DALLAS MICHELLE DUCAR (NPI# 1780239483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780239483 |
| Entity Type | Individual |
| Full Name | DALLAS MICHELLE DUCAR |
| Credential | MSN, PMHNP-BC, CNL |
| Practice Address |
55 Fruit St Fl Hall4 Boston MA 02114-2696 |
| Practice Telephone | 6176437210 |
| Mailing Telephone | 6176437210 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| 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 |
RN2333294 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MASSACHUSETTS BOARD OF REGISTRATION NURSING | RN2333294 | 01 |
| Street Address |
55 FRUIT ST FL HALL4 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| 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 |
|---|---|---|---|---|
| 1376153494 | Melissa Broughton | Nurse Practitioner | 110 Salem St Apt 4, Boston, MA 02113-1763 | 2020-08-04 |
| 1295258259 | Joseph F Toomey IIi | Nurse Practitioner | 48 Melrose St., Boston, MA 02116-2409 | 2017-07-21 |
| 1871950733 | Rebecca Donadio | Nurse Practitioner | 84 State Stareet, Suite 660, Boston, MA 02109-2200 | 2016-01-24 |
| 1811320559 | Alexandra Paige Libon Strack | Nurse Practitioner | 10 Newbury St Fl 4, Boston, MA 02116-3290 | 2013-08-16 |
| 1174806046 | Donald L Payette Jr. | Nurse Practitioner | 40 River St Unit 208, Boston, MA 02126-2983 | 2011-09-27 |
| 1134759665 | Sokhira Christina Yang | Nurse Practitioner | Boston Medical Center, 88 E Newton Street, Boston, MA 02118 | 2020-01-23 |
| 1730661042 | Brittany Catherine Hughes | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2018-09-04 |
| 1528549425 | Adekemi Victoria Adeleye | Nurse Practitioner | 1 Boston Medical Center Place, Boston, MA 02118 | 2018-08-28 |
| 1174022693 | Ally Integrated Healthcare LLC | Nurse Practitioner | 30 Newbury St Ste 3, Boston, MA 02116-3239 | 2018-02-10 |
| 1841799046 | Brian Paul Jewers | Nurse Practitioner | 1 Boston Medical Center, Boston, MA 02118 | 2018-02-03 |
| Find all providers in BOSTON | ||||
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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.