TAYLOR JULIA RICKETSON


Address: 230 Bowdoin St, Dorchester, MA 02122-1817
Phone: 6177540100

TAYLOR JULIA RICKETSON (NPI# 1194006726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194006726
Entity Type Individual
Full Name TAYLOR JULIA RICKETSON
Credential CPNP
Practice Address 230 Bowdoin St
Dorchester
MA 02122-1817
Practice Telephone 6177540100
Practice Fax Number 6177540220
Mailing Telephone 6177540100
Mailing Fax Number 6177540220
Enumeration Date 2011-09-09
Last Update Date 2014-02-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
RN2267722 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 230 BOWDOIN ST
City DORCHESTER
State MA
Zip Code 02122-1817

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588652150 Joseph A Ingelfinger Internal Medicine 230 Bowdoin St, Dorchester, MA 02122-1817 2005-10-07
1548881568 Joanna Stevens Registered Nurse 230 Bowdoin St, Dorchester, MA 02122-1817 2020-04-30
1356975981 Cristy Lynn Galvin Nurse Practitioner 230 Bowdoin St, Dorchester, MA 02122-1817 2020-02-21
1780242156 Martha Veroneau Registered Nurse 230 Bowdoin St, Dorchester, MA 02122-1817 2019-05-31
1770033078 Simone Martell Social Worker 230 Bowdoin St, Dorchester, MA 02122-1817 2016-10-11
1760887012 Justin Kasarsky Social Worker 230 Bowdoin St, Dorchester, MA 02122-1817 2014-10-29
1669880647 Jessica Hart Burch Nutritionist 230 Bowdoin St, Dorchester, MA 02122-1817 2014-07-23
1093096075 Katherine Thuy Tien Le Dietitian, Registered 230 Bowdoin St, Dorchester, MA 02122-1817 2011-09-02
1710121751 Jane Ellen Driscoll Registered Nurse 230 Bowdoin St, Dorchester, MA 02122-1817 2009-04-21
1811138993 Elizabeth Anne Rhodes Registered Nurse 230 Bowdoin St, Dorchester, MA 02122-1837 2009-03-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033720875 Joey Mark Nguyen Pharmacist 747 Gallivan Blvd, Dorchester, MA 02122 2020-08-14
1518575240 Hamilton Pharmacy LLC Pharmacy 246 Bowdoin St, Dorchester, MA 02122 2020-07-20
1336789528 Katheline Leconte Social Worker 230 Bowdoin Street, Dorchester, MA 02122 2020-01-15
1700374725 Renee Ahern Registered Nurse 398 Neponset Ave., Dorchester, MA 02122 2018-04-25
1861902371 Bridget Mary Walsh Specialist/Technologist 519 Ashmont St, Dorchester, MA 02122 2017-10-10
1649798133 Roosevelt Lewis IIi Registered Nurse 1486 Dorchester Ave Ste 206, Boston, MA 02122 2017-09-05
1811427404 Hanh Nguyen Counselor 50 Redfield St, Suite 300, Dorchester, MA 02122 2017-06-15
1669902474 Thuy T Nguyen Counselor 415 Neponset Avenue, Dorchester, MA 02122 2017-06-14
1093262651 David Scot Rapaport Counselor 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 2016-09-01
1104372960 Kevin Lyn Sisson Student in an Organized Health Care Education/Training Program 417 Neponset Ave, Boston, MA 02122 2016-08-31
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407834658 Sarah Rachel Desmond Nurse Practitioner 632 Blue Hill Ave, Harvard Street Neighborhood Health Center, Dorchester, MA 02121-3213 2006-01-07
1205494630 Elizabeth Moran Nurse Practitioner 637 Washington St, Dorchester, MA 02124 2019-05-31
1407358088 Caitlin Barrett Nurse Practitioner 415 Columbia Rd, Dorchester, MA 02125-2424 2018-02-28
1457719031 Ella Stemmer Nurse Practitioner 500 Columbia Rd, Dorchester, MA 02125-2322 2016-02-10
1053712174 Susanne Adams Nurse Practitioner 425 Harvard St, Dorchester, MA 02124-2737 2014-09-08
1598102352 Alissa L Sheehan Nurse Practitioner 415 Columbia Rd, Dorchester, MA 02125-2424 2013-06-03
1598017410 Sara Davis Helm Nurse Practitioner 425 Harvard St, Dorchester, MA 02124-2737 2012-10-03
1497883151 John T. Hardiman Jr. Nurse Practitioner 1353 Dorchester Ave, Dorchester, MA 02122-2932 2007-03-02
1144372418 Katherine Danielle Cook Nurse Practitioner 230 Bowdoin St, Bowdoin Street Health Center, Dorchester, MA 02122-1817 2007-01-17
1962462952 Barbara A Rogers Nurse Practitioner 1353 Dorchester Ave, Dorchester, MA 02122-2932 2006-03-24
Find all providers in DORCHESTER

Competitor

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City DORCHESTER
Zip Code 02122

Improve Information

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Dataset Information

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.

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