DR. CATRINA ELISE DERDERIAN (NPI# 1245577931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245577931 |
| Entity Type | Individual |
| Full Name | DR. CATRINA ELISE DERDERIAN |
| Practice Address |
1493 Cambridge St Cambridge MA 02139-1047 |
| Practice Telephone | 6176651000 |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2014-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PH235011 | MA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
68539 | CA | Pharmacy Service Providers |
| Street Address |
1493 CAMBRIDGE ST |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02139-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871590950 | Blake Cady | Surgery | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2005-07-05 |
| 1144821349 | Christina Marie Harris | Speech-Language Pathologist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-11-04 |
| 1558961128 | Rose M Jacob | Registered Nurse | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-10-31 |
| 1174122360 | Emilee Grace Abraham | Speech-Language Pathologist | 1493 Cambridge St, Cambridge, MA 02139-1099 | 2020-10-20 |
| 1790384964 | Jillian Christine Fernandez | Occupational Therapist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-10-20 |
| 1447859624 | Ryan J Wallace | Pharmacist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-10-20 |
| 1376141606 | Angela Gonzalez | Registered Nurse | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-10-09 |
| 1669079646 | Ashley Simmons | Occupational Therapist | 1493 Cambridge St, Cambridge, MA 02139-1099 | 2020-10-03 |
| 1831706159 | Valerie Anne Roberson | Registered Nurse | 1493 Cambridge St, Cambridge, MA 02139-1099 | 2020-09-30 |
| 1578170809 | Deborah Lee Trujillo | Licensed Practical Nurse | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316044 | Diane Greenleaf | Registered Nurse | Cha Windsor Clinic, 119 Windsor St, Cambridge, MA 02139 | 2019-09-26 |
| 1730738345 | Martin Bednar | Student in an Organized Health Care Education/Training Program | 350 Massachusetts Avenue, Cambridge, MA 02139 | 2019-09-06 |
| 1861050049 | Rebecca Marie Addison | Dietitian, Registered | 75 Auburn St, Cambridge, MA 02139 | 2019-06-03 |
| 1285103051 | Jenna Halloran | Social Worker | 929 Massaschusetts Ave, Cambridge, MA 02139 | 2018-11-21 |
| 1750859286 | Lisa Marie Keovongsa | Dietitian, Registered | 186 1/2 Hampshire St., Cambridge, MA 02139 | 2018-11-02 |
| 1245714237 | Eleanor Coffin | Occupational Therapist | 1483 Cambridge St, Cambridge, MA 02139 | 2018-09-17 |
| 1649758277 | Sariya Idriss | Social Worker | Cambridge Health Alliance, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1538647151 | Ari Pehkonen | Social Worker | Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| 1528596533 | Adam Liebling | Acupuncturist | 11 Fiske Pl., Cambridge, MA 02139 | 2017-06-03 |
| Find all providers in zip 02139 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954010 | Hossein Monzavi | Pharmacist | 25 Carleton St Bldg E-23, Cambridge, MA 02142-1323 | 2020-08-24 |
| 1447775051 | Rebecca Tourtellotte | Pharmacist | 1035 Cambridge St, Cambridge, MA 02141-1057 | 2017-08-04 |
| 1588043699 | Gail M Sanchez | Pharmacist | 1035 Cambridge St, Suite 23, Cambridge, MA 02141-1057 | 2015-05-21 |
| 1982959672 | Richard J Dion Jr. | Pharmacist | 1035 Cambridge St, 2nd Floor, Cambridge, MA 02141-1057 | 2012-07-18 |
| 1588929715 | Joseph Peter Falinski | Pharmacist | 1035 Cambridge St, Suite 23. Office 2331, Cambridge, MA 02141-1057 | 2012-07-13 |
| 1437462272 | Nancy Ann Edgeworth | Pharmacist | 1318 Broadview Dr, Cambridge, MD 21613-3562 | 2010-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902419948 | Andrew Stein | Pharmacist | 401 Great Plain Ave, Needham, MA 02492-3735 | 2020-08-28 |
| 1275151946 | Sima Sheth Patel | Pharmacist | 112 Pine Hill Rd, Bedford, MA 01730-1658 | 2020-07-09 |
| 1750901419 | Tiffany Nicole Powers | Pharmacist | 96 Chestnut St, Foxborough, MA 02035-1444 | 2020-04-23 |
| 1538792270 | Collin O'neill | Pharmacist | 135 Pleasant St Apt 405, Brookline, MA 02446-7187 | 2020-02-21 |
| 1043854391 | Hiral Patel | Pharmacist | 150 Northnoro Road, Suite 4, Southborough, MA 01772 | 2019-10-30 |
| 1376193581 | Andrew Swanner | Pharmacist | 250 W 5th St Apt 3, Boston, MA 02127-4604 | 2019-09-19 |
| 1235799016 | Vi Dang | Pharmacist | 1175 Chestnut St Unit 24, Newton Upper Falls, MA 02464 | 2019-06-14 |
| 1558843896 | Laura Elizabeth Martin | Pharmacist | 133 Old Rd 9 Acre Cor, Concord, MA 01742-4169 | 2018-09-04 |
| 1487183380 | Benjamin Laliberte | Pharmacist | 55 Fruit St # St-005, Boston, MA 02114-2621 | 2017-06-06 |
| 1972030310 | Jacqueline Joan Tomanek-stanley | Pharmacist | 73d Winthrop Avenue, Lawrence, MA 01843 | 2017-05-16 |
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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.