SEAN FAGAN (NPI# 1588025282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588025282 |
| Entity Type | Individual |
| Full Name | SEAN FAGAN |
| Practice Address |
10 Western Ave Gloucester MA 01930-3645 |
| Practice Telephone | 9783815636 |
| Mailing Telephone | 9783815636 |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 12492 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10 WESTERN AVE |
| City | GLOUCESTER |
| State | MA |
| Zip Code | 01930-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538592 | Kimberly Moniz | Counselor | 3 & 4 Blackburn Center, Gloucester, MA 01930 | 2018-12-03 |
| 1770066714 | Anneliese Deckert | Counselor | 3 & 4 Blackburn Center Drive, Gloucester, MA 01930 | 2018-09-14 |
| 1497231070 | Erika Ackermann Duffy | Social Worker | Beeman Elementary School, 138 Cherry Street, Gloucester, MA 01930 | 2018-07-17 |
| 1639677958 | Sarah Bethany Stockwell | Counselor | 3 Blackburn Center Drive, Gloucester, MA 01930 | 2018-02-01 |
| 1164931721 | Samantha Carapellucci | Counselor | Children Friend Familes, 33 Commercial Street, Gloucester, MA 01930 | 2017-09-27 |
| 1215455860 | Jennifer Catherine Hynes | Social Worker | 33 Commercial Street, Gloucester, MA 01930 | 2017-09-05 |
| 1952829590 | Jessica Demarjian | Counselor | 24 Glemere Ave, Gloucester, MA 01930 | 2017-09-04 |
| 1033636600 | Anne Kirk Drueding | Social Worker | 29a Emerson Avenue, Gloucester, MA 01930 | 2017-08-24 |
| 1982128211 | Kristen Elizabeth Drischler | Registered Nurse | 29a Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
| 1992229207 | Jacqueline Marie Misuraca | Registered Nurse | 29 A Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
| Find all providers in zip 01930 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083156053 | Eric Stephen Booth | Massage Therapist | 7761 Plantation Rd, Gloucester, VA 23061-3224 | 2016-11-08 |
| 1649596420 | Lin D Chandler | Massage Therapist | 222 Eastern Ave, Gloucester, MA 01930-1810 | 2010-04-19 |
| 1346681764 | Catherine E Meyers | Massage Therapist | 222 Eastern Ave, Gloucester, MA 01930-1810 | 2013-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891736 | Ashish Karintikal | Massage Therapist | 118 Emmons St Apt 2, Franklin, MA 02038-2187 | 2020-11-05 |
| 1720689839 | Nichole Aline Cross | Massage Therapist | 45 Main St Ste C1, Wareham, MA 02571-2152 | 2020-11-04 |
| 1750981742 | Vincent Tieu | Massage Therapist | 34 Kenilworth St, Malden, MA 02148-2823 | 2020-10-28 |
| 1417556937 | Heidi Gean Eggerling | Massage Therapist | 200 Main St Ste 205, Falmouth, MA 02540-2779 | 2020-10-26 |
| 1730788324 | Debra Merle Baker | Massage Therapist | 10 Holworthy Pl, Cambridge, MA 02138-4510 | 2020-10-23 |
| 1851990865 | Andria Goddard | Massage Therapist | 570 Kelley Blvd., Unit 2b, North Attleboro, MA 02760 | 2020-10-21 |
| 1396344248 | Norine Lopes | Massage Therapist | 102 Green St Apt 1, Brockton, MA 02301-7214 | 2020-10-21 |
| 1225636533 | Suleidy Bautista | Massage Therapist | 580 Salem St Apt 36, Wakefield, MA 01880-1274 | 2020-10-09 |
| 1962009795 | Adam Riggio | Massage Therapist | 100 Merrimack St Ste 305, Lowell, MA 01852-1706 | 2020-10-05 |
| 1033726260 | Cristina Crawford | Massage Therapist | 18 Great Hollow, Truro, MA 02666-1035 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | GLOUCESTER |
| Zip Code | 01930 |
Please comment or provide details below to improve the information on SEAN FAGAN.
| 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.