BETHANN H DAVIS (NPI# 1871563361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871563361 |
| Entity Type | Individual |
| Full Name | BETHANN H DAVIS |
| Credential | NP |
| Practice Address |
759 Granite St South Shore Health Center Braintree MA 02184 |
| Practice Telephone | 7818481950 |
| Practice Fax Number | 7813564887 |
| Mailing Telephone | 7818481950 |
| Mailing Fax Number | 7813564887 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2007-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
194673 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBSMA | NP9770 | 01 |
| Street Address |
759 GRANITE ST SOUTH SHORE HEALTH CENTER |
| City | BRAINTREE |
| State | MA |
| Zip Code | 02184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848583 | Linda Marie Caldwell | Nurse Practitioner | 759 Granite St, South Shore Health Center, Braintree, MA 02184-5328 | 2005-08-16 |
| 1134743222 | Cornelia Waring | Nurse Practitioner | 759 Granite St, Braintree, MA 02184-5328 | 2020-06-03 |
| 1215577432 | Lillian Delia Sharapova | Nurse Practitioner | 759 Granite St, Braintree, MA 02184-5328 | 2020-01-15 |
| 1831571561 | Joanne Theodate | Nurse Practitioner | 759 Granite St, Braintree, MA 02184-5328 | 2015-06-18 |
| 1629341516 | Alicia Whitney Krieger | Registered Nurse | 759 Granite St, Braintree, MA 02184-5328 | 2012-02-23 |
| 1669770368 | South Shore Health Care, Inc. | Clinic/Center | 759 Granite St, Braintree, MA 02184-5328 | 2011-03-03 |
| 1679876379 | Susan Marie Godfrey | Nurse Practitioner | 759 Granite St, Braintree, MA 02184-5328 | 2010-12-19 |
| 1912232455 | Sarah Kirchofer | Nurse Practitioner | 759 Granite St, Braintree, MA 02184-5328 | 2009-10-15 |
| 1205828399 | Robert Sears Baratz | Internal Medicine | 759 Granite St, Braintree, MA 02184-5328 | 2005-08-16 |
| 1508858697 | Sshc, Inc. | Clinic/Center | 759 Granite St, Braintree, MA 02184 | 2005-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342234 | Albert Jusu | Counselor | Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 | 2020-10-05 |
| 1356952378 | Samantha Taylor O'malley | Student in an Organized Health Care Education/Training Program | 639 Granite Street, N/a, Brainetree, MA 02184 | 2020-08-13 |
| 1184104499 | Andrea Boudreau | Social Worker | Coastal Dcf, 220 R Forbes Road, Braintree, MA 02184 | 2018-08-16 |
| 1144747221 | Mina Schafft Dmd Pllc | Dentist | 321 Washington Street, Unit 101, Westwood, MA 02184 | 2017-08-29 |
| 1922520592 | Samson Michel | Counselor | 400 Washington St. Suite 106, Braintree, MA 02184 | 2017-07-14 |
| 1760912653 | Shannon R Harvey | Behavioral Analyst | 501 Commerce Dr 4207, Braintree, MA 02184 | 2017-06-14 |
| 1275074429 | Colleen Dalton | Behavioral Analyst | 32 Powder Hill Dr, Braintree, MA 02184 | 2017-03-20 |
| 1295273266 | Jessica Morris | Occupational Therapist | 16 Kensington Street, Braintree, MA 02184 | 2017-02-09 |
| 1568834562 | Lisa Morrill | Counselor | 400 Washington St Ste 106, Braintree, MA 02184 | 2015-10-29 |
| 1831560382 | Dr Dental of Braintree PC | Dentist | 284 Grove St, Braintree, MA 02184 | 2015-10-09 |
| Find all providers in zip 02184 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659620623 | Patricia Maria Wefald | Nurse Practitioner | 111 Grossman Dr., Braintree, MA 02184 | 2012-09-05 |
| 1720084452 | Barbara Jean Wynter | Nurse Practitioner | 250 Pond St, Braintree, MA 02184-5351 | 2005-06-27 |
| 1144839838 | Allison Leikam | Nurse Practitioner | 5 Pleasant St, Braintree, MA 02184-1824 | 2020-07-28 |
| 1942635339 | Pinnacle Healthcare Services LLC | Nurse Practitioner | 140 Wood Rd, Braintree, MA 02184 | 2013-09-05 |
| 1457526006 | Tonya M Campbell | Nurse Practitioner | 111 Grossman Dr, Internal Medicine, Braintree, MA 02184-4997 | 2008-04-24 |
| 1639393374 | Cristine Waldron | Nurse Practitioner | Blue Hills Medical Associates, 340 Wood Road Suite 203, Braintree, MA 02184 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576121 | Alexander I Hoffman | Nurse Practitioner | 54 Southbourne Rd, Jamaica Plain, MA 02130-4633 | 2020-10-26 |
| 1104423482 | Paola Buchanan | Nurse Practitioner | 351 Engamore Ln Apt T3, Norwood, MA 02062-2505 | 2020-10-08 |
| 1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
| 1902411341 | Anne Marie Marie Dicredico | Nurse Practitioner | 916 Sherwood Forest Ln Unit 916, Saugus, MA 01906-1973 | 2020-09-12 |
| 1407460322 | Devi Sivanandan | Nurse Practitioner | 18 Dale St Unit 5c, Andover, MA 01810-5663 | 2020-09-08 |
| 1447863600 | Diana Stephanie Freiberger | Nurse Practitioner | 965 West St, Walpole, MA 02081-1200 | 2020-08-27 |
| 1063023216 | Christine Cibotti | Nurse Practitioner | 8 Forty Acres Dr, Wayland, MA 01778-2702 | 2020-08-12 |
| 1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
| 1295344547 | Janelle Sherry Romain | Nurse Practitioner | 91 Codman Hill Ave, Dorchester, MA 02124-4636 | 2020-07-23 |
| 1245848852 | Patrice Nicholas | Nurse Practitioner | 14 Shipway Pl, Charlestown, MA 02129-4301 | 2020-07-20 |
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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.