DONNA M AGAVE (NPI# 1669656187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669656187 |
| Entity Type | Individual |
| Full Name | DONNA M AGAVE |
| Other Name | DONNA ABARBANEL |
| Credential | RN-PC, NP |
| Practice Address |
100 Brooksby Village Dr Peabody MA 01960-1438 |
| Mailing Address |
5525 Research Park Dr Fl 4 Baltimore MD 21228-4873 |
| Practice Telephone | 9785367850 |
| Practice Fax Number | 8772809727 |
| Mailing Telephone | (978) 536-7850 |
| Mailing Fax Number | 8772809727 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2017-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 149537 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
149537 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LICENSE | 149537 | 01 |
| Street Address |
100 BROOKSBY VILLAGE DR |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407536 | Randolph S. Powers | Family Medicine | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2005-06-20 |
| 1881104032 | Caroline Margaret Sims | Social Worker | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2017-10-02 |
| 1639447006 | Erickson Health Medical Group of Massachusetts, P.c . | Assisted Living Facility | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2011-12-13 |
| 1215229620 | Sarah Robertson | Nurse Practitioner | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2011-05-04 |
| 1265688352 | Erickson Health Medical Group of Ma | Durable Medical Equipment & Medical Supplies | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2008-08-08 |
| 1992852099 | Dennis A Tuck | Podiatrist | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2007-01-04 |
| 1326115106 | Main Street Pharmacy, LLC | Pharmacy | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2006-11-29 |
| 1154337681 | Ajaykumar S Patel | Internal Medicine | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2006-08-01 |
| 1164442919 | Erickson Health Medical Group of Massachusetts PC | Family Medicine | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2006-07-21 |
| 1326077124 | Janis Carmody | Nurse Practitioner | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2006-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568003945 | Judy Ann Sinclair | Nurse Practitioner | 4 Sachem Rd, Peabody, MA 01960-3502 | 2019-10-07 |
| 1568835353 | Sarah Ashley Wroclawski | Nurse Practitioner | 300 Jubilee Dr, Peabody, MA 01960-4030 | 2015-11-03 |
| 1982807624 | Monica E. Curtis | Nurse Practitioner | 199 Andover St, Peabody, MA 01960-1630 | 2007-06-08 |
| 1619934619 | Joya Bird | Nurse Practitioner | One Roosevelt Ave, Peabody, MA 01960 | 2006-04-26 |
| 1093771487 | Maria S Palermo | Nurse Practitioner | 2 Essex Dr, Peabody, MA 01960-2902 | 2006-04-25 |
| 1497740666 | Joy Sweetall | Nurse Practitioner | 2 Corporation Way, Suite 180, Peabody, MA 01960-7932 | 2005-09-14 |
| 1104468974 | Emily Joy Sullivan-miller | Nurse Practitioner | 4 Centennial Dr Ste 204, Peabody, MA 01960-7930 | 2019-10-14 |
| 1740788900 | Sarah Houlton Sapio | Nurse Practitioner | 300 Jubilee Dr, Peabody, MA 01960-4030 | 2018-01-23 |
| 1689185795 | Matthew Gary Pearson | Nurse Practitioner | 229 Andover St, Peabody, MA 01960-1539 | 2017-10-16 |
| 1477961589 | Kathleen Smith | Nurse Practitioner | 1 Essex Center Dr, Peabody, MA 01960-2901 | 2014-08-01 |
| Find all providers in PEABODY | ||||
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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.