DAMARYS J CAICEDO


Address: 319 Longwood Ave, Boston, MA 02115-5728
Phone: 6172777320

DAMARYS J CAICEDO (NPI# 1417017542) 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) 1417017542
Entity Type Individual
Full Name DAMARYS J CAICEDO
Credential NP
Practice Address 319 Longwood Ave
Boston
MA 02115-5728
Mailing Address 171 Main St
Medway
MA 02053-1566
Practice Telephone 6172777320
Practice Fax Number 6172777834
Mailing Telephone 5085332013
Enumeration Date 2006-12-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics 		215786 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 319 LONGWOOD AVE
City BOSTON
State MA
Zip Code 02115-5728

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326040080 Gary P Kearney Urology 319 Longwood Ave, Boston, MA 02115-5728 2005-08-12
1124518329 Brianna Quintiliani Physician Assistant 319 Longwood Ave, Boston, MA 02115 2018-05-14
1831687300 Kevin Walter Wenner Physician Assistant 319 Longwood Ave, Boston, MA 02115-5728 2018-04-30
1740723139 Shannon Savage Physician Assistant 319 Longwood Ave, Boston, MA 02115-5728 2016-12-02
1336591023 Meghan Leigh Keating Physician Assistant 319 Longwood Ave, Floor Six, Boston, MA 02115-5728 2016-07-06
1528418001 Mary Mihovan Nurse Practitioner 319 Longwood Ave, Boston, MA 02115-5728 2016-06-15
1386014173 Jacqueline Hastings Nurse Practitioner 319 Longwood Ave, 6th Floor Sports Medicine, Boston, MA 02115-5728 2015-10-06
1205243078 Agnieszka Kowalczyk Pediatrics 319 Longwood Ave, Boston, MA 02115-5728 2014-07-14
1093121055 Emily Hanson Specialist/Technologist 319 Longwood Ave, Boston, MA 02115-5728 2014-07-10
1053743245 Rachel Stephanie Shade Psychologist 319 Longwood Ave, Boston, MA 02115-5728 2013-07-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524339 Jacqueline Busa Student in an Organized Health Care Education/Training Program Northeastern University 336 Huntington Ave, Boston, MA 02115 2020-09-30
1417564279 Katherine Rose Brainard Student in an Organized Health Care Education/Training Program 336 Huntington Avenue, Boston, MA 02115 2020-09-25
1679189112 Tara Baxter Orthopaedic Surgery Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 2020-09-21
1053923110 Wendy Tu Student in an Organized Health Care Education/Training Program 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 2020-08-20
1477177335 Nicolas Wyvekens Student in an Organized Health Care Education/Training Program 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 2020-06-05
1669095923 Erin Crocker Student in an Organized Health Care Education/Training Program Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 2020-05-21
1033732417 Tyler Francis Hayes Student in an Organized Health Care Education/Training Program Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 2020-05-20
1982225090 Emily Blake Student in an Organized Health Care Education/Training Program 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 2020-04-29
1891315495 Stephanie Schoch Student in an Organized Health Care Education/Training Program 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 2020-04-23
1427678093 Meghan Miles Student in an Organized Health Care Education/Training Program 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 2020-04-23
Find all providers in zip 02115

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356948525 Kaylee Woods Nurse Practitioner 85 Seaport Blvd Unit 714, Boston, MA 02210-2157 2020-10-01
1144838384 Amanda Rose Bakos Nurse Practitioner 218 Marion St, Boston, MA 02128-1758 2020-07-14
1083236749 Mubina M Rhee Nurse Practitioner 170 Brookline Ave Unit 215, Boston, MA 02215-3921 2020-05-15
1629549977 Michelle Nicole Deonarine Nurse Practitioner Center for Spina Bifida and Spinal Cord Conditions, Boston Childrens Hospital Hu 390. 300 Longwood Ave, Boston, MA 02115-0211 2018-12-16
1871060905 Chloe Faye Banks Nurse Practitioner 300 Longwood Ave Dept Farley2, Boston, MA 02115-5724 2018-10-26
1801262050 Kate Mysak Nurse Practitioner 300 Longwood Ave # Fegan9, Boston, MA 02115-5724 2015-08-11
1639501331 Rebecca Marie Stevens Nurse Practitioner 300 First Ave, Boston, MA 02129 2013-08-05
1811290380 Tracy Mahoney Nurse Practitioner 300 Longwood Ave Unit 9nw, Boston, MA 02115 2010-12-06
1639407513 Courtney Loper Risley Nurse Practitioner Boston Children's Hospital, 300 Longwood Avenue, Farley Building Room 403, Boston, MA 02115 2009-12-03
1417103193 Loren Jean D'angelo Nurse Practitioner 300 Longwood Ave -, Children's Hospital Boston Fegan 707, Boston, MA 02113 2008-08-13
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02115

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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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