ANNE KENNEALEY-MCMANUS (NPI# 1811976749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811976749 |
| Entity Type | Individual |
| Full Name | ANNE KENNEALEY-MCMANUS |
| Credential | NP, RN |
| Practice Address |
1153 Centre St Faulkner Breast Centre Boston MA 02130-3446 |
| Mailing Address |
1153 Centre St Bwh-fh Jamaica Plain MA 02130-3446 |
| Practice Telephone | 6179837773 |
| Practice Fax Number | 6179837779 |
| Mailing Telephone | 6179837179 |
| Mailing Fax Number | 6719837825 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2016-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 100002 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0387100 | 05 |
| Street Address |
1153 CENTRE ST FAULKNER BREAST CENTRE |
| City | BOSTON |
| State | MA |
| Zip Code | 02130-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811995806 | Eleanor C Pitts | Plastic Surgery | 1153 Centre St, Suite 5790, Boston, MA 02130-3446 | 2005-07-13 |
| 1720614902 | Connie Hoi Lio | Pharmacist | 1153 Centre St, Boston, MA 02130-3446 | 2020-03-19 |
| 1558908699 | Emily Gill | Social Worker | 1153 Centre St, Boston, MA 02130-3446 | 2019-12-09 |
| 1740824531 | Kelly Ann Flanagan | Dietitian, Registered | 1153 Centre St, Boston, MA 02130-3446 | 2019-11-05 |
| 1548726870 | Caitlin Losi | Physician Assistant | 1153 Centre St, Boston, MA 02130-3446 | 2019-02-12 |
| 1598240251 | Audrey Claire Steffano | Social Worker | 1153 Centre St, Boston, MA 02130-3446 | 2018-09-28 |
| 1629552062 | Nicolas Mcqueen | Social Worker | 1153 Centre St, Psychiatry 2nd Floor, Boston, MA 02130-0213 | 2018-09-21 |
| 1174007066 | Elyse Joelle Yarmosky | Social Worker | 1153 Centre St, Boston, MA 02130-3446 | 2018-09-18 |
| 1356841407 | Matt Hoffman | Specialist/Technologist | 1153 Centre St, Boston, MA 02130-3446 | 2018-02-15 |
| 1740797414 | Andrea Guarente | Nurse Practitioner | 1153 Centre St, Boston, MA 02130-3446 | 2018-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992921 | Jessica Yang | Clinical Nurse Specialist | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-08-12 |
| 1598215584 | Justin Dilibero | Clinical Nurse Specialist | 330 Brookline Ave, Boston, MA 02215-5400 | 2016-10-13 |
| 1437556545 | Jean Fahey | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2621 | 2014-12-04 |
| 1528379450 | Allison Gold | Clinical Nurse Specialist | 330 Brookline Ave, Kb23, Boston, MA 02215-5400 | 2010-06-25 |
| 1912987074 | Dawn M Williamson | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2621 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487289641 | Carol P Corcoran | Clinical Nurse Specialist | 34 Lawrence St, Wakefield, MA 01880-1847 | 2020-03-09 |
| 1770618803 | Beverlee Sclar | Clinical Nurse Specialist | 8 Alton Place Suite #5, Brookline, MA 02446 | 2007-02-22 |
| 1629123542 | Jane M Woodman | Clinical Nurse Specialist | Appleton Building 2 No Main St Suite 3, Ipswich, MA 01938 | 2007-01-23 |
| 1467531426 | Peggy Louise Wolff | Clinical Nurse Specialist | 126 Cave Hill Road, Leverett, MA 01054-9728 | 2006-11-02 |
| 1043390909 | Ann Galligan | Clinical Nurse Specialist | 25 Mohawk Drive, Leominster, MA 01453 | 2006-10-16 |
| 1073609301 | Katherine A Blake | Clinical Nurse Specialist | 55 Pleasant Street, Newbury Port, MA 01950 | 2006-10-05 |
| 1770597429 | Elizabeth Mccusker-hunt | Clinical Nurse Specialist | 125 Liberty St Ste 2, Danvers, MA 01923-3325 | 2006-07-28 |
| 1881625242 | Rachel A Darian | Clinical Nurse Specialist | 169 Libbey Pkwy 2nd Floor, Weymouth, MA 02189-3101 | 2006-07-05 |
| 1891735726 | Rochelle Cooper | Clinical Nurse Specialist | 20 Watertown St, Watertown, MA 02472-2505 | 2006-06-08 |
| 1316984065 | Jeanette Marie Maddix | Clinical Nurse Specialist | 323 Boston Post Rd, Sudbury, MA 01776-3022 | 2006-06-01 |
| Find all providers with the same taxonomy | ||||
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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.