MRS. JESSICA DACIUS (NPI# 1679025258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679025258 |
Entity Type | Individual |
Full Name | MRS. JESSICA DACIUS |
Credential | CNP |
Practice Address |
1290 Tremont St Boston MA 02120 |
Mailing Address |
1290 Tremont St Boston MA 02120-3432 |
Practice Telephone | 6174271000 |
Mailing Telephone | 6174271000 |
Enumeration Date | 2016-10-28 |
Last Update Date | 2018-08-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2299272 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
2299272 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1290 TREMONT ST |
City | BOSTON |
State | MA |
Zip Code | 02120 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972120079 | Thuymi To | Nurse Practitioner | 1290 Tremont St, Boston, MA 02120-3432 | 2020-07-06 |
1689215865 | Catherine Taglieri | Pharmacist | 1290 Tremont St, Boston, MA 02120-3432 | 2019-09-30 |
1851878607 | Omar M Ghorab | Pharmacist | 1290 Tremont St, Boston, MA 02120-3432 | 2018-07-24 |
1760981807 | Caroline A Smith | Registered Nurse | 1290 Tremont St, Boston, MA 02120-3432 | 2018-02-05 |
1659890820 | Jade Doolan | Nurse Practitioner | 1290 Tremont St, Boston, MA 02120-3432 | 2017-09-19 |
1376062133 | Samuel Kwame Dance | Counselor | 1290 Tremont St, ., Boston, MA 02120-3432 | 2017-09-13 |
1417479551 | Jessica N. Eddy | Counselor | 1290 Tremont St, Boston, MA 02120-3432 | 2017-07-11 |
1659761542 | Rachel K Dziedzic | Dietitian, Registered | 1290 Tremont St, Boston, MA 02120-3432 | 2015-01-29 |
1750688594 | Kenneth Nwosu | Physical Therapist | 1290 Tremont St, Boston, MA 02120-3432 | 2011-02-14 |
1700014701 | Rosa Elena Pelaez-shelton | Dentist | 1290 Tremont St, Boston, MA 02120-3432 | 2009-06-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083244735 | Alicia Hoffman | Occupational Therapist | 71 Alleghany Street, Boston, MA 02120 | 2020-01-22 |
1376193110 | Katherine Wiley | Student in an Organized Health Care Education/Training Program | 71 Allegheny Street, Boston, MA 02120 | 2019-09-13 |
1073171971 | Kyana Figueroa | Community/Behavioral Health | 4 Sussex St, Roxbury, MA 02120 | 2019-06-05 |
1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
1811424005 | Christopher Lim | Student in an Organized Health Care Education/Training Program | 1620 Tremont St, One Brigham Circle, Radiology Administration, Boston, MA 02120 | 2017-05-18 |
1609328178 | Nikhil A Sangave | Pharmacist | 1290 Tremont St Fl 3, Boston, MA 02120 | 2016-10-31 |
1417232968 | Hrc Corp Inc | Pharmacy | 201 Humboldt Avenue, Dorchester, MA 02120 | 2011-10-17 |
1689957722 | Hrd Corp, Inc | Pharmacy | 201 Humboldt Ave, Dorchester, MA 02120 | 2011-09-26 |
1841580453 | Alessandro Villa | Dentist | 1620 Tremont Street, Suite Bc-3-028, Division of Oral Medicine & Dentistry Bwh, Boston, MA 02120 | 2011-04-15 |
1043446859 | Sara King | Internal Medicine | 1290 Tremont Street, Boston, MA 02120 | 2009-06-08 |
Find all providers in zip 02120 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144861303 | Jennifer Abjornson | Nurse Practitioner | 99 Hudson St Apt 3, Boston, MA 02111-1812 | 2019-09-30 |
1770950347 | Yelena Tsybulskiy | Nurse Practitioner | Boston University - Occupational Health Center, 930 Commonwealth Avenue Suite 1200, Boston, MA 02215 | 2015-08-30 |
1770701666 | Kathleen Markey Nolan | Nurse Practitioner | 800 Washington Street Box 324, Boston, MA 02111 | 2007-04-23 |
1598372427 | Deborah Dill | Nurse Practitioner | 250 Washington St Fl 5, Boston, MA 02108-4603 | 2020-09-24 |
1386252682 | Nancy Littlehale | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-22 |
1194369199 | Karen Li | Nurse Practitioner | 145 South St, Boston, MA 02111-2826 | 2019-11-01 |
1245771773 | Kara Sugihara | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2017-03-16 |
1467994848 | Rebecca Leathe | Nurse Practitioner | 55 Fruit St, Cox Building, 5th Floor, Boston, MA 02114-2621 | 2016-11-16 |
1801344346 | Maryanne Leavitt Vogel | Nurse Practitioner | 850 Harrison Ave # Yacc5, Boston, MA 02118-4001 | 2016-09-13 |
1902267727 | Jamie Tenneill Isaac Jefferson | Nurse Practitioner | 330 Brookline Ave, Bidmc, Department of Ob/gyn, Shapiro 8th Floor, Boston, MA 02215-5400 | 2016-03-08 |
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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.