MS. DEBORAH RUTH FORMAN (NPI# 1962539742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962539742 |
| Entity Type | Individual |
| Full Name | MS. DEBORAH RUTH FORMAN |
| Credential | NP |
| Practice Address |
175 Forest St Waltham MA 02452-4713 |
| Mailing Address |
42 Hamlin Rd Newton MA 02459-1002 |
| Practice Telephone | 7818912222 |
| Practice Fax Number | 7818913443 |
| Mailing Telephone | 6175276928 |
| Mailing Fax Number | 7818913443 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LS0200X |
Nurse Practitioner Specialization: School |
144898 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871159814 | Deborah Forman | Dietitian, Registered | 23133 Ventura Blvd Ste 103, Woodland Hills, CA 91364-1184 | 2019-05-15 |
| 1730661554 | Deborah Forman | Social Worker | 22 Temple St, Belmont, MA 02478-3545 | 2018-08-29 |
| Street Address |
175 FOREST ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02452-4713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588704522 | Kimberly Allen Kerrigan | Nurse Practitioner | 175 Forest St, Waltham, MA 02452-4713 | 2007-02-07 |
| 1588106868 | Christina Hollis | Specialist/Technologist | 175 Forest St, Waltham, MA 02452-4713 | 2016-11-17 |
| 1336564806 | Susannah Hanson Flaherty | Psychologist | 175 Forest St, Michael A. Callahan Building, 2nd Floor, Waltham, MA 02452-4713 | 2014-02-20 |
| 1093956690 | Stephanie Jeanne Kendall | Psychologist | 175 Forest St, Lacava 166, Waltham, MA 02452-4713 | 2009-03-12 |
| 1447408737 | Mary E Hackel | Nurse Practitioner | 175 Forest St, Waltham, MA 02452-4713 | 2008-08-29 |
| 1205036902 | Heatha Cushman Schena | Nurse Practitioner | 175 Forest St, Rhodes Hall, Waltham, MA 02452-4713 | 2007-07-20 |
| 1629282041 | Veronica Ann Mcdonough | Nurse Practitioner | 175 Forest St, Rhodes Hall-student Health Services, Waltham, MA 02452-4713 | 2007-05-09 |
| 1770609463 | Martha Claire Reuman Pieper | Nurse Practitioner | 175 Forest St, Student Health Service, Bentley College, Waltham, MA 02452-4713 | 2007-03-22 |
| 1083743470 | Anne Herzog | Nurse Practitioner | 175 Forest St, Bentley College Student Health Services- Rhodes Hall, Waltham, MA 02452-4713 | 2007-03-03 |
| 1295863298 | Margaret Elizabeth Fitzgerald | Nurse Practitioner | 175 Forest St, Waltham, MA 02452-4705 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
| 1750879383 | Rosemary Klein | Psychologist | Waltham Court Clinic, 38 Linden St., Waltham, MA 02452 | 2018-04-30 |
| 1497256374 | Chithra Susan Kuriakose | Nurse Practitioner | Waltham Medical Group, 6 Lexington St., 2nd Floor, Waltham, MA 02452 | 2018-02-26 |
| 1861883001 | Melanie H Deveikas | Physical Therapist | 425 Waverley Oaks Rd, Waltham, MA 02452 | 2015-02-10 |
| 1770992059 | Hope Elisabeth Forbes | Psychologist | 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 | 2014-08-12 |
| 1326462557 | Ann M Fletcher | Social Worker | 100 Church St., Waltham, MA 02452 | 2014-02-07 |
| 1801239397 | Rainbow Adhc of Waltham | Clinic/Center | 411 Waverly Oak Rd # 2, Suite 214, Waltham, MA 02452 | 2013-04-15 |
| 1356689335 | Jessica M Liberty | Physical Therapist | 425 Waverley Oaks Rd., Waltham, MA 02452 | 2013-01-25 |
| 1386946960 | Janyce M Gately | Dietitian, Registered | 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 | 2010-12-02 |
| 1265618839 | Anita Lynn Hurd | Registered Nurse | 411 Waverely Oaks Road, Building #3, Suite 305, Waltham, MA 02452 | 2008-01-14 |
| Find all providers in zip 02452 | ||||
| Taxonomy Code | 363LS0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922213792 | Kathleen Mary Maloney | Nurse Practitioner | 415 South St Ms 034, Brandeis University Health Center, Waltham, MA 02454 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851923890 | Karen Hendry | Nurse Practitioner | 1 Petticoat Hill Rd, Williamsburg, MA 01096-9431 | 2020-02-07 |
| 1790256352 | Christine Marie Smith Sutherland | Nurse Practitioner | 135 Forsyth St Bldg 360, Boston, MA 02115-5024 | 2018-12-07 |
| 1245696491 | Carol Anne Martin | Nurse Practitioner | 617 Cambridge St, Boston, MA 02134-2460 | 2016-01-04 |
| 1982743365 | Cynthia D Johnson Smith | Nurse Practitioner | 240 Medford Ave, Charlestown High School, Charlestown, MA 02129 | 2007-02-05 |
| 1124164454 | Sylvia Josephine Tuller | Nurse Practitioner | Simon's Rock College, 84 Alford Road, Great Barrington, MA 01230 | 2007-01-30 |
| 1760483143 | Beverly M Hector-smith | Nurse Practitioner | 621 Huntington Ave, Boston, MA 02115-5801 | 2005-08-09 |
| 1629310214 | Suffolk University Health and Wellness Services Office | Nurse Practitioner | 73 Tremont St, 5th Floor, Boston, MA 02108-3916 | 2013-03-21 |
| 1235498916 | Sandra N Hickey | Nurse Practitioner | 255 Grapevine Rd, Wenham, MA 01984-1813 | 2012-05-15 |
| 1417141847 | Marion H Griffin | Nurse Practitioner | 29 Everett St, Lesley University Student Health Service, Cambridge, MA 02138-2702 | 2007-08-29 |
| 1174744742 | Denise Grace Buckley | Nurse Practitioner | 881 Commonwealth Ave, Boston, MA 02215 | 2007-05-01 |
| 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.