MRS. COLLEEN ERIN GORMAN (NPI# 1154771244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154771244 |
| Entity Type | Individual |
| Full Name | MRS. COLLEEN ERIN GORMAN |
| Credential | FNP-C |
| Practice Address |
106 New State Hwy Raynham MA 02767-5446 |
| Practice Telephone | 7816265500 |
| Practice Fax Number | 7745013846 |
| Mailing Telephone | 7816265500 |
| Mailing Fax Number | 7745013846 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2018-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN250610 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110131816A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3316 Williams Dr Ste 150, Georgetown, TX 786282891 | 5122444272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467541821 | Colleen Marie Gorman | Psychologist | Northpoint Health & Wellness Center, 1313 Penn Ave North, Minneapolis, MN 55411-3047 | 2006-10-12 |
| 1548644453 | Colleen Gorman | Counselor | 315 W Larkin St, Midland, MI 48640-5152 | 2015-07-10 |
| Street Address |
106 NEW STATE HWY |
| City | RAYNHAM |
| State | MA |
| Zip Code | 02767-5446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265044069 | Heather Dubose | Social Worker | 329 King Philip Street, Raynham, MA 02767 | 2020-08-21 |
| 1801115654 | Wanda L Meyer | Registered Nurse | 257 Prospect Hill St., Raynham, MA 02767 | 2010-05-19 |
| 1033386099 | Choice Dental Inc | Dentist | 606 North Main Streeet, Raynham, MA 02767 | 2008-05-09 |
| 1639378482 | Laura Eddy | Counselor | 90 New State Highway Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 | 2007-07-12 |
| 1861617524 | Charlene A Remillard | Social Worker | 90 New State Highway, Raynham, MA 02767 | 2007-04-16 |
| 1437287166 | Sandra Diaz | Psychologist | 90 New State Hwy, Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 | 2007-03-02 |
| 1629115688 | Luis Moncada | Dentist | 500 Raynham Street West, Raynham, MA 02767 | 2007-01-31 |
| 1942300371 | Cvs Pharmacy Inc | Pharmacy | 252 Broadway, Raynham, MA 02767 | 2006-09-25 |
| 1912004524 | Mrudula Patel | Family Medicine | 302 Broadway Ste 8, Hines Dermatology Associates, Raynham, MA 02767 | 2006-09-19 |
| 1447271374 | Mary Ann Garcia Dds PC | Dentist | 166 Paramount Dr, Raynham, MA 02767 | 2006-07-23 |
| Find all providers in zip 02767 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720577224 | Jessica Rose Kenney | Nurse Practitioner | 266 Us Highway 44, Raynham, MA 02767-5446 | 2018-05-09 |
| 1730438268 | Renee E Brown | Nurse Practitioner | 1215 Broadway, Raynham, MA 02767-1942 | 2012-08-30 |
| 1528268661 | Jamie Linde | Nurse Practitioner | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 | 2007-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821885 | Tanya Lee Bailey | Nurse Practitioner | 185 Vining Hill Rd, Southwick, MA 01077-9413 | 2020-11-07 |
| 1134720964 | Arliomey Ambroise | Nurse Practitioner | 2216 Summit Dr, Bridgewater, MA 02324-2178 | 2020-11-06 |
| 1184225161 | Christina Chan Sok | Nurse Practitioner | 24 Hartwell Ave # 204, Lexington, MA 02421-3132 | 2020-11-05 |
| 1871194381 | Stacie Rose | Nurse Practitioner | 131 Hartwell Ave, Lexington, MA 02421-3105 | 2020-11-03 |
| 1881295145 | Heather Thomas | Nurse Practitioner | 39 Brock St Apt 1, Brighton, MA 02135-2661 | 2020-11-03 |
| 1427659069 | Jenna Gunnell | Nurse Practitioner | 700 Greendale Ave Unit 11203, Needham, MA 02492-4362 | 2020-11-02 |
| 1336749936 | Julia Monroe | Nurse Practitioner | 7 Atwood St, Cherry Valley, MA 01611-3332 | 2020-11-01 |
| 1730789744 | Polyana F Barbosa | Nurse Practitioner | 491 Maple St Ste 208, Danvers, MA 01923-4025 | 2020-10-28 |
| 1053910257 | Lauren Michele Flynn | Nurse Practitioner | 173 Sumner St, Quincy, MA 02169-7003 | 2020-10-20 |
| 1043819196 | Kimberly S Christie | Nurse Practitioner | 107 Sheraton Ave, Somerset, MA 02725-1150 | 2020-10-20 |
| 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.