MS. DANGUOLE DUOBA MAXWELL (NPI# 1245368505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245368505 |
| Entity Type | Individual |
| Full Name | MS. DANGUOLE DUOBA MAXWELL |
| Credential | RN |
| Practice Address |
165 Quincy St Brockton MA 02302-2988 |
| Practice Telephone | 5088972100 |
| Practice Fax Number | 5085865117 |
| Mailing Telephone | 5088972100 |
| Mailing Fax Number | 5085865117 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
185896 | MA | Nursing Service Providers |
| Street Address |
165 QUINCY ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-2988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326155458 | The Commonwealth of Massachusetts | Pharmacy | 165 Quincy St, Brockton, MA 02302-2988 | 2006-08-24 |
| 1902415813 | Sarah Coppenrath | Social Worker | 165 Quincy St, Brockton, MA 02302-2988 | 2020-07-27 |
| 1104307347 | Julia A Meehan | Social Worker | 165 Quincy St, Brockton, MA 02302-2988 | 2018-08-26 |
| 1043790629 | Holly Calamese-grazette | Social Worker | 165 Quincy St, Brockton, MA 02302-2988 | 2018-08-14 |
| 1427560796 | Wibie S Altidor | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-10-26 |
| 1598283459 | Janelle Weir | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-31 |
| 1699292839 | Justine Mcmahon | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-28 |
| 1932626504 | Alice Massery | Registered Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-24 |
| 1326565169 | Deann Paul | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-23 |
| 1144768045 | Commonwealth of Massachusetts | Community Based Residential Treatment Facility, Mental Illness | 165 Quincy St, Brockton, MA 02302-2988 | 2017-02-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204426 | Melanie Daley | Registered Nurse | 64 Adams St, Marlborough, MA 01752-2870 | 2020-10-26 |
| 1093330961 | Anthony Fitzgerald Paredes | Registered Nurse | 365 East St # 2c, Tewksbury, MA 01876-1950 | 2020-06-16 |
| 1134527773 | Melissa Torrance | Registered Nurse | 259 Carver Rd, Plymouth, MA 02360-5292 | 2014-12-14 |
| 1023341179 | Mary C Young | Registered Nurse | 137 Eleanor Dr, Braintree, MA 02184-3849 | 2009-09-08 |
| 1568665222 | James Worth Barclay | Registered Nurse | 75 Elm Street, Apt. A5, Worcester, MA 01609-2310 | 2007-06-08 |
| 1518027432 | Patricia Michelina Vitale | Registered Nurse | 300 Frontage Rd, Boston, MA 02118-2809 | 2006-12-11 |
| 1013517341 | Erich Berantuo | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2020-10-27 |
| 1639788466 | Sandra Noemi Feliciano | Registered Nurse | 365 East St # 2c, Tewksbury, MA 01876-1950 | 2020-07-28 |
| 1366071326 | Sydney Elizabeth Cochran | Registered Nurse | 94 Main St, Hyannis, MA 02601-3146 | 2020-04-02 |
| 1992344998 | Alison Rae Tellierfox | Registered Nurse | 298 Federal St, Greenfield, MA 01301-1971 | 2019-12-23 |
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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.