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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN274422 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
231 HIGHLAND ST APT 3 |
City | ROXBURY |
State | MA |
Zip Code | 02119-1486 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
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 |
1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
Find all providers in zip 02119 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
Find all providers in ROXBURY |
Please comment or provide details below to improve the information on MISS DECIMA TAMARA PRESCOTT.
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.