KATHLEEN ROSE DAVIDSON (NPI# 1366554149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366554149 |
| Entity Type | Individual |
| Full Name | KATHLEEN ROSE DAVIDSON |
| Credential | RNCS |
| Practice Address |
20 Hope Ave Suite G05 Waltham MA 02453-2721 |
| Mailing Address |
351 Manning St Needham MA 02492-3442 |
| Practice Telephone | 7818938762 |
| Practice Fax Number | 7818996386 |
| Mailing Telephone | 7814441087 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
117767 PC | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629550934 | Kathleen Davidson | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2018-09-04 |
| 1679980619 | Kathleen J Davidson | Counselor | 322 W Jefferson St, Plymouth, IN 46563-1734 | 2014-07-22 |
| 1265669832 | Kathleen Davidson | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2009-06-22 |
| 1447418983 | Kathleen Davidson | Counselor | 28 W Fayette St, Uniontown, PA 15401-3434 | 2008-05-31 |
| Street Address |
20 HOPE AVE SUITE G05 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697050 | Solomon A Gabbay | Internal Medicine | 20 Hope Ave, Ste 206, Waltham, MA 02453-2717 | 2005-05-23 |
| 1922422385 | Brianna Bach | Counselor | 20 Hope Ave, Waltham, MA 02453-2721 | 2014-02-05 |
| 1538409727 | Gigi N. Girgis, M.d. | Specialist | 20 Hope Ave, Suite 203, Waltham, MA 02453-2721 | 2013-02-25 |
| 1649515131 | Putnoi Eye Care, P.C. | Ophthalmology | 20 Hope Ave, Suite 212, Waltham, MA 02453-2721 | 2012-12-10 |
| 1538455175 | Nadarron Amritanand-fort | Nurse Practitioner | 20 Hope Ave, Waltham, MA 02453-2721 | 2011-06-22 |
| 1114217171 | Marybeth Ann Mills | Spec/Tech, Cardiovascular | 20 Hope Ave, Suite 204, Waltham, MA 02453-2721 | 2011-04-12 |
| 1033409057 | First Response Clinical Services, LLC | Clinic/Center | 20 Hope Ave, Suite 204, Waltham, MA 02453-2721 | 2011-04-11 |
| 1629370622 | Watch City Optical | Eyewear Supplier (Equipment, not the service) | 20 Hope Ave, Waltham, MA 02453-2721 | 2010-11-23 |
| 1568605426 | Michelle Marie Cournoyer | Physician Assistant | 20 Hope Ave, Suite G06, Waltham, MA 02453-2721 | 2009-04-08 |
| 1205008141 | Wissam Khoory, Md,pc | Internal Medicine | 20 Hope Ave, Suite G03, Waltham, MA 02453-2721 | 2008-04-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083797302 | Jodi Lynn Tippett | Nurse Practitioner | 169 Elm St, Waltham, MA 02453-5356 | 2006-10-23 |
| 1245683051 | Sarah Silva | Nurse Practitioner | 9 Hope Ave, Suite 500, Waltham, MA 02453-2741 | 2016-07-16 |
| 1669439337 | Louisa Eileen Martin | Nurse Practitioner | 210 Bear Hill Rd, Suite 202, Waltham, MA 02451-1023 | 2006-04-27 |
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|---|---|---|---|---|
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| 1366042715 | Jacqueline Ann Owens | Nurse Practitioner | 32 Hammond Ave, Cohasset, MA 02025-1928 | 2020-10-27 |
| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
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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.