MRS. KATHERINE MARIE D'AVANZO (NPI# 1386078137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386078137 |
| Entity Type | Individual |
| Full Name | MRS. KATHERINE MARIE D'AVANZO |
| Credential | P.A.-C |
| Practice Address |
170 Morton Street Jamaica Plain MA 02130 |
| Practice Telephone | 6179713305 |
| Practice Fax Number | 6179713643 |
| Mailing Telephone | 6179713305 |
| Mailing Fax Number | 6179713643 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2015-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA4959 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
170 MORTON STREET |
| City | JAMAICA PLAIN |
| State | MA |
| Zip Code | 02130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003863259 | Garo Damla | Obstetrics & Gynecology | 170 Morton Street, Lemuel Shattuck Hospital, Jamaica Plain, MA 02130 | 2006-05-30 |
| 1861890915 | Judy Mari | Counselor | 170 Morton Street, Living and Recovering Community, Jamaica Plain, MA 02130 | 2014-12-05 |
| 1396145785 | Francesca Fordiani | Social Worker | 170 Morton Street, Michael J. Gill Health and Wellness Center, Jamaica Plain, MA 02130 | 2014-09-04 |
| 1376864900 | Sarah Brinton Coombs | Clinic/Center | 170 Morton Street, Michael J. Gill Mh Clinic, Shattuck, Jamaica Plain, MA 02130 | 2010-06-17 |
| 1427101385 | Katherine Ellen Keefe | Physician Assistant | 170 Morton Street, Lemuel Shattuck Hospital, Jamaica Plain, MA 02130 | 2007-01-22 |
| 1497795165 | Tzay J Chiu | Anesthesiology | 170 Morton Street, Medical Services, Jamaica Plain, MA 02130-3735 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811040199 | Laurie Jean Arnone | Physician Assistant | 30 Morton St., Jamaica Plain, MA 02130 | 2007-01-19 |
| 1891275731 | Demetra Venancio | Physician Assistant | 640 Centre St, Jamaica Plain, MA 02130 | 2018-08-20 |
| 1811039662 | Virginia Mccullough | Physician Assistant | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2007-02-12 |
| 1043357080 | Tiffany Marie Everett | Physician Assistant | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2007-01-31 |
| 1427101385 | Katherine Ellen Keefe | Physician Assistant | 170 Morton Street, Lemuel Shattuck Hospital, Jamaica Plain, MA 02130 | 2007-01-22 |
| 1902956931 | Mary Rebecca Heaton | Physician Assistant | 170 Morton St, Lemuel Shattuck Hospital, Jamaica Plain, MA 02130-3735 | 2007-01-11 |
| 1881664118 | Beth E. Ferguson | Physician Assistant | 170 Morton St, Lemuel Shattuck Hospital, Jamaica Plain, MA 02130-3782 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
| 1942812334 | Manacey Clermont | Physician Assistant | 21 Robinson Rd, Woburn, MA 01801-6136 | 2020-08-18 |
| 1801411756 | Kimberly Marques | Physician Assistant | 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 | 2020-06-16 |
| 1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
| 1275155590 | Makenna Camara | Physician Assistant | 249 Hixville Rd, North Dartmouth, MA 02747-1937 | 2020-05-08 |
| 1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
| 1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
| 1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
| 1639712011 | Joseph John Milos | Physician Assistant | 201 Carlson Ln, West Barnstable, MA 02668-1224 | 2019-10-18 |
| 1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
| City | JAMAICA PLAIN |
| Zip Code | 02130 |
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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.