MS. LAURA SUSANNAH TANNENBAUM (NPI# 1861790479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861790479 |
| Entity Type | Individual |
| Full Name | MS. LAURA SUSANNAH TANNENBAUM |
| Credential | NNP |
| Practice Address |
100 Dow Ave Arlington MA 02476-7142 |
| Mailing Address |
300 Longwood Ave Boston MA 02115-5724 |
| Practice Telephone | 7816430804 |
| Mailing Telephone | 6173558076 |
| Mailing Fax Number | 6177300902 |
| Enumeration Date | 2011-03-05 |
| Last Update Date | 2015-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
236051 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 DOW AVE |
| City | ARLINGTON |
| State | MA |
| Zip Code | 02476-7142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479106 | Terry Ellis Real | Social Worker | 754 Massachusetts Avene, Arlington, MA 02476 | 2020-08-25 |
| 1992313340 | Shivam Kamlesh Gosai | Counselor | 670r Massachusetts Av/, Whittemore Robbins House, Arlington, MA 02476 | 2020-07-21 |
| 1912559246 | Hilary Scheintaub | Student in an Organized Health Care Education/Training Program | Boston College Biology Department, 355 Higgins Hall, Chestnut Hill, MA 02476 | 2019-07-16 |
| 1871076075 | Lourie August | Social Worker | Council On Aging, 27 Maple St, Arlington, MA 02476 | 2018-09-13 |
| 1235612904 | Marci Susan Shapiro-ide | Social Worker | Arlington Council On Aging, 27 Maple Street, Arlington, MA 02476 | 2018-09-10 |
| 1336621796 | Elizabeth W Rollins | Social Worker | 47 Ottawa Rd, Arlington, MA 02476 | 2018-09-02 |
| 1417439878 | Emily F Freisen | Occupational Therapist | 22 Mill Street Suite 302, Arlinton, MA 02476 | 2018-09-02 |
| 1093294886 | Michael Greenstein | Social Worker | Ottoson Middle School, 63 Acton St., Arlington, MA 02476 | 2018-08-13 |
| 1932627577 | Lori Peters | Counselor | 691 Massachusetts Ave. Suite #5, Arlington, MA 02476 | 2017-09-05 |
| 1235651290 | Stephen Marshall | Psychologist | 259 Massachusetts Ave., Arlington, MA 02476 | 2017-07-12 |
| Find all providers in zip 02476 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326375569 | Polli Rayburn | Nurse Practitioner | 2218 Green Gate Dr, Arlington, TX 76012-4935 | 2009-11-09 |
| 1144426404 | Teri E Minehart | Nurse Practitioner | 1701 No. George Mason Drive, Arlington, VA 22205 | 2007-06-25 |
| 1114123064 | Martina H Lopez | Nurse Practitioner | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629471008 | Krista Allison Kusinski | Nurse Practitioner | 759 Chestnut St # W2810, Springfield, MA 01107-1619 | 2014-09-30 |
| 1891114591 | Lisa Rivers | Nurse Practitioner | 141 High St, Medfield, MA 02052-3116 | 2014-04-09 |
| 1871619353 | Britt Frisk Pados | Nurse Practitioner | 162 Alder Rd, Westwood, MA 02090-3405 | 2007-03-22 |
| 1003469230 | Kristen M Derosa | Nurse Practitioner | 416 Belmont St, Worcester, MA 01604-1086 | 2019-07-17 |
| 1023538980 | Caitlin Paige Stavens-meucci | Nurse Practitioner | 119 Belmont St, Worcester, MA 01605-2903 | 2017-06-22 |
| 1790211753 | Jemimah Joella Gracia Jurado | Nurse Practitioner | 759 Chestnut St, Springfield, MA 01107-1619 | 2017-05-11 |
| 1558720706 | Jeannie Marie Dodd | Nurse Practitioner | 759 Chestnut St, W2810, Springfield, MA 01199 | 2016-02-16 |
| 1467877423 | Angela Welker | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2014-02-27 |
| 1295169209 | Allyson R Hou | Nurse Practitioner | 759 Chestnut St, Springfield, MA 01199-1619 | 2013-08-27 |
| 1366883449 | Kathleen L Harris | Nurse Practitioner | 759 Chestnut St, Springfield, MA 01199-1619 | 2013-07-17 |
| 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.