BETHANY JANE ABDE (NPI# 1215331566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215331566 |
| Entity Type | Individual |
| Full Name | BETHANY JANE ABDE |
| Other Name | BETHANY JANE PEREIRA |
| Credential | AGNP - BC |
| Practice Address |
100 Rosebrook Way Wareham MA 02571-1138 |
| Mailing Address |
200 Mill Rd Suite 180 Fairhaven MA 02719-5252 |
| Practice Telephone | 5082734900 |
| Practice Fax Number | 5082734901 |
| Mailing Telephone | 5089732000 |
| Mailing Fax Number | 5089732001 |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2020-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN259875 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110101067A | 05 |
| Street Address |
100 ROSEBROOK WAY |
| City | WAREHAM |
| State | MA |
| Zip Code | 02571-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637405 | Robert J Mcgowen | Internal Medicine | 100 Rosebrook Way, 2nd Floor, Wareham, MA 02571-2097 | 2005-05-23 |
| 1831729227 | Meagan A Coon | Dietitian, Registered | 100 Rosebrook Way, Wareham, MA 02571-1138 | 2020-01-24 |
| 1891348702 | Jennifer L Porter | Nurse Practitioner | 100 Rosebrook Way, Wareham, MA 02571-1138 | 2019-07-19 |
| 1588115356 | Victoria Marie Cabral | Nurse Practitioner | 100 Rosebrook Way, Wareham, MA 02571-1138 | 2016-10-17 |
| 1992180301 | Sherry Ann Vieira | Nurse Practitioner | 100 Rosebrook Way, Wareham, MA 02571-1138 | 2015-07-27 |
| 1689060097 | Himesh Sheth | Internal Medicine | 100 Rosebrook Way, Wareham, MA 02571-1138 | 2015-04-13 |
| 1346635422 | Ivan Urits | Anesthesiology | 100 Rosebrook Way, Wareham, MA 02571-1138 | 2015-04-05 |
| 1306273693 | Jody P Reeves | Nurse Practitioner | 100 Rosebrook Way, 2nd Floor, Wareham, MA 02571-1138 | 2013-10-01 |
| 1457786345 | Valerie Marie Haney | Nurse Practitioner | 100 Rosebrook Way, Wareham, MA 02571-1138 | 2013-09-10 |
| 1255686580 | Erin A. Edwards | Nurse Practitioner | 100 Rosebrook Way, Wareham, MA 02571-1138 | 2012-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316562366 | Komil Patel | Dentist | 1 Seth F Tobey Road, Building B, Wareham, MA 02571 | 2020-06-15 |
| 1033647524 | Jessica Louise Lagneau | Behavioral Analyst | 192 Swifts Beach Rd, Wareham, MA 02571 | 2017-05-26 |
| 1063949832 | Shawn Blagden | Counselor | 1 Twins Beach Ln, Wareham, MA 02571 | 2017-05-11 |
| 1871952242 | Christopher Donovan Center, Inc. | Psychologist | 4 Recovery Road, Wareham, MA 02571 | 2016-02-15 |
| 1437408713 | Yvonne C Hitchens | Social Worker | 191 Main Street Office L-2, Wareham, MA 02571 | 2012-09-02 |
| 1962797035 | Amanda L Cavanaugh | Counselor | 8 Old Carr Landing Rd, Wareham, MA 02571 | 2011-06-16 |
| 1316116668 | Ellen R Ficks | Counselor | 135 Marion Road, Wareham, MA 02571 | 2008-02-20 |
| 1104007368 | Wareham Nurse Midwives PC | Nurse Practitioner | 332 Main Street, Wareham, MA 02571 | 2007-11-16 |
| 1124214572 | Elizabeth C Coughlin | Pediatrics | 53 Marion Road, Suite One, Wareham, MA 02571 | 2007-09-19 |
| 1063621472 | Michael Francis Mcquaid | Psychologist | 63 Minot Ave, Wareham, MA 02571 | 2007-05-22 |
| Find all providers in zip 02571 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598735623 | Suzanne K Pinhancos | Nurse Practitioner | 2621 Cranberry Hwy, Wareham, MA 02571-1004 | 2006-01-23 |
| 1457845653 | Compassionate Health Care Group LLC | Nurse Practitioner | 361 Main St, Wareham, MA 02571 | 2018-06-20 |
| 1538684998 | Robin G Fletcher Depree | Nurse Practitioner | 361 Main St, Wareham, MA 02571-2153 | 2017-08-07 |
| 1306273693 | Jody P Reeves | Nurse Practitioner | 100 Rosebrook Way, 2nd Floor, Wareham, MA 02571-1138 | 2013-10-01 |
| 1255686580 | Erin A. Edwards | Nurse Practitioner | 100 Rosebrook Way, Wareham, MA 02571-1138 | 2012-07-24 |
| 1083916928 | Lisa M. Billings | Nurse Practitioner | 43 High St, Southcoast Physician Services, Inc., Wareham, MA 02571-2097 | 2010-11-29 |
| 1487989851 | Martha Smith | Nurse Practitioner | 2621 Cranberry Hwy, Wareham, MA 02571-1004 | 2009-10-02 |
| 1659606051 | Andrea Lauren Fonseca | Nurse Practitioner | 2621 Cranberry Hwy, Wareham, MA 02571-1004 | 2009-10-02 |
| 1083737746 | Karen A Hussion | Nurse Practitioner | 100 Rosebrook Way, 2nd Floor, Wareham, MA 02571 | 2007-04-09 |
| 1265533822 | Barbara Irene Lawrence | Nurse Practitioner | 2621 Cranberry Hwy, Wareham, MA 02571-1004 | 2006-09-26 |
| Find all providers in WAREHAM | ||||
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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.