RODEENA PORTER (NPI# 1235334723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235334723 |
| Entity Type | Individual |
| Full Name | RODEENA PORTER |
| Credential | APRN |
| Practice Address |
269 Unioin St Lynn MA 01901 |
| Mailing Address |
Po Box 526 Lynn MA 01903 |
| Practice Telephone | 7815813900 |
| Practice Fax Number | 7815981050 |
| Mailing Telephone | 7815962502 |
| Mailing Fax Number | 7815963966 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
110916 | MA | Nursing Service Providers |
| Street Address |
269 UNIOIN ST |
| City | LYNN |
| State | MA |
| Zip Code | 01901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515923 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 173 Oxford Street, Lowel Level, Suite P, Lynn, MA 01901 | 2019-02-21 |
| 1730680125 | Sarah Sawulski | Registered Nurse | 269 Union Stree01901t, Lynn, MA 01901 | 2018-02-22 |
| 1184142895 | Adrienne Wood | Case Manager/Care Coordinator | 100 Willow Street, Lynn, MA 01901 | 2017-09-01 |
| 1831613199 | Marie Linda Yannaco-grant | Social Worker | 62 Market Street, Lynn, MA 01901 | 2017-07-28 |
| 1942723457 | Michael Xinyu Miao | Physical Therapy Assistant | 1 Market Street, 3rd Floor, Lynn, MA 01901 | 2017-07-18 |
| 1730544743 | Pediatric Dental Professionals LLC | Dentist | 391 Lynn Way, Bldg A, Lynn, MA 01901 | 2015-12-17 |
| 1346667748 | Emily G. Joseph | Social Worker | 112 Market Street, 2nd Floor, Lynn, MA 01901 | 2014-03-24 |
| 1548510621 | Serena M Smith | Counselor | 181 Union Street, Suite J, Lynn, MA 01901 | 2012-09-14 |
| 1043575624 | Timothy J Bossie | Optometrist | 20 Central Avenue, Lynn, MA 01901 | 2012-07-10 |
| 1689946923 | Lynn Dental Center | Dentist | 232 Union Street, Lynn, MA 01901 | 2012-02-02 |
| Find all providers in zip 01901 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801898846 | Ruth Priscilla Masterson | Registered Nurse | 37 Friend St, Lynn, MA 01902 | 2005-08-10 |
| 1871117556 | Morgan Taylor Doherty | Registered Nurse | 95 Pleasant St # 1, Lynn, MA 01901-1524 | 2020-05-29 |
| 1467075614 | Henry Lou-goode | Registered Nurse | 280 Union St, Lynn, MA 01901-1353 | 2020-05-22 |
| 1760035836 | Christine Marie Leibert | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2019-07-18 |
| 1538636303 | Wanda D Visnick | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2018-10-30 |
| 1255849733 | Catherine Giello | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2018-01-18 |
| 1043736291 | Maeghan Dillon | Registered Nurse | 95 Pleasant St, Lynn, MA 01901-1524 | 2017-08-19 |
| 1548702384 | Samantha Heim | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2016-11-10 |
| 1659747665 | Rachael L Matos | Registered Nurse | 95 Pleasant St, Lynn, MA 01901-1524 | 2015-08-12 |
| 1295021970 | Bonnie Jean Dumont | Registered Nurse | 95 Pleasant St, Lynn, MA 01901-1524 | 2011-06-22 |
| Find all providers in LYNN | ||||
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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.