MRS. JESSICA DACIUS


Address: 1290 Tremont St, Boston, MA 02120
Phone: 6174271000

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1290 TREMONT ST
City BOSTON
State MA
Zip Code 02120

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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Competitor

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City BOSTON
Zip Code 02120

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Dataset Information

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.

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