JEFFREY DAVID TAVARES (NPI# 1891074670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891074670 |
| Entity Type | Individual |
| Full Name | JEFFREY DAVID TAVARES |
| Credential | SLPA |
| Practice Address |
1575 N Main St Fall River MA 02720-2917 |
| Practice Telephone | 5083241060 |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SP-489-SA | MA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699792275 | Jeffrey Gerard Tavares | Psychiatry & Neurology | 109 Prospect Park West, Brooklyn, NY 11215-3711 | 2006-07-17 |
| Street Address |
1575 N MAIN ST |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02720-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093917742 | Katie L. Ward | Case Manager/Care Coordinator | 1575 N Main St, Fall River, MA 02720-2917 | 2007-06-04 |
| 1063666147 | Lynne Sweeney | Registered Nurse | 1575 N Main St, Fall River, MA 02720-2917 | 2008-11-16 |
| 1851544316 | Melanie Beveridge | Registered Nurse | 1575 N Main St, Fall River, MA 02720-2917 | 2008-10-28 |
| 1003072422 | Ashley Hall | Student in an Organized Health Care Education/Training Program | 1575 N Main St, Fall River, MA 02720-2917 | 2008-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960264 | Robert Walsh | Massage Therapist | 275 High Street, 1st Floor Rear, Fall River, MA 02720 | 2020-04-10 |
| 1487147252 | Patricia Mateus Peterson | Social Worker | 1561 N Main Street, Fall River, MA 02720 | 2018-06-07 |
| 1669980371 | Jolita Perez | Home Health Aide | 92 Hanover St Apt 2, Fall River, MA 02720 | 2018-01-16 |
| 1023537305 | Rebekah Shermer Woolf | Counselor | 1082 Davol St., Fall River, MA 02720 | 2017-09-18 |
| 1467977843 | Elena Amelia Cetola | Nurse Practitioner | 38 Rock St Ste 2, Fall River, MA 02720 | 2017-08-07 |
| 1477903128 | Rebecca Anne Weller | Counselor | 1082 Davol St, Fall River, Ma 02720, Fall River, MA 02720 | 2016-06-14 |
| 1811358773 | Tiana Vidal | Counselor | 1082 N Davol St., Fallriver, MA 02720 | 2016-03-18 |
| 1477925907 | David Vega | Counselor | 1082 N Davol St, Fall River, MA 02720 | 2015-10-23 |
| 1235537473 | Desire Hendricksmoreno | Counselor | 279 North Main Street, Fall River, MA 02720 | 2014-12-19 |
| 1801294160 | Rebecca Bergeron | Counselor | 1080 Davol Street, Suite 202, Fall River, MA 02720 | 2014-12-18 |
| Find all providers in zip 02720 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043533532 | Pamela Jean Sagar | Specialist/Technologist | 1567 N Main St, Fall River, MA 02720-2978 | 2010-03-11 |
| 1558632901 | Cortney Lynn Fernandes | Specialist/Technologist | 1563 N Main St Ste 202, Fall River, MA 02720-2983 | 2012-01-17 |
| 1942524541 | Nancy Senra | Specialist/Technologist | 1563 N Main St, Fall River, MA 02720-2983 | 2010-03-25 |
| 1649503400 | Rachel Marie Melo | Specialist/Technologist | 1563 N Main St, Suite 202, Fall River, MA 02720-2983 | 2009-09-11 |
| 1811165541 | Jacqueline Chase | Specialist/Technologist | 1563 N Main St, Suite 208, Fall River, MA 02720-2983 | 2008-02-15 |
| 1356540660 | Jessica Leigh Rogers | Specialist/Technologist | 1563 N Main St, Suite 208, Fall River, MA 02720-2983 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487289203 | Karlie Rose Keating | Specialist/Technologist | 60 Driftwood Dr, Bridgewater, MA 02324-1100 | 2020-03-12 |
| 1619522687 | Caitlyn Alison Gannon | Specialist/Technologist | 49 Larch Ln, Centerville, MA 02632-2883 | 2019-08-07 |
| 1629636931 | Lydia Mcdaniel | Specialist/Technologist | 140 Gould St Ste 1, Needham, MA 02494-2306 | 2019-06-01 |
| 1407362940 | Rachel Dupuis | Specialist/Technologist | 100 Cummings Ctr Ste 135c, Beverly, MA 01915-6263 | 2017-12-20 |
| 1518487818 | Dana Shepherd | Specialist/Technologist | 163 Libbey Industrial Parkway, Suite 302, Weymouth, MA 02189 | 2017-06-27 |
| 1922556620 | Emily Picardi | Specialist/Technologist | 30 Bernard Cir, Abington, MA 02351-1290 | 2016-09-12 |
| 1780130880 | Jennifer Corcoran | Specialist/Technologist | 2 Marchand Way, Norton, MA 02766-1844 | 2016-08-29 |
| 1548713159 | Erica Mankowsky | Specialist/Technologist | 60 Crescent St Apt 1, Greenfield, MA 01301-3012 | 2016-07-31 |
| 1174993893 | Jordan Rennell | Specialist/Technologist | 132 Barth Street, North Adams, MA 01247 | 2015-10-07 |
| 1174926885 | Kerry Donovan | Specialist/Technologist | 12 Bainbridge Rd, Worcester, MA 01602-2212 | 2014-10-08 |
| Find all providers with the same taxonomy | ||||
| City | FALL RIVER |
| Zip Code | 02720 |
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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.