MS. MELLISA DEANDRADE (NPI# 1811500028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811500028 |
| Entity Type | Individual |
| Full Name | MS. MELLISA DEANDRADE |
| Practice Address |
38 Winter St Dorchester MA 02122-3012 |
| Practice Telephone | 6179606588 |
| Mailing Telephone | 6179606588 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
RN2337063 | MA | Nursing Service Providers |
| Street Address |
38 WINTER ST |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02122-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720875 | Joey Mark Nguyen | Pharmacist | 747 Gallivan Blvd, Dorchester, MA 02122 | 2020-08-14 |
| 1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
| 1336789528 | Katheline Leconte | Social Worker | 230 Bowdoin Street, Dorchester, MA 02122 | 2020-01-15 |
| 1700374725 | Renee Ahern | Registered Nurse | 398 Neponset Ave., Dorchester, MA 02122 | 2018-04-25 |
| 1861902371 | Bridget Mary Walsh | Specialist/Technologist | 519 Ashmont St, Dorchester, MA 02122 | 2017-10-10 |
| 1649798133 | Roosevelt Lewis IIi | Registered Nurse | 1486 Dorchester Ave Ste 206, Boston, MA 02122 | 2017-09-05 |
| 1811427404 | Hanh Nguyen | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122 | 2017-06-15 |
| 1669902474 | Thuy T Nguyen | Counselor | 415 Neponset Avenue, Dorchester, MA 02122 | 2017-06-14 |
| 1093262651 | David Scot Rapaport | Counselor | 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 | 2016-09-01 |
| 1104372960 | Kevin Lyn Sisson | Student in an Organized Health Care Education/Training Program | 417 Neponset Ave, Boston, MA 02122 | 2016-08-31 |
| Find all providers in zip 02122 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396962098 | Gloria C Igbokwe | Registered Nurse | 361 Neponset Ave, Dorchester, MA 02122-3103 | 2007-04-20 |
| 1295866531 | Jurdean Avaney Dawkins | Registered Nurse | 16 Humphreys Pl, Dorchester, MA 02125-2202 | 2007-03-08 |
| 1134254667 | Mary Kugler | Registered Nurse | 14b Trull St # 4, Dorchester, MA 02125-2126 | 2007-02-23 |
| 1891190666 | Michelle Bobb-semple | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2014-10-23 |
| 1659617207 | Jennifer Modliszewski | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2012-12-28 |
| 1053512277 | Irlande Plancher | Registered Nurse | 1140 Dorchester Ave, Dorchester, MA 02125-3305 | 2007-05-29 |
| 1982749073 | Anne Maillet | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2007-02-20 |
| 1609917996 | Leonel Rezil | Registered Nurse | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2007-02-09 |
| 1629165014 | Michael Philip Menke | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2006-10-06 |
| 1447263058 | Eileen Jane Segale | Registered Nurse | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2006-08-14 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02122 |
Please comment or provide details below to improve the information on MS. MELLISA DEANDRADE.
| 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.