JANE WAGEMA-JOHNSON (NPI# 1316206352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316206352 |
| Entity Type | Individual |
| Full Name | JANE WAGEMA-JOHNSON |
| Credential | GNP |
| Practice Address |
100 Cummings Ctr Suite 222c Beverly MA 01915-6115 |
| Practice Telephone | 9785249510 |
| Mailing Telephone | 9785249510 |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
242191 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 CUMMINGS CTR SUITE 222C |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915-6115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444739 | Cornell Orthotics and Prosthetics, Inc | Prosthetic/Orthotic Supplier | 100 Cummings Ctr, Suite 207h, Beverly, MA 01915-6115 | 2005-08-15 |
| 1063013878 | Amanda Finn | Behavioral Analyst | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-11-06 |
| 1477153336 | Chris Vecchio | Behavior Technician | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-10-29 |
| 1316544653 | Keyshanna Edwards | Behavior Technician | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-10-08 |
| 1649885930 | Taryn May Andrews | Behavior Technician | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-09-13 |
| 1538771548 | Karenah Renee Harewood | Assistant Behavior Analyst | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-08-20 |
| 1750991501 | Emilia Ronchi | Behavioral Analyst | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-08-06 |
| 1609491067 | Sophia Teresa Cawlina | Behavioral Analyst | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-06-11 |
| 1417570706 | Elizabeth Rose Horan | Speech-Language Pathologist | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-05-21 |
| 1033633631 | Leanne Deterra | Registered Nurse | 100 Cummings Ctr, Element Care Suite 166d, Beverly, MA 01915 | 2017-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427153584 | Judy E Feener | Nurse Practitioner | 75 Brimbal Ave, Beverly, MA 01915-6009 | 2006-09-13 |
| 1285642942 | Christine R Cyr | Nurse Practitioner | 800 Cummings Ctr Ste 266t, Beverly, MA 01915-6172 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018370 | Ashley Erin Dimauro | Nurse Practitioner | 155 Federal St Ste 700, Boston, MA 02110-1727 | 2019-11-18 |
| 1780228924 | Jeffrey J Benoit | Nurse Practitioner | 103 Upper Rd, Deerfield, MA 01342-9739 | 2019-10-31 |
| 1962064626 | Katharine Kingsley Campbell | Nurse Practitioner | 50 Orchardhill Rd, Jamaica Plain, MA 02130-3725 | 2019-07-02 |
| 1124502737 | Rebecca Gaffney | Nurse Practitioner | 200 Mill Rd Ste 190, Fairhaven, MA 02719-5259 | 2018-09-19 |
| 1154821114 | Caroline Namuzinda Mawanda | Nurse Practitioner | 8 Baron Park Ln Apt 20, Burlington, MA 01803-5453 | 2018-02-16 |
| 1205334588 | Mary Torkornoo | Nurse Practitioner | 430 Massasoit Rd, Worcester, MA 01604-3546 | 2018-01-31 |
| 1508374406 | Kristin Tyrrell Chouinard | Nurse Practitioner | Home Md, 75 Sylvan St., Danvers, MA 01923-0192 | 2018-01-14 |
| 1962921379 | Krysta L Doucette | Nurse Practitioner | 47 High Street Suite 101, North Andover, MA 01845-5201 | 2017-09-18 |
| 1366961310 | Christine Anna Corallino | Nurse Practitioner | 14 Foster Street, #3, Boston, MA 02109 | 2017-09-11 |
| 1922546407 | Lisa Marie Joyce | Nurse Practitioner | 321 Manley St, West Bridgewater, MA 02379 | 2017-02-06 |
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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.