RUTH A. RACZKOWSKI (NPI# 1770512956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770512956 |
| Entity Type | Individual |
| Full Name | RUTH A. RACZKOWSKI |
| Credential | N.P. |
| Practice Address |
1135 Morton St Mattapan MA 02126-2834 |
| Mailing Address |
67 Eustis Pkwy Waterville ME 04901-5173 |
| Practice Telephone | 6175332400 |
| Practice Fax Number | 6175332401 |
| Mailing Telephone | 2078732136 |
| Mailing Fax Number | 2076604529 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CNP161020 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1135 MORTON ST |
| City | MATTAPAN |
| State | MA |
| Zip Code | 02126-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558346296 | John Roberts | Nurse Practitioner | 1135 Morton St, Mattapan, MA 02126-2834 | 2005-12-14 |
| 1285299438 | Alexis Dove Mccrohan | Social Worker | 1135 Morton St, Mattapan, MA 02126-2834 | 2019-05-03 |
| 1760962914 | Sarah Visintainer | Pharmacist | 1135 Morton St, Mattapan, MA 02126-2834 | 2018-08-17 |
| 1891206322 | Kelsey Beth Sheehan | Pharmacist | 1135 Morton St, Mattapan, MA 02126-2834 | 2017-10-24 |
| 1548621048 | Corinne Sieben | Registered Nurse | 1135 Morton St, Mattapan, MA 02126-2834 | 2016-03-10 |
| 1366810905 | Jazmin Turner | Pharmacist | 1135 Morton St, Mattapan, MA 02126-2834 | 2015-09-14 |
| 1225443831 | Amy Wujastyk Thein | Pharmacist | 1135 Morton St, Mattapan, MA 02126-2834 | 2014-06-23 |
| 1124438379 | Maureen Moore | Dental Hygienist | 1135 Morton St, Mattapan, MA 02126-2834 | 2014-04-28 |
| 1174958763 | Jennifer Ryan | Licensed Practical Nurse | 1135 Morton St, Mattapan, MA 02126-2834 | 2013-09-13 |
| 1649605791 | Christiaan Van Damme | Registered Nurse | 1135 Morton St, Mattapan, MA 02126-2834 | 2013-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280646 | Covil Home Care LLC | In Home Supportive Care | 1549 Blue Hill Ave, Mattapan, MA 02126 | 2019-05-10 |
| 1902374069 | Kasha Sarette | Social Worker | 37 Babson St, Mattapan, MA 02126 | 2018-11-07 |
| 1093231359 | Danielle Christian | Behavior Technician | 73 Catbird Ct, Mattapan, MA 02126 | 2017-08-18 |
| 1609314681 | Regis College | Hospice, Inpatient | 19 Southmere Road, Mattapan, MA 02126 | 2017-02-09 |
| 1437606001 | Betsy-lynn Ngole | Community Health Worker | 137 Savannah Ave, Boston, MA 02126 | 2016-09-01 |
| 1437535440 | Rosel Forwang Lewis | Registered Nurse | 42 Hallowell St, Mattapan, MA 02126 | 2015-08-03 |
| 1033596895 | Quality Home Care & Transportation | Transportation Broker | 93 W Selden St, Mattapan, MA 02126 | 2015-04-30 |
| 1205101565 | Clayton Mark Sandiford | Contractor | 22 Banfield Ave, Boston, MA 02126 | 2012-03-19 |
| 1790093128 | Richard Christopher Mitchell Jr. | Counselor | 32 Wellington Hill St, Mattapan, MA 02126 | 2010-09-20 |
| 1972630622 | Gemima St. Louis | Psychologist | 255 River St, Spark Center-bmc, Mattapan, MA 02126 | 2007-02-28 |
| Find all providers in zip 02126 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639552 | Kelly Ann Hancock | Nurse Practitioner | 6 Margot Ln, East Bridgewater, MA 02333-1689 | 2020-11-03 |
| 1366042715 | Jacqueline Ann Owens | Nurse Practitioner | 32 Hammond Ave, Cohasset, MA 02025-1928 | 2020-10-27 |
| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
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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.