TERESA MARIAM FATEMI (NPI# 1811464415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811464415 |
| Entity Type | Individual |
| Full Name | TERESA MARIAM FATEMI |
| Credential | PA |
| Practice Address |
124 Pilgrim Rd Pembroke MA 02359-1940 |
| Practice Telephone | 7819855455 |
| Mailing Telephone | 7819855455 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA6683 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
124 PILGRIM RD |
| City | PEMBROKE |
| State | MA |
| Zip Code | 02359-1940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294559 | Timothy Clynch | Nurse Practitioner | 296 Old Oak St, Pembroke, MA 02359 | 2020-01-07 |
| 1457902892 | Convenientmd LLC | Clinic/Center | 296 Old Oak Street, Pembroke, MA 02359 | 2019-09-26 |
| 1578126298 | Snezhana Voynova | Nurse Practitioner | Harbor Medical Associates, 15 Corporate Park Drive, Pembroke, MA 02359 | 2019-04-18 |
| 1669943452 | Rachel Elizabeth Fletcher | Counselor | Pembroke Partial Hospital Program, 20 Winter Street, Pembroke, MA 02359 | 2018-12-06 |
| 1780116236 | Annmarie Cummings | Behavioral Analyst | 15 Furnace Lane, Pembroke, MA 02359 | 2017-04-03 |
| 1558659680 | Rachel S Cohen | Social Worker | 20 Winter Street, Pembroke, MA 02359 | 2011-07-11 |
| 1659552974 | Kirsten Leah Evans | Registered Nurse | 7 Bartlett St, Pembroke, MA 02359 | 2007-11-15 |
| 1154516862 | Timothy A Kaufman | Physical Therapist | 31 Schoosett Street, Suite 300, Pembroke, MA 02359 | 2007-09-06 |
| 1912128463 | Mary A Marek | Social Worker | 2 Columibia Road, Pembroke, MA 02359 | 2007-05-01 |
| 1437287448 | Frederick James White Jr. | Dentist | 19a Mattakeesett St, Pembroke, MA 02359 | 2007-03-01 |
| Find all providers in zip 02359 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477000735 | Elizabeth Locklear | Physician Assistant | 498 Whistling Rufus Rd, Pembroke, NC 28372-8380 | 2016-09-04 |
| 1578887568 | Coy Watkins | Physician Assistant | 244 Ledford St 1188, Pembroke, GA 31321-1188 | 2010-03-18 |
| 1205476165 | Kayla Jacobs | Physician Assistant | 812 Candy Park Rd, Pembroke, NC 28372-9120 | 2020-01-08 |
| 1902363153 | Karen Rose Betz | Physician Assistant | 102 Livermore Dr, Pembroke, NC 28372-7270 | 2019-02-25 |
| 1689172868 | Tyler Elliott Dial | Physician Assistant | 923 W 3rd St, Pembroke, NC 28372-9628 | 2018-01-23 |
| 1295180206 | Cari Susann Mayers | Physician Assistant | 307 E Wardell Dr, Pembroke, NC 28372 | 2016-04-27 |
| 1144609595 | Cynthia Anne Tranchemontagne | Physician Assistant | 121 Pembroke St, Pembroke, NH 03275-1311 | 2015-05-19 |
| 1669720736 | Kimberly Elizabeth Lennox | Physician Assistant | 28 Riverside Dr, Pembroke, MA 02359 | 2012-08-21 |
| 1467767053 | Suzette Renee Oxendine | Physician Assistant | 307 E Wardell Dr, Pembroke, NC 28372-7998 | 2010-08-09 |
| 1972833838 | Promptcare Clinic, Pllc | Physician Assistant | 201 Livermore Dr, Suite 1, Pembroke, NC 28372-7322 | 2009-12-28 |
| Find all providers in PEMBROKE | ||||
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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.