LOUISE HADDOCK (NPI# 1669895181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669895181 |
| Entity Type | Individual |
| Full Name | LOUISE HADDOCK |
| Practice Address |
12 Hadley Pl #2 Medford MA 02155-3905 |
| Mailing Address |
Po Box 6393 Boston MA 02114-0017 |
| Practice Telephone | 6174479800 |
| Mailing Telephone | 6174479800 |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | $$$$$$$$$ | TX | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS | XXM981581399 | 01 |
| Street Address |
12 HADLEY PL #2 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696261 | Julia Elizabeth Erskine | Student in an Organized Health Care Education/Training Program | 119 Boston Ave Apt 1, Medford, MA 02155-3570 | 2020-10-16 |
| 1720695695 | Elizabeth Moynihan | Student in an Organized Health Care Education/Training Program | 9 Marion St, Medford, MA 02155-6219 | 2020-09-25 |
| 1043820764 | Shane L Totten | Student in an Organized Health Care Education/Training Program | 19 Hamilton St, Medford, MA 02155-4207 | 2020-08-06 |
| 1649810136 | Kelly Alaina Walsh | Student in an Organized Health Care Education/Training Program | 289 Elm St Apt 62c, Medford, MA 02155-1068 | 2020-01-13 |
| 1487150785 | Sara Krivan | Student in an Organized Health Care Education/Training Program | 205 Jamaica Ave, Medford, NY 11763-3239 | 2018-04-04 |
| 1508316829 | Sierra Ruth Fuller | Student in an Organized Health Care Education/Training Program | 345 Salem St, Medford, MA 02155-3308 | 2016-10-11 |
| 1447605159 | Andrew Allen Fryer | Student in an Organized Health Care Education/Training Program | 32 Nottingham Dr, Medford, NJ 08055-8533 | 2016-05-01 |
| 1376959411 | Parham Shahkar | Student in an Organized Health Care Education/Training Program | 3920 Mystic Valley Pkwy Apt 1121, Medford, MA 02155-6911 | 2014-07-09 |
| 1275964256 | Steven Matta | Student in an Organized Health Care Education/Training Program | 100 Station Lndg Unit 405, Medford, MA 02155-5179 | 2013-12-02 |
| 1922610286 | Kimberly Patricia Rosalia | Student in an Organized Health Care Education/Training Program | 12 Platinum Ct, Medford, NY 11763-2247 | 2020-08-18 |
| Find all providers in MEDFORD | ||||
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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.