MR. GREGORY JOHN PENNLINE (NPI# 1811269012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811269012 |
| Entity Type | Individual |
| Full Name | MR. GREGORY JOHN PENNLINE |
| Practice Address |
173 Chelsea St Everett MA 02149-4632 |
| Practice Telephone | 7813886231 |
| Mailing Telephone | 7813886231 |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2013-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
173 CHELSEA ST |
| City | EVERETT |
| State | MA |
| Zip Code | 02149-4632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063499168 | Tracy J Wilbraham | Nurse Practitioner | 173 Chelsea St, Everett, MA 02149-4632 | 2005-12-29 |
| 1104438498 | Anne Susan Keliher | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2020-08-19 |
| 1790395960 | Ines Del Carmen Herrero | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2020-08-03 |
| 1194340075 | Andrew Miller Shegda | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2020-06-16 |
| 1497379994 | Raeanna M Lucey | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2020-06-01 |
| 1720637408 | Lauren Michelle Sullivan | Social Worker | 173 Chelsea St, Everett, MA 02149-4632 | 2019-09-05 |
| 1740842293 | Kimberly Ann Knowles | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2019-07-05 |
| 1669036950 | Amanda Thorne | Social Worker | 173 Chelsea St, Everett, MA 02149-4632 | 2019-04-23 |
| 1104386945 | Benjamin Christian Warren | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2019-03-20 |
| 1740763168 | Casey Campbell Frieling | Registered Nurse | 173 Chelsea St, Everett, MA 02149-4632 | 2018-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
| 1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
| 1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
| 1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
| 1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
| 1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| Find all providers in zip 02149 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664172 | Deidre Michelle Greene | Counselor | 13105 21st Dr Se Apt E307, Everett, WA 98208-7173 | 2019-11-25 |
| 1356859623 | Victor Cleveland | Counselor | 10315 19th Ave Se Ste 112, Everett, WA 98208-4268 | 2018-01-19 |
| 1386155893 | Kristin Zarrello | Counselor | 11008 20th Dr Se, Everett, WA 98208-5241 | 2017-10-24 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1619401973 | David Alexander | Counselor | 10905 3rd Ave Se, Everett, WA 98208-7020 | 2017-04-13 |
| 1982152955 | Adekunbi Afusat Olukoya | Counselor | 8625 Evergreen Way Ste 108, Everett, WA 98208-2647 | 2016-09-19 |
| 1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1891157798 | Pamela Hubbard | Counselor | 3501 Colby Ave Ste 105, Everett, WA 98201-4795 | 2016-03-22 |
| 1881052280 | Jolene Eva Janacek | Counselor | 1811 Mcdougall Ave, Everett, WA 98201-2456 | 2016-02-01 |
| Find all providers in EVERETT | ||||
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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.