JUDY M. DUARTE (NPI# 1114141207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114141207 |
| Entity Type | Individual |
| Full Name | JUDY M. DUARTE |
| Credential | CPNP |
| Practice Address |
55 Route 130 Forestdale MA 02644-1402 |
| Mailing Address |
41 Tananger Rd Plymouth MA 02360-2656 |
| Practice Telephone | 5084775306 |
| Practice Fax Number | 5084770297 |
| Mailing Telephone | 5084775306 |
| Mailing Fax Number | 5084770297 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2012-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
190872 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
55 ROUTE 130 |
| City | FORESTDALE |
| State | MA |
| Zip Code | 02644-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053389437 | Roshann L. Hooshmand | Pediatrics | 55 Route 130, Forestdale, MA 02644-1402 | 2006-03-10 |
| 1851951420 | Katie Wilby | Nurse Practitioner | 55 Route 130, Forestdale, MA 02644-1434 | 2019-06-17 |
| 1043737968 | Erin A. Kickham | Registered Nurse | 55 Route 130, Forestdale, MA 02644-1402 | 2017-08-23 |
| 1992043897 | Tracie Moulton | Nurse Practitioner | 55 Route 130, Forestdale, MA 02644-1402 | 2013-01-28 |
| 1649532391 | Ciera Joyce Maffei | Pediatrics | 55 Route 130, Forestdale, MA 02644-0549 | 2012-06-08 |
| 1710136783 | Meagan Santos | Nurse Practitioner | 55 Route 130, Forestdale, MA 02644-1402 | 2008-09-15 |
| 1174794523 | Marie Kayton | Pediatrics | 55 Route 130, Forestdale, MA 02644-1402 | 2008-03-13 |
| 1225144090 | Ann M Deweer Aviles | Pediatrics | 55 Route 130, Forestdale, MA 02644-1402 | 2006-08-22 |
| 1316916471 | Alexander C. Heard | Pediatrics | 55 Route 130, Forestdale, MA 02644-1402 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083134522 | Colleen Macwilliam | Speech-Language Pathologist | 337 Cotuit Road, Suite 7, Heritage Park Plaza, Forestdale, MA 02644 | 2017-06-26 |
| 1902073414 | Christine R Kirby | Speech-Language Pathologist | 280 D Route 130 Suite 7, Forestdale, MA 02644 | 2008-05-14 |
| 1558407973 | Nancy C Wiley | Social Worker | 19 Pine Rd, Forestdale, Forestdale, MA 02644 | 2007-01-30 |
| 1144337718 | Rashna B Irani | Pediatrics | Cape Cod Pediatrics, 53 Route 130, Forestdale, MA 02644 | 2006-08-23 |
| 1730106683 | Nicole Veronica Balthazar | Dentist | 280 Rte 130, Bldg A9, Forestdale, MA 02644 | 2006-07-16 |
| 1689158867 | Laura Kathryn Gumbel | Speech-Language Pathologist | 337 Cotuit Rd, Forestdale, MA 02644 | 2018-09-24 |
| 1114476686 | Brooke Labossiere | Occupational Therapist | 337 Cotuit Rd, Forestdale, MA 02644 | 2016-09-26 |
| 1982954186 | Amy Northrop | Occupational Therapist | 280-d Route 130, Suite 7, Heritage Park Plaza In Sandwich, Forestdale, MA 02644 | 2012-09-14 |
| 1245394733 | Robert H Dimitri | Counselor | 17 Meredith Road, Forestdale, MA 02644-0131 | 2006-12-20 |
| 1598390304 | Kendra Simmons | Occupational Therapist | 4 Jeannes Way, Forestdale, MA 02644-1115 | 2020-03-12 |
| Find all providers in zip 02644 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992043897 | Tracie Moulton | Nurse Practitioner | 55 Route 130, Forestdale, MA 02644-1402 | 2013-01-28 |
| 1710136783 | Meagan Santos | Nurse Practitioner | 55 Route 130, Forestdale, MA 02644-1402 | 2008-09-15 |
| 1073708145 | Carrie Virginia Marshall | Nurse Practitioner | 53 Route 130, Forestdale, MA 02644-1402 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666203 | Eileen Whyte O'holleran | Nurse Practitioner | 12 Autumn Ln, South Hamilton, MA 01982-1400 | 2020-10-14 |
| 1356948525 | Kaylee Woods | Nurse Practitioner | 85 Seaport Blvd Unit 714, Boston, MA 02210-2157 | 2020-10-01 |
| 1063026946 | Alexandra Louise Lester | Nurse Practitioner | 7 Doris Cir, Newton, MA 02458-1929 | 2020-09-08 |
| 1023627833 | Jennifer Suxin Yu | Nurse Practitioner | 63 Cedar St, Malden, MA 02148-3647 | 2020-07-28 |
| 1417566563 | Julianna Marie Roberts | Nurse Practitioner | 5 Helen Dr, Peabody, MA 01960-1235 | 2020-07-24 |
| 1144838384 | Amanda Rose Bakos | Nurse Practitioner | 218 Marion St, Boston, MA 02128-1758 | 2020-07-14 |
| 1710504949 | Angela Vu | Nurse Practitioner | 83 Nightingale Ave # 1l, Quincy, MA 02169-6413 | 2020-07-03 |
| 1083236749 | Mubina M Rhee | Nurse Practitioner | 170 Brookline Ave Unit 215, Boston, MA 02215-3921 | 2020-05-15 |
| 1841823911 | Rachel N Mick | Nurse Practitioner | 77 Winsor St Ste 103, Ludlow, MA 01056-3470 | 2020-02-18 |
| 1326670803 | Ashley Laverdiere | Nurse Practitioner | 1 Ferncroft Rd, Danvers, MA 01923-4017 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
| City | FORESTDALE |
| Zip Code | 02644 |
Please comment or provide details below to improve the information on JUDY M. DUARTE.
| 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.