ANICIA FERNANDES (NPI# 1407202708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407202708 |
| Entity Type | Individual |
| Full Name | ANICIA FERNANDES |
| Practice Address |
68 Annunciation Rd Roxbury MA 02120-1808 |
| Practice Telephone | 8573083000 |
| Mailing Telephone | 8573083000 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
68 ANNUNCIATION RD |
| City | ROXBURY |
| State | MA |
| Zip Code | 02120-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244735 | Alicia Hoffman | Occupational Therapist | 71 Alleghany Street, Boston, MA 02120 | 2020-01-22 |
| 1376193110 | Katherine Wiley | Student in an Organized Health Care Education/Training Program | 71 Allegheny Street, Boston, MA 02120 | 2019-09-13 |
| 1073171971 | Kyana Figueroa | Community/Behavioral Health | 4 Sussex St, Roxbury, MA 02120 | 2019-06-05 |
| 1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
| 1811424005 | Christopher Lim | Student in an Organized Health Care Education/Training Program | 1620 Tremont St, One Brigham Circle, Radiology Administration, Boston, MA 02120 | 2017-05-18 |
| 1609328178 | Nikhil A Sangave | Pharmacist | 1290 Tremont St Fl 3, Boston, MA 02120 | 2016-10-31 |
| 1417232968 | Hrc Corp Inc | Pharmacy | 201 Humboldt Avenue, Dorchester, MA 02120 | 2011-10-17 |
| 1689957722 | Hrd Corp, Inc | Pharmacy | 201 Humboldt Ave, Dorchester, MA 02120 | 2011-09-26 |
| 1841580453 | Alessandro Villa | Dentist | 1620 Tremont Street, Suite Bc-3-028, Division of Oral Medicine & Dentistry Bwh, Boston, MA 02120 | 2011-04-15 |
| 1043446859 | Sara King | Internal Medicine | 1290 Tremont Street, Boston, MA 02120 | 2009-06-08 |
| Find all providers in zip 02120 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508421033 | Zachary Biedermann | Developmental Therapist | 55 Dimock St, Roxbury, MA 02119-1029 | 2019-05-09 |
| 1770843971 | Lindsay Elizabeth Young | Developmental Therapist | 1800 Columbus Ave, Roxbury, MA 02119-1042 | 2012-05-22 |
| 1831374503 | Maria Helen Stack | Developmental Therapist | 55 Dimock St, Roxbury, MA 02119-1029 | 2007-12-31 |
| 1417137373 | Edna De Pina | Developmental Therapist | 1800 Columbus Ave, Roxbury, MA 02119-1042 | 2007-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527090 | Kelsey Pomare Deschene | Developmental Therapist | 22 Currier Ave, Haverhill, MA 01830-6441 | 2020-10-29 |
| 1063012243 | Megan Alicia Harty | Developmental Therapist | 183 I St, Boston, MA 02127-4049 | 2020-10-28 |
| 1255939971 | Myriame Germain | Developmental Therapist | 74 Highcrest Rd, Roslindale, MA 02131-4824 | 2020-10-14 |
| 1659988202 | Jordan Taylor Clauson | Developmental Therapist | 300 E Main St Ste 104, Milford, MA 01757-2806 | 2020-09-28 |
| 1659905248 | Adrienne Nicole Wilson | Developmental Therapist | 15 Atherton Rd Apt 1, Brookline, MA 02446-2770 | 2020-02-24 |
| 1144853920 | Jamie Saunders | Developmental Therapist | 77 Gravel Bank Rd, Clarksburg, MA 01247-9731 | 2020-02-19 |
| 1164060612 | Shelby Morgan Johnson | Developmental Therapist | 11 Argyle St, Andover, MA 01810-2706 | 2019-12-16 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1356987606 | Teodora Veleva | Developmental Therapist | Kennedy Donovan Cape & Islands Early Intervention, 80 Pearl Street, Hyannis, MA 02601 | 2019-11-21 |
| 1245875376 | Courtney Rose Bird | Developmental Therapist | 87 Orchard St, Adams, MA 01220-2324 | 2019-11-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANICIA FERNANDES.
| 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.