MISS DECIMA TAMARA PRESCOTT


Address: 231 Highland St Apt 3, Roxbury, MA 02119-1486
Phone: 8574926882

MISS DECIMA TAMARA PRESCOTT (NPI# 1336775618) 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) 1336775618
Entity Type Individual
Full Name MISS DECIMA TAMARA PRESCOTT
Credential NP
Practice Address 231 Highland St Apt 3
Roxbury
MA 02119-1486
Practice Telephone 8574926882
Mailing Telephone 8574926882
Enumeration Date 2020-03-18
Last Update Date 2020-03-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN274422 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 231 HIGHLAND ST APT 3
City ROXBURY
State MA
Zip Code 02119-1486

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1720536568 Ramy Y Barrett Counselor 77 Savin Street, Apartment # 3, Boston, MA 02119 2016-09-21
1083089676 Natasha Cruz Counselor 263 Eustis Street, Roxbury, MA 02119 2015-12-08
1922478486 Natalie Jones Counselor 520 Dudley St., Roxbury, MA 02119 2015-09-28
1922484799 Dina Ghaly-habib Student in an Organized Health Care Education/Training Program 100 East Newton St., G-706, Boston, MA 02119 2015-08-04
1942697248 Pyramid Builders Case Management 11 Roxbury Street, Boston, MA 02119 2015-04-24
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083070197 Semere Tekie Nurse Practitioner 76 Munroe St, Unit 2, Roxbury, MA 02119-1611 2016-01-05
1790394096 Jonathan Foster-moore Nurse Practitioner 45 Dimock St, Roxbury, MA 02119-1208 2020-07-23
1447891858 Asha Daniel Kunnenkeri Nurse Practitioner 1290 Tremont St, Roxbury, MA 02120-3432 2019-10-07
1003457763 Jasmine F Haque-ahmed Nurse Practitioner 1290 Tremont St, Roxbury, MA 02120-3432 2019-10-03
1477010197 James Steven Rice Nurse Practitioner 1290 Tremont St, Roxbury, MA 02120-3432 2019-02-28
1194227165 Evin Joel Howard Nurse Practitioner 1290 Tremont St, Roxbury, MA 02120-3432 2018-03-06
1275047847 Susana Pellecer Castillo Nurse Practitioner 1290 Tremont St, Roxbury, MA 02120-3432 2017-11-19
1760909105 Lauren Marcus Couture Nurse Practitioner 1290 Tremont St, Roxbury, MA 02120-3432 2017-08-26
1366890162 Elisabeth Lasley Nurse Practitioner 1290 Tremont St, Roxbury, MA 02120-3432 2016-06-02
1073652459 Sandra Mccurbin Nurse Practitioner 55 New Dudley St, John D Obryant Sbhc, Roxbury, MA 02119 2007-02-05
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Competitor

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City ROXBURY
Zip Code 02119

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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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