ROBIN HAVERLY (NPI# 1952507915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952507915 |
| Entity Type | Individual |
| Full Name | ROBIN HAVERLY |
| Credential | PA-C |
| Practice Address |
363 Highland Ave Fall River MA 02720-3703 |
| Mailing Address |
200 Mill Rd Suite 180 Fairhaven MA 02719-5252 |
| Practice Telephone | 5089737108 |
| Practice Fax Number | 5089737147 |
| Mailing Telephone | 5089732000 |
| Mailing Fax Number | 5089732001 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
35 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
363 HIGHLAND AVE |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02720-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681742 | George S Botros | Anesthesiology | 363 Highland Ave, Fall River, MA 02720-3703 | 2005-07-06 |
| 1497365530 | Kanaan Khalil El-daher | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2020-08-04 |
| 1669004214 | Nicole Brown | Dietitian, Registered | 363 Highland Ave, Fall River, MA 02720-3703 | 2020-02-11 |
| 1558901223 | Jordan Marie Wyrick | Student in an Organized Health Care Education/Training Program | 363 Highland Ave, Fall River, MA 02720-3703 | 2020-01-10 |
| 1740821123 | Melissa F Gaffney | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2019-10-07 |
| 1720544133 | Alicia Marie Pimentel | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2019-02-11 |
| 1881164184 | Kristina V Amaral | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-11-29 |
| 1326521584 | Alyssa Oliveira | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-09-12 |
| 1891274189 | Samantha Cruz | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-08-08 |
| 1346732534 | Brianne Caitlen Santos | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-06-04 |
| Find all providers in the same location | ||||
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083657019 | Richard Stuart Fox Jr. | Physician Assistant | 277 Pleasant St Ste 101, Fall River, MA 02721-3005 | 2006-06-14 |
| 1396742649 | Donna C Iddings | Physician Assistant | 300 Hanover Street, Suite 2a, Fall River, MA 02720 | 2005-07-01 |
| 1740741107 | Stephen Alexander Sherman | Physician Assistant | 1601 S Main St, Fall River, MA 02724-2107 | 2019-03-28 |
| 1740774090 | Danielle Leigh Capece | Physician Assistant | 795 Middle St, Fall River, MA 02721 | 2018-06-20 |
| 1689161291 | Noreen Elizabeth Flynn | Physician Assistant | 277 Pleasant St Ste 101, Fall River, MA 02721 | 2018-04-18 |
| 1306243050 | Bridget M Royer | Physician Assistant | 1601 South Main Street, Fall River, MA 02724-2107 | 2014-11-24 |
| 1790014058 | Christina Devincent | Physician Assistant | 363 Highland Ave, Fall River, MA 02720-3703 | 2009-12-16 |
| 1922203777 | Mark R Morosco | Physician Assistant | 363 Highland Ave, Fall River, MA 02720-3703 | 2007-06-20 |
| 1831394626 | Mark A Taylor | Physician Assistant | 300 Hanover Street, Suite 2a, Fall River, MA 02720-5451 | 2007-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627106 | Taia Maria Tieland | Physician Assistant | 9 Hunting St Apt 1, Cambridge, MA 02141-1010 | 2020-07-24 |
| 1003434275 | Antonious Jonah Abraham | Physician Assistant | 99 Corn Rd, Bolton, MA 01740-1055 | 2020-07-13 |
| 1407479272 | Mackenzie Malcolm Gray | Physician Assistant | 35 Pynchon Rd, Holyoke, MA 01040-1514 | 2020-05-27 |
| 1780235333 | Emily Fregeau | Physician Assistant | 1 Canal St Unit 518, Boston, MA 02114-2053 | 2019-09-25 |
| 1992369524 | Jaclyn Hynes | Physician Assistant | 234 Otis St, Hingham, MA 02043-4504 | 2019-04-29 |
| 1376002931 | Jack City, LLC | Physician Assistant | 290 Pleasant St Apt 212, Watertown, MA 02472-2429 | 2019-03-13 |
| 1578021911 | Ashley Piemonte | Physician Assistant | 15 1/2 Russell St Apt 1, Charlestown, MA 02129-2492 | 2019-03-05 |
| 1407323686 | Nicole Burke Tingley | Physician Assistant | 123 Summer St Ste 277, Worcester, MA 01608-1216 | 2018-10-25 |
| 1386111706 | Nicole Laura Solman | Physician Assistant | 16 Deerhaven Rd, Lincoln, MA 01773-1806 | 2018-10-24 |
| 1881160943 | Philip Apraku Bondzie | Physician Assistant | 266 Sportsmans Trl, Whitman, MA 02382-1726 | 2018-10-16 |
| 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.