LINDA D REVANCHE (NPI# 1346712817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346712817 |
| Entity Type | Individual |
| Full Name | LINDA D REVANCHE |
| Practice Address |
19 Ledgebrook Rd Apt 1 Mattapan MA 02126-2748 |
| Practice Telephone | 8572514008 |
| Mailing Telephone | 8572514008 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
RN2328268 | MA | Nursing Service Providers |
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
RN2328268 | MA | Nursing Service Providers |
| Street Address |
19 LEDGEBROOK RD APT 1 |
| City | MATTAPAN |
| State | MA |
| Zip Code | 02126-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280646 | Covil Home Care LLC | In Home Supportive Care | 1549 Blue Hill Ave, Mattapan, MA 02126 | 2019-05-10 |
| 1902374069 | Kasha Sarette | Social Worker | 37 Babson St, Mattapan, MA 02126 | 2018-11-07 |
| 1093231359 | Danielle Christian | Behavior Technician | 73 Catbird Ct, Mattapan, MA 02126 | 2017-08-18 |
| 1609314681 | Regis College | Hospice, Inpatient | 19 Southmere Road, Mattapan, MA 02126 | 2017-02-09 |
| 1437606001 | Betsy-lynn Ngole | Community Health Worker | 137 Savannah Ave, Boston, MA 02126 | 2016-09-01 |
| 1437535440 | Rosel Forwang Lewis | Registered Nurse | 42 Hallowell St, Mattapan, MA 02126 | 2015-08-03 |
| 1033596895 | Quality Home Care & Transportation | Transportation Broker | 93 W Selden St, Mattapan, MA 02126 | 2015-04-30 |
| 1205101565 | Clayton Mark Sandiford | Contractor | 22 Banfield Ave, Boston, MA 02126 | 2012-03-19 |
| 1790093128 | Richard Christopher Mitchell Jr. | Counselor | 32 Wellington Hill St, Mattapan, MA 02126 | 2010-09-20 |
| 1972630622 | Gemima St. Louis | Psychologist | 255 River St, Spark Center-bmc, Mattapan, MA 02126 | 2007-02-28 |
| Find all providers in zip 02126 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487780698 | Janet S Langaigne | Registered Nurse | 844 Morton St, Mattapan, MA 02126-2452 | 2007-02-24 |
| 1376847277 | Sarah Desir | Registered Nurse | 1135 Morton St, Mattapan, MA 02126-2834 | 2011-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114187 | Brittany Halstead | Registered Nurse | 5 Farnum St, Uxbridge, MA 01569-1816 | 2020-11-04 |
| 1316548530 | Norma Jean Tincker | Registered Nurse | 19 Hampson St, Attleboro, MA 02703-7816 | 2020-11-04 |
| 1851992101 | Rachel Williams | Registered Nurse | 20 Imrie Rd Apt 3, Allston, MA 02134-2664 | 2020-11-03 |
| 1215537576 | Melissa Pouliot | Registered Nurse | 22 Marguerite St, Chicopee, MA 01020-4137 | 2020-10-27 |
| 1407455900 | Samantha White | Registered Nurse | 34 Acorn Rd, Whitinsville, MA 01588-1380 | 2020-10-26 |
| 1134728884 | Boston Northwest Home Care Inc. | Registered Nurse | 19a Crosby Dr Ste 100, Bedford, MA 01730-1419 | 2020-10-23 |
| 1174120513 | Wells of Wellness, LLC | Registered Nurse | 993 South Street, Apt, Suite, Floor, Etc., Roslindale, MA 02131 | 2020-10-08 |
| 1962019778 | Mary N Kinyanjui | Registered Nurse | 9 Westbrook Rd, Northborough, MA 01532-1827 | 2020-09-25 |
| 1487268520 | Amina Salim | Registered Nurse | 125 Warren St, Randolph, MA 02368-4017 | 2020-09-05 |
| 1013527688 | Tatiana Daher | Registered Nurse | 64 Wheelock Ave, Millbury, MA 01527-3533 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
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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.