VIRGINIA LEE PETTEE (NPI# 1639719057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639719057 |
| Entity Type | Individual |
| Full Name | VIRGINIA LEE PETTEE |
| Practice Address |
1507 Pleasant St Fall River MA 02723-1914 |
| Mailing Address |
Po Box 4111 Fall River MA 02723-0400 |
| Practice Telephone | 7747045501 |
| Mailing Telephone | 7747045501 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1507 PLEASANT ST |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02723-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023651676 | River To Recovery, Inc. | Counselor | 1507 Pleasant St, Fall River, MA 02723-1914 | 2019-10-25 |
| 1477193803 | Nichole Theresa Fontaine | Case Manager/Care Coordinator | 1507 Pleasant St, Fall River, MA 02723-1914 | 2020-01-14 |
| 1871139022 | Kevin Doyle | Counselor | 1507 Pleasant St, Fall River, MA 02723-1914 | 2019-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932745494 | Kody Harrison | Social Worker | 60 County St., Fall River, MA 02723 | 2019-11-20 |
| 1184132359 | Abbigail L Cabral | Occupational Therapy Assistant | 657 Quarry St., Fall River, MA 02723 | 2018-01-22 |
| 1265766315 | Jeremiah Edillor Juson | Dentist | 387 Quarry St - Ste 100, Health First Family Care, Inc., Fall River, MA 02723 | 2009-09-22 |
| 1073715074 | Rui M Lima | Counselor | 1402 Pleasant Street, Fall River, MA 02723 | 2007-06-01 |
| 1356559165 | Priscilla Lynn Douglas | Physical Therapist | 387 Quarry St Ste 102, Fall River, MA 02723 | 2007-05-18 |
| 1407943954 | Kool Smiles Mac, PC | Dentist | 933 Pleasant Street, Suite 102-103, Fall River, MA 02723 | 2006-10-06 |
| 1639289648 | Homecare Newengland LLC | Durable Medical Equipment & Medical Supplies | 21 Father Devalles Blvd., Suite 103, Fall River, MA 02723 | 2006-08-30 |
| 1598879215 | Vasant K Kamath | Dentist | 1141 Pleasant Street, Fall River, MA 02723 | 2006-08-18 |
| 1679130694 | Elizabeth Corbett | Behavioral Analyst | 657 Quarry St, Fall River, MA 02723 | 2019-05-24 |
| 1700066495 | Michaela A Wojcik | Physical Therapist | 387 Quarry St Ste 102, Fall River, MA 02723 | 2007-11-09 |
| Find all providers in zip 02723 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010043 | Christopher Solomon | Peer Specialist | 8201 Inwood Dr, Woburn, MA 01801-5161 | 2020-07-14 |
| 1346878725 | Dynamicare Health | Peer Specialist | 288 Norfolk St Ste 4, Cambridge, MA 02139-1430 | 2020-03-31 |
| 1114553989 | Theresa Buccico | Peer Specialist | 284 Union Ave, Framingham, MA 01702-6318 | 2020-03-12 |
| 1235762741 | Peter Douglas Mantell IIi | Peer Specialist | 130 Millers Falls Rd, Turners Falls, MA 01376-2250 | 2020-02-13 |
| 1083259154 | Darlene Cruz | Peer Specialist | 5121 Crane Brook Way, Peabody, MA 01960-8526 | 2019-11-13 |
| 1700437571 | Edith Silva | Peer Specialist | 131 W Main St Ste 101, Orange, MA 01364-1157 | 2019-09-24 |
| 1225505720 | Stephanie Wamback | Peer Specialist | 20 Green St # 2, Dudley, MA 01571-3210 | 2018-11-01 |
| 1366918724 | Coretta Mcgill | Peer Specialist | 12 Montague St, Worcester, MA 01603-3125 | 2018-10-23 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| 1891219747 | Daniel Robert Proulx | Peer Specialist | 2 Endicott Ave, Marblehead, MA 01945-1617 | 2017-08-02 |
| Find all providers with the same taxonomy | ||||
| City | FALL RIVER |
| Zip Code | 02723 |
Please comment or provide details below to improve the information on VIRGINIA LEE PETTEE.
| 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.