ANDREA M FORDE (NPI# 1760451025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760451025 |
| Entity Type | Individual |
| Full Name | ANDREA M FORDE |
| Other Name | ANDREA M ENOS |
| Credential | NP |
| Practice Address |
485 Arsenal St Watertown MA 02472-5091 |
| Mailing Address |
147 Milk St Provider Enrollment - 9th Floor Boston MA 02109-4806 |
| Practice Telephone | 6179725100 |
| Practice Fax Number | 6179725439 |
| Mailing Telephone | 6175598053 |
| Mailing Fax Number | 6174213487 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363L00000X | Nurse Practitioner | 235173 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
235173 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0703737 | 05 | |
| MA | HARVARD PILGRIM | AA34081 | 01 |
| MA | BLUE CROSS | NP5011 | 01 |
| Street Address |
485 ARSENAL ST |
| City | WATERTOWN |
| State | MA |
| Zip Code | 02472-5091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980230 | Jahansouz Shokri | Internal Medicine | 485 Arsenal St, Internal Medicine, Watertown, MA 02472-5091 | 2005-05-30 |
| 1497352785 | Kelli Sims | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2020-10-08 |
| 1912464793 | Carolyn Comeau | Nurse Practitioner | 485 Arsenal St, Watertown, MA 02472-5091 | 2019-02-27 |
| 1699231167 | Jenna D Picton | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2019-02-20 |
| 1790265098 | Stefanos Daniel Torkos | Pharmacist | 485 Arsenal St, Watertown, MA 02472 | 2018-08-16 |
| 1255848123 | Patrick Mccarthy | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2018-01-02 |
| 1144747197 | Kevin Andrew Deleonardo | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2017-08-29 |
| 1659825016 | Semie Durrani | Pharmacist | 485 Arsenal St, Pharmacy Admin Dept., Watertown, MA 02472-5091 | 2016-08-15 |
| 1467809384 | Marie Wenzel | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2016-05-20 |
| 1336596717 | Katherine Loomer | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2016-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735327 | Gladys Nakungu Kasansula | Counselor | Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 | 2018-10-09 |
| 1447741962 | Hannah Edward | Optometrist | 550 Arsenal Street, Watertown, MA 02472 | 2018-05-21 |
| 1982193504 | Ruth Audrey Silverstein | Social Worker | Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 | 2018-05-09 |
| 1376067355 | Mostafa Medhati | Acupuncturist | 265 Lexington St., Watertown, MA 02472 | 2017-08-01 |
| 1003346313 | Eric Trant | Specialist/Technologist | 50 Columbia Street, Watertown, MA 02472 | 2017-06-19 |
| 1477007730 | Neangkanika Chea | Nurse Practitioner | 2 Repton Place, Apt 2204, Watertown, MA 02472 | 2016-08-04 |
| 1396128120 | Michelle Soares Darocha | Dentist | 18 Hovey Street, Watertown, MA 02472 | 2015-06-29 |
| 1760875496 | Ece Evin Yildirim | Acupuncturist | 557 Mt. Auburn St, Watertown, MA 02472 | 2015-03-05 |
| 1396140927 | Fabrizia Torazzi | Behavioral Analyst | 51 Water Street, Suite 200, Watertown, MA 02472 | 2014-10-24 |
| 1265774392 | Emilia Ann Fulop | Social Worker | 127 North Beacon Street, Watertown, MA 02472 | 2013-03-27 |
| Find all providers in zip 02472 | ||||
| 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 |
|---|---|---|---|---|
| 1326285396 | Doris Dittrich | Nurse Practitioner | 19742 Ny State Rte 12f, Watertown, NY 13601-1077 | 2009-01-13 |
| 1679558415 | Jean Pastorello | Nurse Practitioner | 189 Watertown St, Watertown, MA 02472-2571 | 2005-12-14 |
| 1548261670 | Laurel Ann Henderson | Nurse Practitioner | 35 Empsall Plaza, Watertown, NY 13601 | 2005-08-10 |
| 1497363113 | Allison Judeen Decurtins | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2020-07-20 |
| 1881244358 | Amber Rose Hendriksen | Nurse Practitioner | 1507 Doctors Ct, Watertown, WI 53094-4101 | 2019-09-17 |
| 1518422567 | Chris Anne Jewett | Nurse Practitioner | 826 Washington St Ste 106, Watertown, NY 13601-4071 | 2019-02-04 |
| 1184192650 | Kristina R Boetel | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2018-11-02 |
| 1043671415 | Rebecca Alleyne Holtzclaw | Nurse Practitioner | 40 Spring St, Watertown, Watertown, MA 02472-3474 | 2016-03-14 |
| 1619350667 | Emily E Muras | Nurse Practitioner | 125 Hospital Dr, Watertown, WI 53098-3303 | 2015-07-08 |
| 1487053005 | Casey Jo Brown | Nurse Practitioner | 123 Hospital Dr, Suite 2009, Watertown, WI 53098-3331 | 2014-08-19 |
| Find all providers in WATERTOWN | ||||
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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.