MS. DOMINIQUE RUTTEMAN (NPI# 1093826372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093826372 |
| Entity Type | Individual |
| Full Name | MS. DOMINIQUE RUTTEMAN |
| Credential | RN, CS |
| Practice Address |
75 Lindall St Center for Healthy Aging Danvers MA 01923-2121 |
| Practice Telephone | 9787744400 |
| Practice Fax Number | 9787506988 |
| Mailing Telephone | 9787744400 |
| Mailing Fax Number | 9787506988 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
RN131934 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
75 LINDALL ST CENTER FOR HEALTHY AGING |
| City | DANVERS |
| State | MA |
| Zip Code | 01923-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982693305 | Matthew Basile | Nurse Anesthetist, Certified Registered | 75 Lindall St, Danvers, MA 01923-2121 | 2005-10-18 |
| 1346840766 | Karen Marie Labrecque | Counselor | 75 Lindall St, Danvers, MA 01923-2121 | 2020-10-26 |
| 1538798137 | Alanna Schonfeld | Social Worker | 75 Lindall St, Danvers, MA 01923-2121 | 2020-04-06 |
| 1336628874 | Jonathan Hall | Counselor | 75 Lindall St, Danvers, MA 01923-2121 | 2018-08-07 |
| 1225566474 | Denise A Garabedian | Counselor | 75 Lindall St, Danvers, MA 01923-2121 | 2017-06-01 |
| 1538302120 | Michele K Kellard | Counselor | 75 Lindall St, Danvers, MA 01923-2121 | 2009-04-12 |
| 1205005360 | Charlene A Basile | Nurse Anesthetist, Certified Registered | 75 Lindall St, Hunt Center, Danvers, MA 01923-2121 | 2008-02-22 |
| 1194901546 | Melissa Ann Ditaranto | Physical Therapist | 75 Lindall St, Danvers, MA 01923-2121 | 2008-01-16 |
| 1063607836 | Annette Gilardi Knight | Registered Nurse | 75 Lindall St, Danvers, MA 01923-2121 | 2007-09-13 |
| 1528250974 | Brenda C. Barden | Nurse Anesthetist, Certified Registered | 75 Lindall St, Danvers, MA 01923-2121 | 2007-08-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558902320 | Amanda Ashley Harting | Social Worker | 111 Middleton Road, Danvers, MA 01923 | 2019-10-03 |
| 1407400641 | Tom Biggart | Clinic/Center | 110 Newbury St, Danvers, MA 01923 | 2019-07-25 |
| 1669958252 | Marie Marguerite Peloquin | Internal Medicine | 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 | 2018-07-17 |
| 1033604079 | Vanessa Lynne Rachels | Social Worker | 110 Middleton Rd, Danvers, MA 01923 | 2018-06-22 |
| 1376036517 | Meredith A Biggart | Dietitian, Registered | 110 Newbury St Ste E, Danvers, MA 01923 | 2018-06-12 |
| 1528569431 | Alaina Alderman | Behavioral Analyst | 1 Southside Rd, Danvers, MA 01923 | 2018-02-26 |
| 1023536661 | Rachel Anne Ziner | Specialist/Technologist | 49 Reservoir Dr, Danvers, MA 01923 | 2017-09-05 |
| 1770004780 | Sierra Mclear | Developmental Therapist | 6 Southside R.d, Danvers, MA 01923 | 2017-06-29 |
| 1316479660 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | 480 Maple St., Lahey Health Urgent Care, Danvers, Danvers, MA 01923 | 2017-03-28 |
| 1548791890 | Joseph Chenvert | Massage Therapist | 227 Newbury Street, Danvers, MA 01923 | 2017-03-27 |
| Find all providers in zip 01923 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407325541 | New Directions Behavioral Health LLC | Clinical Nurse Specialist | 10 Ash St, Danvers, MA 01923-2749 | 2018-11-19 |
| 1598711780 | Christine Dale Raucci | Clinical Nurse Specialist | 85 Constitution Ln, Suite 300a, Danvers, MA 01923-3694 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935809 | Anne-marie Barron | Clinical Nurse Specialist | 9 Kahler Ave, Milton, MA 02186-1519 | 2020-06-07 |
| 1306467139 | Kathleen Mary Daly | Clinical Nurse Specialist | 22 Priscilla Ln, Duxbury, MA 02332-5101 | 2020-05-04 |
| 1457894628 | Psyche1001 Learn Grow Change LLC | Clinical Nurse Specialist | 638 Adamsville Rd, Suite 1001, Westport, MA 02790-5031 | 2016-11-21 |
| 1841642725 | Joyce Daqnal Shields | Clinical Nurse Specialist | 132 Oakley Rd, Belmont, MA 02478-2734 | 2016-07-05 |
| 1386004075 | Jane Bloom | Clinical Nurse Specialist | 95 Golden Hill, Lee, MA 01238-9132 | 2016-02-24 |
| 1255722716 | Carol Vivori | Clinical Nurse Specialist | 132 Mass Moca Way, North Adams, MA 01247-2446 | 2015-02-05 |
| 1982995262 | Linda Louise Darbyshire | Clinical Nurse Specialist | 60 Munson Meeting Way Ste I, Psychiatric Collaborative, Chatham, MA 02633-1992 | 2011-04-21 |
| 1093020091 | Suzanne Elizabeth Bergeron | Clinical Nurse Specialist | 2 Administration Rd, Bridgewater, MA 02324-3230 | 2010-08-13 |
| 1467774356 | Mindful Wellbeing, LLC | Clinical Nurse Specialist | 11 Jillson Way, East Sandwich, MA 02537-1265 | 2010-02-19 |
| 1366774754 | Laura H. Hughes | Clinical Nurse Specialist | 98 Lincoln St, Framingham, MA 01702-6354 | 2010-02-10 |
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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.