DR. ANDRAEA M FENN (NPI# 1194833699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194833699 |
| Entity Type | Individual |
| Full Name | DR. ANDRAEA M FENN |
| Credential | D.C. |
| Practice Address |
212 Schoosett St Pembroke MA 02359-1822 |
| Practice Telephone | 7818268804 |
| Practice Fax Number | 7818268805 |
| Mailing Telephone | 7818268804 |
| Mailing Fax Number | 7818268805 |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
1520 | MA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1610023 | 05 |
| Street Address |
212 SCHOOSETT ST |
| City | PEMBROKE |
| State | MA |
| Zip Code | 02359-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831100593 | Michael Henry Rogers | Chiropractor | 212 Schoosett St, Pembroke, MA 02359-1822 | 2006-08-10 |
| 1215128871 | Mckenney Chiropractic | Chiropractor | 212 Schoosett St, Pembroke, MA 02359-1822 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294559 | Timothy Clynch | Nurse Practitioner | 296 Old Oak St, Pembroke, MA 02359 | 2020-01-07 |
| 1457902892 | Convenientmd LLC | Clinic/Center | 296 Old Oak Street, Pembroke, MA 02359 | 2019-09-26 |
| 1578126298 | Snezhana Voynova | Nurse Practitioner | Harbor Medical Associates, 15 Corporate Park Drive, Pembroke, MA 02359 | 2019-04-18 |
| 1669943452 | Rachel Elizabeth Fletcher | Counselor | Pembroke Partial Hospital Program, 20 Winter Street, Pembroke, MA 02359 | 2018-12-06 |
| 1780116236 | Annmarie Cummings | Behavioral Analyst | 15 Furnace Lane, Pembroke, MA 02359 | 2017-04-03 |
| 1558659680 | Rachel S Cohen | Social Worker | 20 Winter Street, Pembroke, MA 02359 | 2011-07-11 |
| 1659552974 | Kirsten Leah Evans | Registered Nurse | 7 Bartlett St, Pembroke, MA 02359 | 2007-11-15 |
| 1154516862 | Timothy A Kaufman | Physical Therapist | 31 Schoosett Street, Suite 300, Pembroke, MA 02359 | 2007-09-06 |
| 1912128463 | Mary A Marek | Social Worker | 2 Columibia Road, Pembroke, MA 02359 | 2007-05-01 |
| 1437287448 | Frederick James White Jr. | Dentist | 19a Mattakeesett St, Pembroke, MA 02359 | 2007-03-01 |
| Find all providers in zip 02359 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265940886 | Greater Boston Performance Care, Inc. | Chiropractor | 200 Providence Hwy Ste 206, Dedham, MA 02026-1881 | 2018-01-17 |
| 1467968800 | Joshua A Helm | Chiropractor | 200 Boston Providence Highway, Suite #206, Dedham, MA 02026 | 2017-12-21 |
| 1366832131 | Berk Chiropractic and Sports Care PC | Chiropractor | 234 Russell St Ste 201, Hadley, MA 01035-3534 | 2015-01-30 |
| 1285076786 | Cedar Chiropractic & Sports P.C. | Chiropractor | 77 W Main St Ste 205, Hopkinton, MA 01748-1663 | 2013-07-24 |
| 1467760629 | Christopher John Murphy | Chiropractor | 116 Farms Dr, Burlington, MA 01803-3700 | 2010-09-21 |
| 1962671453 | Lifeforce Health Center | Chiropractor | 1420 Providence Hwy, Suite 115, Norwood, MA 02062-4662 | 2008-02-28 |
| 1265653612 | Michael Joseph Dimauro | Chiropractor | 283 S Broadway, Lawrence, MA 01843-2631 | 2007-05-02 |
| 1922136456 | William H Taylor | Chiropractor | 29 Lewis Bay Rd, Hyannis, MA 02601-5207 | 2007-02-28 |
| 1477699841 | Dr. Angelo Giolekas | Chiropractor | 617 Chandler St, Worcester, MA 01602-1753 | 2007-01-30 |
| 1730231481 | Jeanne Marie Bartram | Chiropractor | 18 Union St, Beverly, MA 01915-5102 | 2007-01-16 |
| 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.