ANNE MARIE MARIE DICREDICO (NPI# 1902411341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902411341 |
| Entity Type | Individual |
| Full Name | ANNE MARIE MARIE DICREDICO |
| Practice Address |
916 Sherwood Forest Ln Unit 916 Saugus MA 01906-1973 |
| Practice Telephone | 7812584561 |
| Mailing Telephone | 7812584561 |
| Enumeration Date | 2020-09-12 |
| Last Update Date | 2020-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN173023 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 916 Sherwood Forest Ln Unit 916, Saugus, MA 019061973 | 7812584561 |
| Street Address |
916 SHERWOOD FOREST LN UNIT 916 |
| City | SAUGUS |
| State | MA |
| Zip Code | 01906-1973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780131813 | Safety Home Health Care Agency | Home Health | 89 Fairmount Ave, Saugus, MA 01906 | 2016-09-07 |
| 1114383585 | Psychiatric Mental Health Services | Counselor | 1288 Broadway, Saugus, MA 01906 | 2016-01-14 |
| 1548630817 | Marie Decarney | Counselor | 7 Juliette Rd, Saugus, MA 01906 | 2015-09-30 |
| 1265802615 | Anh Duong | General Acute Care Hospital | 10 Bow Street Ext, Saugus, MA 01906 | 2015-09-29 |
| 1760753107 | Melissa Jean Tilton | Occupational Therapy Assistant | 28 Elaine Ave, Saugus, MA 01906 | 2012-01-17 |
| 1235320698 | Dr. Domenic A. D'angelo and Associates | Optometrist | 171 Broadway Rte 1 S, Saugus, MA 01906 | 2007-08-09 |
| 1851422901 | Stephen G. Petinge | Dentist | 15 Essex Street, Saugus, MA 01906 | 2007-03-08 |
| 1053466235 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 159 Square One Mall, Saugus, MA 01906 | 2007-01-25 |
| 1518060771 | For Eyes Optical, Inc. of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 600 Broadway Ste C, Saugus, MA 01906 | 2006-09-06 |
| 1528078284 | North Suburban Dialysis Center Partnership | Clinic/Center | 124 Broadway Route 1 North, Augustine's Plaza, Saugus, MA 01906 | 2006-08-08 |
| Find all providers in zip 01906 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| 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 |
| 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 |
| 1770191959 | Jaclyn L Fennell | Nurse Practitioner | 3 Hawser Ln, Swampscott, MA 01907-1238 | 2020-07-14 |
| 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.