MS. NANCY PATRICIA EDWARDS (NPI# 1194248559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194248559 |
| Entity Type | Individual |
| Full Name | MS. NANCY PATRICIA EDWARDS |
| Credential | PA-C |
| Practice Address |
180 Centre St Brockton MA 02302-2733 |
| Practice Telephone | (508) 586-6300 |
| Practice Fax Number | 5085801527 |
| Mailing Telephone | 5085866300 |
| Mailing Fax Number | 5085801527 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
58 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | COMMONWEALTH OF MASSACHUSETTS | 58 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730635194 | Nancy Caroline Edwards | Specialist/Technologist | 212 Regency Cir, Anderson, SC 29625-2575 | 2016-08-26 |
| 1205006855 | Nancy Ann Edwards | Counselor | 3455 Us Highway 45 S, Henderson, TN 38340-7019 | 2008-03-10 |
| 1689791618 | Nancy Tolbert Edwards | Social Worker | 605 Walapai Dr, Fuquay Varina, NC 27526-5148 | 2007-03-23 |
| 1639202849 | Nancy Gail Edwards | Chiropractor | 557 Roy St, Suite 100, Seattle, WA 98109-4219 | 2007-03-14 |
| 1316086101 | Nancy Edwards | Emergency Medicine | 213 Phillips Rd., Sagamore Beach, MA 02562-0404 | 2007-02-06 |
| 1861560690 | Nancy H Edwards | Acupuncturist | The Acupuncture Health Center, 474 Main Street - Suite #1, Greenfield, MA 01301 | 2006-12-01 |
| 1003989385 | Nancy Kuhl Edwards | Social Worker | 3065 Northshore Dr, Wayzata, MN 55391-9256 | 2006-11-16 |
| 1053710988 | Nancy Edwards | Pharmacist | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2014-08-15 |
| 1629321963 | Nancy E Edwards | Occupational Therapist | 20420 68th Ave W, Lynnwood, WA 98036-7405 | 2012-10-24 |
| 1982998191 | Nancy P Edwards | Pharmacist | 8720 Quimper Pl Ste 300, Shreveport, LA 71105-5742 | 2011-06-06 |
| Street Address |
180 CENTRE ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547536 | Mark Anthony Delaney | Counselor | 180 Centre St, Brockton, MA 02302-2733 | 2020-04-27 |
| 1720627201 | Tathianna Debrito | Counselor | 180 Centre St, Brockton, MA 02302-2733 | 2019-12-31 |
| 1144877002 | Raquel Fabroski | Counselor | 180 Centre St, Brockton, MA 02302-2733 | 2019-08-24 |
| 1245886183 | Kathleen Anne Flannery | Counselor | 180 Centre St, Brockton, MA 02302-2733 | 2019-08-15 |
| 1225592488 | Caitlin Mary Doherty | Counselor | 180 Centre St, Brockton, MA 02302-2733 | 2019-01-22 |
| 1689151193 | Carre Farron Little | Counselor | 180 Centre St, Brockton, MA 02302-2733 | 2018-07-26 |
| 1285110197 | Sante Melaku | Counselor | 180 Centre St, Brockton, MA 02302-2733 | 2018-07-13 |
| 1144716804 | Alexander Miklave | Counselor | 180 Centre St, Brockton, MA 02302-2733 | 2018-07-06 |
| 1568904944 | Emily Horowitz | Counselor | 180 Centre St, Brockton, MA 02302-2733 | 2016-11-16 |
| 1457705816 | Darren Noisette | Counselor | 180 Centre St, Brockton, MA 02302-2733 | 2016-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407813041 | Denise Claire Marcoux | Physician Assistant | 942 W Chestnut St, Brockton, MA 02301-5567 | 2006-04-27 |
| 1174183255 | Kirsten M Nihan | Physician Assistant | 680 Centre St, Brockton, MA 02302-3308 | 2019-06-19 |
| 1851870968 | Joseph Michael Cullivan | Physician Assistant | 680 Centre St, Brockton, MA 02302-3308 | 2018-08-09 |
| 1811476070 | Isabella Izzy Zeng | Physician Assistant | 680 Centre St, Brockton, MA 02302-3308 | 2018-08-08 |
| 1679957153 | Jennifer Guerra | Physician Assistant | 110 Liberty St, Brockton, MA 02301-5521 | 2015-07-15 |
| 1255728622 | Ethan Morris | Physician Assistant | 680 Centre St, Brockton, MA 02302-3308 | 2015-04-23 |
| 1568893386 | Emily Virginia Werth | Physician Assistant | 235 N Pearl St, Hospital Medicine, Brockton, MA 02301-1794 | 2013-12-04 |
| 1942586292 | Michelle Ejiofor | Physician Assistant | 680 Centre St, Brockton, MA 02302-3308 | 2011-11-01 |
| 1336441278 | Eoin C Kelly | Physician Assistant | 680 Centre St, Brockton, MA 02302-3308 | 2010-11-29 |
| 1508086372 | Marjorie E Shirosky | Physician Assistant | 201 Quincy St, Brockton, MA 02302-2926 | 2007-04-26 |
| Find all providers in BROCKTON | ||||
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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.