KATHERINE SHREYDER


Address: 41 Burlington Mall Road, Burlington, MA 02421-4206
Phone: 7815521857

KATHERINE SHREYDER (NPI# 1033563234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033563234
Entity Type Individual
Full Name KATHERINE SHREYDER
Other Name KATHERINE SHREYDER
Credential MD
Practice Address 41 Burlington Mall Road
Burlington
MA 02421-4206
Mailing Address 701 W 5th St
Odessa
TX 79763-4206
Practice Telephone 7815521857
Mailing Telephone 4327035375
Enumeration Date 2016-04-14
Last Update Date 2019-08-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 41 BURLINGTON MALL ROAD
City BURLINGTON
State MA
Zip Code 02421-4206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265872584 Dhruv Bharat Desai Registered Nurse 41 Burlington Mall Road, Burlington, MA 01805-1216 2013-07-01
1417567843 Sharneet Kaur Sandhu Student in an Organized Health Care Education/Training Program 41 Burlington Mall Road, Burlington, MA 01805-0001 2020-07-31
1881211845 Jennifer C Pharr Student in an Organized Health Care Education/Training Program 41 Burlington Mall Road, Burlington, MA 01805-0001 2020-06-25
1700403797 Michael Robert Hirschi Student in an Organized Health Care Education/Training Program 41 Burlington Mall Road, Burlington, MA 01805-0001 2020-06-25
1346867355 Jacqueline Tran Student in an Organized Health Care Education/Training Program 41 Burlington Mall Road, Burlington, MA 01805-0001 2020-06-25
1003433087 Ariel Thetys Wampler Student in an Organized Health Care Education/Training Program 41 Burlington Mall Road, Burlington, MA 01805-0001 2020-06-25
1073130076 Sarah Kader Student in an Organized Health Care Education/Training Program 41 Burlington Mall Road, Burlington, MA 01805-0001 2020-06-25
1790309417 Aimee C Sullivan Nurse Anesthetist, Certified Registered 41 Burlington Mall Road, Burlington, MA 01805-0001 2020-05-29
1639708829 Julie T Nguyen Student in an Organized Health Care Education/Training Program 41 Burlington Mall Road, Burlington, MA 01805-0001 2020-04-08
1669001343 Thomas Joseph Magrane II Student in an Organized Health Care Education/Training Program 41 Burlington Mall Road, Burlington, MA 01805-0001 2020-04-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972149300 Streettherapy,llc Counselor Triad Adolescent Services, 363 Mass. Ave., Suite204, Lexington, MA 02421 2019-11-20
1598249922 Kelly Sexton Social Worker Labbb Collaborative Lexington High School, 251 Waltham St, MA 02421 2018-09-21
1538641956 Jill Or Planeta Social Worker 40 Taft Ave, Lexington, MA 02421 2018-09-01
1902390388 Erika Yaneth Valek Counselor 125 Hartwell Avenue, Lexington, MA 02421 2018-06-19
1366743668 Elizabeth Ann Murphy Social Worker 17 Stedman Rd, Lexington, MA 02421 2010-11-03
1003045063 Nils Becker Pathology 1 Cranberry Hill Ste 303, Lexington, MA 02421 2009-07-10
1780829556 Lynn Joan Meltzer Psychologist Institute for Learning and Development, 4 Militia Drive, Lexington, MA 02421 2008-12-09
1962666511 Kristin Stanley Rullo Optometrist 21 Worthen Road, Lexington, MA 02421 2008-07-14
1861660201 Jillian S Imagire Radiology Concert Pharmaceuticals, 99 Hayden Ave, Suite 100, Lexington, MA 02421 2008-02-20
1144498049 Lexington Dental Associates Dentist 271 Lincoln Street, Suite 2, Lexington, MA 02421 2008-02-13
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700496759 Ivanna Jeniferr Joseph Student in an Organized Health Care Education/Training Program 733 Arboretum Way, Burlington, MA 01803-3833 2020-08-05
1437769858 Moh'd Rasheed Abu-qaoud Student in an Organized Health Care Education/Training Program 78 Center St, Burlington, MA 01803-3035 2020-08-01
1437776424 Adam Bradley Wiggins Student in an Organized Health Care Education/Training Program Lahey Clinic 41 Mall Road, Burlington, MA 01805-0001 2020-06-25
1326660465 Hemali Ashish Patel Student in an Organized Health Care Education/Training Program 3 Goodwin Dr, Burlington, MA 01803-1048 2020-05-12
1861012544 Ohan Manoukian Student in an Organized Health Care Education/Training Program 4 Marrett Rd, Burlington, MA 01803-4007 2020-04-22
1437787611 Karamatullah Danyal Student in an Organized Health Care Education/Training Program Karamatullah Danyal (uvmmc), 111 Colchester Ave, Burlington, VT 05401-1473 2020-04-01
1790313120 Kyna Donohue Student in an Organized Health Care Education/Training Program 46 Lafountain St Apt 2, Burlington, VT 05401-4237 2020-03-31
1821626748 John Henry Priester Jr. Student in an Organized Health Care Education/Training Program University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 2020-03-27
1598398752 Scott Kevin Olehnik Student in an Organized Health Care Education/Training Program 89 Beaumont Ave # 368, Burlington, VT 05405-1742 2020-02-17
1407499247 Amy Packer Student in an Organized Health Care Education/Training Program 83 N Willard St, Burlington, VT 05401-3312 2019-10-24
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Competitor

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City BURLINGTON
Zip Code 02421

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Dataset Information

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.

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