KEARA LAURA DEROSE (NPI# 1912548702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912548702 |
| Entity Type | Individual |
| Full Name | KEARA LAURA DEROSE |
| Credential | PA-C |
| Practice Address |
2 Adams Pl Ste 305 Quincy MA 02169-7456 |
| Mailing Address |
52 Alameda Dr Seekonk MA 02771-2004 |
| Practice Telephone | 6173024194 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2020-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2 ADAMS PL STE 305 |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-7456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093064370 | Kelly Lynne Piontek | Family Medicine | 2 Adams Pl Ste 305, Quincy, MA 02169-7456 | 2012-09-02 |
| 1023599156 | Melissa Karno | Nurse Practitioner | 2 Adams Pl Ste 305, Quincy, MA 02169-7456 | 2018-08-27 |
| 1942712294 | Victoria Hinckley | Physician Assistant | 2 Adams Pl Ste 305, Quincy, MA 02169-7456 | 2017-10-26 |
| 1538611983 | Joanna Ming | Nurse Practitioner | 2 Adams Pl Ste 305, Quincy, MA 02169-7456 | 2016-11-02 |
| 1386016400 | Cory Rundle | Nurse Practitioner | 2 Adams Pl Ste 305, Quincy, MA 02169-7456 | 2015-10-28 |
| 1497126692 | Meaghan Elizabeth Hennessey | Nurse Practitioner | 2 Adams Pl Ste 305, Quincy, MA 02169-7456 | 2015-10-13 |
| 1912325317 | Meghan Christine Schmidt | Nurse Practitioner | 2 Adams Pl Ste 305, Quincy, MA 02169-7456 | 2014-04-02 |
| 1407279524 | Grete Wood | Nurse Practitioner | 2 Adams Pl Ste 305, Quincy, MA 02169-7456 | 2014-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928028 | Amy Christine Vayda | Physician Assistant | 30 Harris St, Quincy, MA 02169-1606 | 2020-09-24 |
| 1902416860 | Aaron V Tran | Physician Assistant | 64 Robertson St, Quincy, MA 02169-1217 | 2020-08-05 |
| 1235747874 | Hang I Lam | Physician Assistant | 133 Phipps St, Quincy, MA 02169-6611 | 2020-07-20 |
| 1043837776 | Sharon Chia | Physician Assistant | 26 Euclid Ave, Quincy, MA 02169-1904 | 2020-06-29 |
| 1154954238 | Shirley Ngai | Physician Assistant | 8 Miller Stile Rd Apt 3, Quincy, MA 02169-5434 | 2020-02-18 |
| 1528603214 | Taylor Pare Laramee | Physician Assistant | 45 Oval Rd Apt 8, Quincy, MA 02170-3819 | 2019-11-17 |
| 1730549197 | Abby Nicole Picard | Physician Assistant | 300 Congress St Ste 408, Quincy, MA 02169-0907 | 2016-02-29 |
| 1114312881 | Eliana Green | Physician Assistant | 178 Lasalle Leffall Dr, Quincy, FL 32351-5278 | 2015-03-31 |
| 1477828150 | Mary Grace F Gorospe | Physician Assistant | 70 Chapman St Apt 3, Quincy, MA 02170-2754 | 2012-03-14 |
| 1336410398 | Jie Chen | Physician Assistant | 500 Congress St Ste B1, Quincy, MA 02169-0917 | 2012-01-23 |
| Find all providers in QUINCY | ||||
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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.