TAYLOR JEANNE DEASY


Address: 732 Harrison Avenue, Preston, 2nd Floor, Boston, MA 02118
Phone: 6176387470

TAYLOR JEANNE DEASY (NPI# 1356759914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356759914
Entity Type Individual
Full Name TAYLOR JEANNE DEASY
Credential NP
Practice Address 732 Harrison Avenue
Preston, 2nd Floor
Boston
MA 02118
Mailing Address 720 Harrison Ave.
Dob 503
Boston
MA 02118
Practice Telephone 6176387470
Practice Fax Number 6176387449
Enumeration Date 2014-07-28
Last Update Date 2017-09-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN2292836 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 110101044A 05

Office Location

Street Address 732 HARRISON AVENUE
PRESTON, 2ND FLOOR
City BOSTON
State MA
Zip Code 02118

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285623694 David E. Negron Podiatrist 732 Harrison Avenue, Preston 5th Floor, Boston, MA 02118 2005-10-18
1477106086 Kathryn Koestner Nurse Practitioner 732 Harrison Avenue, 3rd Floor, Boston, MA 02118 2019-07-23
1164074654 Courtney Faiella Registered Nurse 732 Harrison Avenue, Preston, 3rd Floor, Boston, MA 02118-2309 2019-07-15
1558792267 Victoria Coffey Nurse Practitioner 732 Harrison Avenue, Preston, 2nd Floor, Boston, MA 02118 2013-12-05
1700186947 Johanne Jeudy Nurse Practitioner 732 Harrison Avenue, Preston, 2nd Floor, Boston, MA 02118 2010-10-21
1467764605 Poorani N. Goundan Internal Medicine 732 Harrison Avenue, Preston, 2nd Floor, Boston, MA 02118 2010-07-03
1952626483 Justin C. Ogbonna Podiatrist 732 Harrison Avenue, Preston 5th Floor, Boston, MA 02118 2010-03-27
1073753414 Ivania Rizo Internal Medicine 732 Harrison Avenue, Preston, 2nd Floor, Boston, MA 02118 2009-02-25
1750531026 Jan Marie Ring Nurse Practitioner 732 Harrison Avenue, 3rd Floor, Boston, MA 02118 2008-09-24
1194912519 Ayse N. Sahin-efe Internal Medicine 732 Harrison Avenue, Preston, 2nd Floor, Boston, MA 02118 2007-09-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649870023 Carlos E Salazar Counselor Hcrc 23 Bradston St., Boston, MA 02118 2020-10-27
1780292607 Jinal Gandhi Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 2020-07-16
1669094777 German Eduardo Velez Student in an Organized Health Care Education/Training Program One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 2020-05-12
1255969895 Isabela Medeiros Heringer Pereira Student in an Organized Health Care Education/Training Program 670 Albany Stree, 4th Floor, Boston, MA 02118 2020-03-30
1033746466 Karan Sunil Hingorani Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 2020-03-25
1326672791 Azza Ahmed Dentist 635 Albany St. G-744, Boston, MA 02118 2020-02-25
1538707401 Jane Margolis Social Worker 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 2019-12-11
1871134833 Supontep Teerakanok Dentist Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 2019-10-01
1750939583 Qasim Silman Ajmi Orthopaedic Surgery Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 2019-08-26
1922655539 Jami Ryan Pollard Physician Assistant 840 Harrison Avenue, Menino Building, Boston, MA 02118 2019-08-20
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558968461 Naira Aleksanyan Nurse Practitioner 5 Ellis St, Boston, MA 02119-3728 2020-10-04
1154930048 Patricia M Ciarleglio Nurse Practitioner 51 Franklin St Ste 400, Boston, MA 02110-1335 2020-07-27
1689292161 Barbara Regina Massa Nurse Practitioner 738 E 5th St, Boston, MA 02127-3260 2020-07-10
1114541976 Ellie Gonyeau Nurse Practitioner 17 S Russell St, Boston, MA 02114-3990 2020-06-07
1295357390 Margaret Sherwood Nurse Practitioner 155 W Concord St # 1, Boston, MA 02118-1507 2020-05-12
1760017008 Venifa White Nurse Practitioner 40 Kingsdale St Apt 4, Boston, MA 02124-1700 2020-03-06
1063059467 Shevonne Renee Linnane Nurse Practitioner 619 Adams St Apt 1, Boston, MA 02122-2569 2019-12-04
1730737602 Melanie Matthews Nurse Practitioner 14 Worthington St, Boston, MA 02120-1605 2019-09-03
1114585940 Jessica Paige Oliver Nurse Practitioner 2557 State Line Rd, Boston, GA 31626-2441 2019-06-05
1760944748 Melissa Stanvick Nurse Practitioner 117 Park Dr Apt 5, Boston, MA 02215-5114 2019-04-01
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Competitor

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City BOSTON
Zip Code 02118

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Dataset Information

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.

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