PHILIP A PELLETIER (NPI# 1588995468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588995468 |
| Entity Type | Individual |
| Full Name | PHILIP A PELLETIER |
| Credential | MSN, NP-C |
| Practice Address |
874 Purchase St New Bedford MA 02740 |
| Mailing Address |
874 Purchase St New Bedford MA 02740-6232 |
| Practice Telephone | 5089926553 |
| Practice Fax Number | 5089848420 |
| Mailing Telephone | 5089926553 |
| Mailing Fax Number | 5089848420 |
| Enumeration Date | 2010-01-17 |
| Last Update Date | 2018-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN232943 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NPP37544 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
874 PURCHASE ST |
| City | NEW BEDFORD |
| State | MA |
| Zip Code | 02740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607537 | Greater New Bedford Community Health Center, Inc. | Clinic/Center | 874 Purchase St, New Bedford, MA 02740-6232 | 2005-05-27 |
| 1386251205 | Carolina Campioni De Oliveira | Dentist | 874 Purchase St, New Bedford, MA 02740-6232 | 2020-09-24 |
| 1841783370 | Emmett Hayes | Pharmacist | 874 Purchase St, New Bedford, MA 02740-6232 | 2018-06-09 |
| 1851819346 | Tyler Jones | Counselor | 874 Purchase St, New Bedford, MA 02740-6232 | 2017-09-05 |
| 1184144073 | Jasmine I Humphrey | Nurse Practitioner | 874 Purchase St, New Bedford, MA 02740-6232 | 2017-06-22 |
| 1962951848 | Meghan Wanderer | Nurse Practitioner | 874 Purchase St, New Bedford, MA 02740-6232 | 2016-10-03 |
| 1851840938 | Sara E Gillett | Nurse Practitioner | 874 Purchase St, New Bedford, MA 02740-6232 | 2016-09-29 |
| 1144774522 | Brian Costa | Nurse Practitioner | 874 Purchase St, New Bedford, MA 02740-6232 | 2016-08-15 |
| 1649724253 | Nicole Borges | Registered Nurse | 874 Purchase St, New Bedford, MA 02740-6232 | 2016-08-11 |
| 1619421906 | Lauren Sykes | Registered Nurse | 874 Purchase St, New Bedford, MA 02740-6232 | 2016-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294019 | Jacqueline Maye | Homemaker | 167 North Street, New Bedford, MA 02740 | 2020-04-27 |
| 1467095810 | Siere Jennifer Alkee | Psychiatry & Neurology | 68 N.front St, New Bedford, MA 02740 | 2019-10-17 |
| 1285282285 | Michelle Marie Montella | Counselor | 5 Dover St., New Bedford, MA 02740 | 2019-09-03 |
| 1891349460 | Carla E Fernandes | Counselor | 89 Pleasant Street, Apt 2, New Bedford, MA 02740 | 2019-07-31 |
| 1881156446 | Rachael Nylin | Health Educator | 128 Union St, Ste 204, New Bedford, MA 02740 | 2019-04-03 |
| 1194207563 | Wendy Anne Pacheco | Social Worker | 179 William Street, New Bedford, MA 02740 | 2018-09-03 |
| 1972085306 | Clear Coast Dental Pllc | Dentist | 906 Hathaway Road, New Bedford, MA 02740 | 2018-09-01 |
| 1538646617 | Derek Baptiste | Counselor | 68 N. Front St, New Bedford, MA 02740 | 2018-07-23 |
| 1316439227 | Savanna Alexandrea Jones | Social Worker | 543 North St., New Bedford, MA 02740 | 2018-06-06 |
| 1265940860 | My Dental New Bedford | Clinic/Center | 770 Purchase St, New Bedford, MA 02740 | 2018-01-17 |
| Find all providers in zip 02740 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891128708 | Tiffini Mari Reedy | Nurse Practitioner | 888 Purchase St Unit 1, New Bedford, MA 02740-6233 | 2013-08-14 |
| 1952519969 | Richard Stephen Ferri | Nurse Practitioner | 98 North Front Street, 3rd Floor, New Bedford, MA 02740 | 2007-05-21 |
| 1881136901 | Alexandra Mcclellan Haggerty | Nurse Practitioner | 92 Grape St, New Bedford, MA 02740-2143 | 2016-11-07 |
| 1790131894 | David Sanchez | Nurse Practitioner | 874 Purchase St, New Bedford, MA 02740-6232 | 2016-05-06 |
| 1518369222 | Patricia Baptiste | Nurse Practitioner | 101 Page St, New Bedford, MA 02740-3464 | 2014-09-24 |
| 1861809923 | Cori Michelle O'neill | Nurse Practitioner | 651 Orchard St, Suite 100, New Bedford, MA 02744-1008 | 2014-07-21 |
| 1245589506 | Thomas Randal Viveiros | Nurse Practitioner | 651 Orchard St, New Bedford, MA 02744-1008 | 2012-09-02 |
| 1205193018 | Dina Bendavid | Nurse Practitioner | 874 Purchase St, New Bedford, MA 02740-6232 | 2012-04-18 |
| 1043583206 | Gayle Elise Davis | Nurse Practitioner | 101 Page St, New Bedford, MA 02740-3464 | 2012-02-20 |
| 1306122510 | Shawna Hughes | Nurse Practitioner | 874 Purchase St, New Bedford, MA 02740-6232 | 2011-11-01 |
| Find all providers in NEW BEDFORD | ||||
| City | NEW BEDFORD |
| Zip Code | 02740 |
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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.