PENNY VALLIERE (NPI# 1184972119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184972119 |
| Entity Type | Individual |
| Full Name | PENNY VALLIERE |
| Practice Address |
191 Bedford St Fall River MA 02720-3050 |
| Practice Telephone | 5086794239 |
| Practice Fax Number | 5086793702 |
| Mailing Telephone | 5086794239 |
| Mailing Fax Number | 5086793702 |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN34865 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN21800 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MA LICENSE | RN21800 | 01 |
| Street Address |
191 BEDFORD ST |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02720-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376523621 | Michael A Campbell | Family Medicine | 191 Bedford St, Millview Medical Associates, 5th Flr, Fall River, MA 02720-3011 | 2006-01-20 |
| 1982154290 | Christine Costa | Nurse Practitioner | 191 Bedford St, Fall River, MA 02720-3050 | 2016-10-11 |
| 1871043729 | Crystal Mendonsa | Nurse Practitioner | 191 Bedford St, Fall River, MA 02720-3050 | 2016-10-04 |
| 1811232820 | Fall River Dermatology PC | Dermatology | 191 Bedford St, Fall River, MA 02720-3050 | 2012-12-02 |
| 1598066821 | Northeast Ent, Inc | Specialist | 191 Bedford St, 2nd Floor, Fall River, MA 02720-3011 | 2010-11-03 |
| 1881861649 | St Anne's Hospital | Family Medicine | 191 Bedford St, Fall River, MA 02720-3011 | 2008-05-12 |
| 1255506325 | St Anne's Hospital | Family Medicine | 191 Bedford St, 5th Floor, Fall River, MA 02720-3011 | 2008-04-29 |
| 1235322777 | St Annes Hospital | Orthopaedic Surgery | 191 Bedford St, 4th Floor, Fall River, MA 02720-3011 | 2007-08-18 |
| 1881638914 | James Leffers II | Orthopaedic Surgery | 191 Bedford St, 4th Floor, Fall River, MA 02720-3011 | 2006-06-16 |
| 1952341653 | Carolyn M Fruci | Specialist | 191 Bedford St, Fall River, MA 02720-3050 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960264 | Robert Walsh | Massage Therapist | 275 High Street, 1st Floor Rear, Fall River, MA 02720 | 2020-04-10 |
| 1487147252 | Patricia Mateus Peterson | Social Worker | 1561 N Main Street, Fall River, MA 02720 | 2018-06-07 |
| 1669980371 | Jolita Perez | Home Health Aide | 92 Hanover St Apt 2, Fall River, MA 02720 | 2018-01-16 |
| 1023537305 | Rebekah Shermer Woolf | Counselor | 1082 Davol St., Fall River, MA 02720 | 2017-09-18 |
| 1467977843 | Elena Amelia Cetola | Nurse Practitioner | 38 Rock St Ste 2, Fall River, MA 02720 | 2017-08-07 |
| 1477903128 | Rebecca Anne Weller | Counselor | 1082 Davol St, Fall River, Ma 02720, Fall River, MA 02720 | 2016-06-14 |
| 1811358773 | Tiana Vidal | Counselor | 1082 N Davol St., Fallriver, MA 02720 | 2016-03-18 |
| 1477925907 | David Vega | Counselor | 1082 N Davol St, Fall River, MA 02720 | 2015-10-23 |
| 1235537473 | Desire Hendricksmoreno | Counselor | 279 North Main Street, Fall River, MA 02720 | 2014-12-19 |
| 1801294160 | Rebecca Bergeron | Counselor | 1080 Davol Street, Suite 202, Fall River, MA 02720 | 2014-12-18 |
| Find all providers in zip 02720 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629473251 | Susan M Navarro | Nurse Practitioner | 289 Pleasant Street Ste 501, Prima Care, PC, Fall River, MA 02721-3005 | 2014-10-24 |
| 1447682208 | Jenny Marie Fonseca | Nurse Practitioner | 191 Bedford St #501, Fall River, MA 02720 | 2013-08-04 |
| 1972855195 | Candida S Lopes | Nurse Practitioner | 211 Milliken Blvd., Fall River, MA 02721-1604 | 2012-10-11 |
| 1386925931 | Amy Tudor Garland | Nurse Practitioner | 277 Pleasant Street - Ste 202, Prima Care, PC, Fall River, MA 02721-3005 | 2011-09-08 |
| 1033446166 | Shannon Marie Ferreira | Nurse Practitioner | 1030 President Ave Rm 110, Fall River, MA 02720-5923 | 2009-11-10 |
| 1073605648 | Ann Marie Mccabe | Nurse Practitioner | 331 Elsbree St, Fall River, MA 02720-7211 | 2006-09-29 |
| 1710521315 | Erika Lynn Rebello | Nurse Practitioner | 211 Milliken Blvd, Fall River, MA 02721-1609 | 2019-11-06 |
| 1619487089 | Erica L Botelho | Nurse Practitioner | 211 Milliken Blvd, Fall River, MA 02721-1604 | 2017-10-11 |
| 1245781400 | Cynthia Lopes | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2016-10-21 |
| 1841658630 | Giuliana S Nava | Nurse Practitioner | 211 Milliken Blvd, Fall River, MA 02721-1604 | 2016-02-08 |
| Find all providers in FALL RIVER | ||||
| City | FALL RIVER |
| Zip Code | 02720 |
Please comment or provide details below to improve the information on PENNY VALLIERE.
| 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.