MS. CAREYANNE DINISCO DAVIS (NPI# 1437205333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437205333 |
Entity Type | Individual |
Full Name | MS. CAREYANNE DINISCO DAVIS |
Credential | PA-C |
Practice Address |
950 Winter St Suite 3800 Waltham MA 02451-1424 |
Practice Telephone | 7814728589 |
Mailing Telephone | 7814728589 |
Enumeration Date | 2007-01-25 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
AP1013 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
950 WINTER ST SUITE 3800 |
City | WALTHAM |
State | MA |
Zip Code | 02451-1424 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194792481 | Xin Ning | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2006-03-05 |
1376911149 | Emily Seipp Pitts | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2015-09-09 |
1962870220 | Elizabeth S Duffy | Nurse Practitioner | 950 Winter St, 4th Floor, Waltham, MA 02451-1424 | 2015-09-03 |
1568847945 | Stacy Walker | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2015-07-27 |
1669862736 | Catherine Camacho | Nurse Practitioner | 950 Winter St, 3800, Waltham, MA 02451-1424 | 2015-01-28 |
1558767269 | Cynthia Gosselin | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2014-11-06 |
1861895294 | Rachel Smedile | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2014-09-30 |
1992120059 | Xiu Xia Zhang | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2014-02-26 |
1093141798 | Denise Christine Kelley | Nurse Practitioner | 950 Winter St, Suite 2200/3800, Waltham, MA 02451-1227 | 2013-09-25 |
1902189418 | Tara Liljestrand | Nurse Practitioner | 950 Winter St, Suite 2200/3800, Waltham, MA 02451 | 2011-09-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
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Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609914381 | Christine Alanna Cocchiaro | Physician Assistant | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2007-02-02 |
1053463521 | Roya Leigh Clements | Physician Assistant | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2007-01-17 |
1215086004 | Lori A Croteau | Physician Assistant | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2007-01-09 |
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 |
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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.