman, MA 02382-1726 | 2018-10-16 |
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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.