DEBRA KLEZMER (NPI# 1790840932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790840932 |
| Entity Type | Individual |
| Full Name | DEBRA KLEZMER |
| Credential | LMT,RN,C,CRRN |
| Practice Address |
42 Diauto Dr Randolph MA 02368-6202 |
| Mailing Address |
42 Diauto Dr Randolph MA 02368-4510 |
| Practice Telephone | 7819866443 |
| Practice Fax Number | 7819864837 |
| Mailing Telephone | 7819866443 |
| Mailing Fax Number | 7819864837 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WP0000X |
Registered Nurse Specialization: Pain Management |
145673 | MA | Nursing Service Providers |
| X | 225700000X | Massage Therapist | 079 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS OF MA | Q04319 | 01 |
| Street Address |
42 DIAUTO DR |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972562288 | Integrative Chiropractic and Rehabilitation, P. C. | Chiropractor | 42 Diauto Dr, Randolph, MA 02368-4510 | 2006-03-23 |
| 1447863188 | Nadine Thompson | Social Worker | 42 Diauto Dr, Randolph, MA 02368-4510 | 2020-08-24 |
| 1912475187 | Vanessa C. Enriquez | Social Worker | 42 Diauto Dr, Randolph, MA 02368-4510 | 2018-11-06 |
| 1750758322 | Shannon Moore | Social Worker | 42 Diauto Dr, Randolph, MA 02368-4510 | 2015-08-30 |
| 1477939270 | Matthew Bennett Easley | Counselor | 42 Diauto Dr, Randolph, MA 02368-4510 | 2015-08-04 |
| 1487072039 | Marissa Giel | Case Manager/Care Coordinator | 42 Diauto Dr, Randolph, MA 02368-4510 | 2014-04-01 |
| 1083975841 | Guerda Victor | Counselor | 42 Diauto Dr, Randolph, MA 02368-4510 | 2012-06-07 |
| 1730446337 | Antonio Arrendel | Counselor | 42 Diauto Dr, Randolph, MA 02368-4510 | 2012-04-19 |
| 1659648723 | James Milton Henry Jr. | Counselor | 42 Diauto Dr, Randolph, MA 02368-4510 | 2011-11-17 |
| 1891096160 | Lamour Community Health Institute, Inc | Clinic/Center | 42 Diauto Dr, Randolph, MA 02368-4510 | 2010-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| Taxonomy Code | 163WP0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pain Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481864 | Nathacha Lorquet | Registered Nurse | 318 Pearl St, Stoughton, MA 02072-2362 | 2020-03-05 |
| 1013407147 | Alisa Shaulskaya | Registered Nurse | 60 Colonial Dr Unit 9, Andover, MA 01810-7356 | 2018-05-15 |
| 1952640948 | Erika Bourne | Registered Nurse | 203 Arlington St, Suite 1, Watertown, MA 02472-2090 | 2013-02-11 |
| 1154377919 | Amy Lorenz | Registered Nurse | Pratt Anesthesiology Associates, Inc, 750 Washington Street-nemc, Boston, MA 02211-0001 | 2006-05-25 |
| 1407496946 | Hannah Elizabeth Morton | Registered Nurse | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-01-13 |
| 1669613337 | Carolyn Marie Debeauport | Registered Nurse | 9 Payson Rd Ste 100, Foxboro, MA 02035-1309 | 2009-03-10 |
| 1932379393 | Susan Mae Parker | Registered Nurse | 170 Governors Ave, Medford, MA 02155-1643 | 2008-03-01 |
Please comment or provide details below to improve the information on DEBRA KLEZMER.
| 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.