ANN CACCAVALE (NPI# 1871697318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871697318 |
| Entity Type | Individual |
| Full Name | ANN CACCAVALE |
| Credential | N.P. |
| Practice Address |
55 Fogg Rd Weymouth MA 02190-2432 |
| Practice Telephone | 7813408321 |
| Practice Fax Number | 7813403782 |
| Mailing Telephone | 7813408321 |
| Mailing Fax Number | 7813403782 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
172896 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
55 FOGG RD |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02190-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922626233 | Susan Duty | Registered Nurse | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2020-07-13 |
| 1104443670 | Olivia Sennett | Social Worker | 55 Fogg Rd, Weymouth, MA 02190-2455 | 2020-07-01 |
| 1962028290 | Kristin M Gerritsen | Counselor | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2020-06-23 |
| 1972142834 | Shannon Badgett | Social Worker | 55 Fogg Rd, Weymouth, MA 02190-2455 | 2019-12-24 |
| 1487298865 | Colleen Marie Sullivan | Counselor | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-10-29 |
| 1164073144 | Hilary Margaret Flynn | Nurse Practitioner | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-09-22 |
| 1922658863 | Heather Kathryn Ewell | Social Worker | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-09-12 |
| 1043870793 | Lindsey Burke | Nurse Anesthetist, Certified Registered | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-06-15 |
| 1699237008 | Kendall Jasinski | Social Worker | 55 Fogg Rd, Weymouth, MA 02190-2455 | 2019-04-03 |
| 1467925198 | Alexandra Mckelvey | Physician Assistant | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
| 1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
| 1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
| 1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
| 1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
| Find all providers in zip 02190 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720545056 | Hannah Kavanaugh | Nurse Practitioner | 101 Columbian St, Weymouth, MA 02190-1601 | 2019-02-22 |
| 1053727990 | Patricia Dunn | Nurse Practitioner | 19 Center St, Weymouth, MA 02189-1304 | 2014-07-10 |
| 1063797512 | Alicia Van Cott | Nurse Practitioner | 90 Libbey Pkwy, Suite 200, Weymouth, MA 02189-3129 | 2011-10-17 |
| 1790753846 | Suzanne Halsey | Nurse Practitioner | 163 Libbey Pkwy, Suite 301, Weymouth, MA 02189-3118 | 2006-03-14 |
| 1588645220 | Gail A Otoole | Nurse Practitioner | 90 Libbey Pkwy, Ste 200, Weymouth, MA 02189-3129 | 2005-11-09 |
| 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.