REBECCA CHARETTE (NPI# 1205253994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205253994 |
Entity Type | Individual |
Full Name | REBECCA CHARETTE |
Credential | PA-C |
Practice Address |
90 Vandenberg Dr Bldg 1900 Hanscom Afb MA 01731-2104 |
Mailing Address |
850 Main St Wakefield MA 01880-3940 |
Practice Telephone | 6178349540 |
Practice Fax Number | 7812252576 |
Mailing Telephone | 6178349540 |
Enumeration Date | 2014-03-20 |
Last Update Date | 2018-04-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | PA4981 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA4981 | MA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA4981 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
90 VANDENBERG DR BLDG 1900 |
City | HANSCOM AFB |
State | MA |
Zip Code | 01731-2104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760581185 | 66 Mdss-sgsr | Military/U.S. Coast Guard Pharmacy | 90 Vandenberg Dr Bldg 1900, Hanscom Afb, MA 01731-2104 | 2006-09-22 |
1164807350 | Thuc Tran Van Pham | Pharmacist | 90 Vandenberg Dr Bldg 1900, 66 Mds (afmc), Hanscom Afb, MA 01731-2104 | 2015-07-29 |
1992190490 | Sandra Elizabeth Colucci | Pharmacist | 90 Vandenberg Dr Bldg 1900, Hanscom Afb, MA 01731-2104 | 2015-04-01 |
1649684473 | 66 Mdss-sgsr | Military/U.S. Coast Guard Pharmacy | 90 Vandenberg Dr Bldg 1900, Hanscom Afb, MA 01731-2104 | 2014-06-19 |
1285986646 | Justin Scott Farmer | Physician Assistant | 90 Vandenberg Dr Bldg 1900, 66 Mds, Hanscom Afb, MA 01731-2104 | 2012-10-10 |
1972860187 | Glenn Emery Degere | Social Worker | 90 Vandenberg Dr Bldg 1900, Hanscom Afb, MA 01731-2104 | 2012-04-12 |
1316276280 | John Doleski | Social Worker | 90 Vandenberg Dr Bldg 1900, Hanscom Afb, MA 01731-2104 | 2009-12-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386114171 | Aletha Juah Thomas | Nurse's Aide | 1 Freedom Cir, Hanscom Afb, MA 01731 | 2018-12-05 |
1730609793 | Christopher M. Congemi | Dentist | 66mds (afmc), 90 Vandenberg Dr, Bldg 1900, Hanscom Afb, MA 01731 | 2017-06-21 |
1184011322 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 100 Elgin St, Bldg 1709 B, Hanscom Afb, MA 01731 | 2015-04-24 |
1578822912 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Hanscom Afb, Building 1709, Bedford, MA 01731 | 2012-05-04 |
1215099858 | Paul R. Rivest | Psychologist | 66th Mdg Sgoh, Hanscom Afb, MA 01731 | 2006-12-13 |
1497837843 | Mara Salis | Social Worker | 2 Eglin St, Hanscom Afb, MA 01731 | 2006-10-19 |
1790749398 | Lakshmi Kona | Internal Medicine | 1609 Eglin Street, Hanscon Afb, MA 01731 | 2006-04-12 |
1245210715 | Jay Scott Cloutier | Physical Therapist | 66 Mdg/sgo, 90 Vandeberg Ave, Hanscom Afb, MA 01731 | 2006-01-19 |
1972589828 | Aron R. Potter | Psychologist | 90 Vandenberg Drive, Bldg 1900 66 Mds (afmc), Hanscom Afb, MA 01731 | 2005-12-21 |
1730160938 | Mohammed Fuad | Physician Assistant | 66 Mds (afmc), 90 Vandenberg Dr. Bldg. 1900, Hanscom Afb, MA 01731 | 2005-11-07 |
Find all providers in zip 01731 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730160938 | Mohammed Fuad | Physician Assistant | 66 Mds (afmc), 90 Vandenberg Dr. Bldg. 1900, Hanscom Afb, MA 01731 | 2005-11-07 |
1033367180 | Edith Luz Skelly | Physician Assistant | 90 Vandenberg Dr, Hanscom Afb, MA 01731 | 2008-09-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
1942812334 | Manacey Clermont | Physician Assistant | 21 Robinson Rd, Woburn, MA 01801-6136 | 2020-08-18 |
1801411756 | Kimberly Marques | Physician Assistant | 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 | 2020-06-16 |
1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
1275155590 | Makenna Camara | Physician Assistant | 249 Hixville Rd, North Dartmouth, MA 02747-1937 | 2020-05-08 |
1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
1639712011 | Joseph John Milos | Physician Assistant | 201 Carlson Ln, West Barnstable, MA 02668-1224 | 2019-10-18 |
1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
Find all providers with the same taxonomy |
City | HANSCOM AFB |
Zip Code | 01731 |
Please comment or provide details below to improve the information on REBECCA CHARETTE.
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.