JESSIE HEDDERMAN (NPI# 1700250560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700250560 |
| Entity Type | Individual |
| Full Name | JESSIE HEDDERMAN |
| Practice Address |
398 Neponset Ave Dorchester MA 02122-3134 |
| Mailing Address |
84 King St Dorchester MA 02122-2438 |
| Practice Telephone | 6175552230 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN2302864 | MA | Nursing Service Providers |
| Street Address |
398 NEPONSET AVE |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02122-3134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881692366 | Harbor Health Services, Inc. | Clinic/Center | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2005-07-08 |
| 1457978389 | Kaitlyn Dawn Drenckpohl | Registered Nurse | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2020-06-26 |
| 1780220657 | Maureen Ann Durkin | Registered Nurse | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2019-11-26 |
| 1235775792 | Yahaira I Soto | Registered Nurse | 398 Neponset Ave, Dorchester, MA 02122-3150 | 2019-11-20 |
| 1225686124 | Victoria Caitlin Rines | Nurse Practitioner | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2019-09-04 |
| 1710535513 | Abigail Elmes | Pharmacist | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2019-08-27 |
| 1043876345 | Delia Rissmiller | Registered Nurse | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2019-05-13 |
| 1386209096 | Sara Macpherson | Registered Nurse | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2019-05-08 |
| 1013572908 | Linda Cameron | Licensed Practical Nurse | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2019-05-06 |
| 1447719265 | Miryam Alce | Registered Nurse | 398 Neponset Ave, Dorchester, MA 02122-3150 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720875 | Joey Mark Nguyen | Pharmacist | 747 Gallivan Blvd, Dorchester, MA 02122 | 2020-08-14 |
| 1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
| 1336789528 | Katheline Leconte | Social Worker | 230 Bowdoin Street, Dorchester, MA 02122 | 2020-01-15 |
| 1700374725 | Renee Ahern | Registered Nurse | 398 Neponset Ave., Dorchester, MA 02122 | 2018-04-25 |
| 1861902371 | Bridget Mary Walsh | Specialist/Technologist | 519 Ashmont St, Dorchester, MA 02122 | 2017-10-10 |
| 1649798133 | Roosevelt Lewis IIi | Registered Nurse | 1486 Dorchester Ave Ste 206, Boston, MA 02122 | 2017-09-05 |
| 1811427404 | Hanh Nguyen | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122 | 2017-06-15 |
| 1669902474 | Thuy T Nguyen | Counselor | 415 Neponset Avenue, Dorchester, MA 02122 | 2017-06-14 |
| 1093262651 | David Scot Rapaport | Counselor | 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 | 2016-09-01 |
| 1104372960 | Kevin Lyn Sisson | Student in an Organized Health Care Education/Training Program | 417 Neponset Ave, Boston, MA 02122 | 2016-08-31 |
| Find all providers in zip 02122 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699033613 | Ramona Lane | Registered Nurse | 36 Elm Hill Ave, #3, Dorchester, MA 02121-1716 | 2012-04-27 |
| 1578161097 | Kelly Hogan | Registered Nurse | 632 Blue Hill Ave, Dorchester, MA 02121-3213 | 2020-10-16 |
| 1124664107 | Annmary Quilty | Registered Nurse | 250 Mount Vernon St, Dorchester, MA 02125-3120 | 2019-11-25 |
| 1235775792 | Yahaira I Soto | Registered Nurse | 398 Neponset Ave, Dorchester, MA 02122-3150 | 2019-11-20 |
| 1427608249 | Claire Aldous | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2019-09-13 |
| 1376019380 | Venice Inez Rice-bell | Registered Nurse | 637 Washington St, Dorchester, MA 02124-3510 | 2018-10-17 |
| 1174018956 | Eileen Ridge | Registered Nurse | 105 Victory Rd, Dorchester, MA 02122-3518 | 2018-06-25 |
| 1427593250 | Jose Viana | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2017-01-03 |
| 1487010716 | Rolanda Barros | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2015-12-31 |
| 1831563782 | Katherine Rita Salgado-lorenzo | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2015-11-16 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02122 |
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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.