MRS. MARTHA P SLATTERY (NPI# 1619127040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619127040 |
| Entity Type | Individual |
| Full Name | MRS. MARTHA P SLATTERY |
| Credential | NP |
| Practice Address |
650 Centre St Suite 102w Brockton MA 02302-3308 |
| Practice Telephone | 5085808682 |
| Practice Fax Number | 5085832515 |
| Mailing Telephone | 5085808682 |
| Mailing Fax Number | 5085832515 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
103002 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110085882A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396874004 | Martha Ann Slattery | Marriage & Family Therapist | 875 Walnut St, Suite 220, Cary, NC 27511-4215 | 2007-03-06 |
| Street Address |
650 CENTRE ST SUITE 102W |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-3308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891723334 | Harold Michlewitz | Obstetrics & Gynecology | 650 Centre St, Brockton, MA 02302-3308 | 2006-06-30 |
| 1811306061 | Melissa Lauren Kirkland | Nurse Practitioner | 650 Centre St, Brockton, MA 02302-3308 | 2014-08-12 |
| 1124149364 | Brooke J Bloom | Obstetrics & Gynecology | 650 Centre St, Brockton, MA 02302-3308 | 2007-04-03 |
| 1588698245 | Samar A Choubah | Internal Medicine | 650 Centre St, Brockton, MA 02302-3308 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469947 | Jiahua Zhang | Nurse Practitioner | 210 Quincy Ave, Brockton, MA 02302-2862 | 2020-02-21 |
| 1437702719 | Joel Clerville | Nurse Practitioner | 599 Pleasant St, Brockton, MA 02301 | 2019-07-16 |
| 1285035576 | David Westrin | Nurse Practitioner | 235 N Pearl St, Good Samaritan Medical Center, Brockton, MA 02301-1794 | 2014-09-06 |
| 1265832919 | Jona Simone Dunphy | Nurse Practitioner | 1020 Pleasant St, Brockton, MA 02301-3063 | 2014-08-31 |
| 1114349529 | Francesca Villanueva | Nurse Practitioner | 63 Main St, Brockton, MA 02301-4042 | 2014-01-21 |
| 1841531191 | Karen L Simmons | Nurse Practitioner | 110 Liberty St, Brockton, MA 02301-5521 | 2013-03-12 |
| 1740558402 | Erin J Riley | Nurse Practitioner | Va Boston Healthcare System, 940 Belmont St, Brockton, MA 02301 | 2011-12-09 |
| 1174839997 | Katherine Van | Nurse Practitioner | 235 N Pearl St, Brockton, MA 02301-1794 | 2010-08-31 |
| 1275798852 | Tamara Schorr Hammer | Nurse Practitioner | 7 Christy Dr, Suite 3, Brockton, MA 02301-1843 | 2008-07-23 |
| 1558589499 | Katherine Mary Rogers | Nurse Practitioner | 940 Belmont St, Brockton, MA 02301-5596 | 2007-04-24 |
| Find all providers in BROCKTON | ||||
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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.