EMMA K IWAN (NPI# 1396353256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396353256 |
| Entity Type | Individual |
| Full Name | EMMA K IWAN |
| Practice Address |
225 Cedar Hill St Ste 200 Marlborough MA 01752-5900 |
| Mailing Address |
1191 Braselton Hwy Lawrenceville GA 30043-4611 |
| Practice Telephone | 8578294040 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
| Street Address |
225 CEDAR HILL ST STE 200 |
| City | MARLBOROUGH |
| State | MA |
| Zip Code | 01752-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811213259 | Ashley Nicole Camden | Behavioral Analyst | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2010-04-09 |
| 1700487444 | Jennifer Polanco De Los Santos | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-11-07 |
| 1831790658 | Henrietta Tiah | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-11-06 |
| 1205437035 | Glennish Barrientos | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-11-06 |
| 1437750353 | Irene Sampson | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-11-06 |
| 1861093924 | Siomara Yamileth Fuentes | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-11-05 |
| 1831790047 | Julia Paynter | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-11-04 |
| 1548861792 | Katyna Knapton | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-11-04 |
| 1750982930 | Jenna Bard | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-11-04 |
| 1497356505 | Jaclyn Tessier | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597883 | Tiffany Marie Stewart | Behavior Technician | 255 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-10-29 |
| 1235754664 | Jessica Michelle Rudolph | Behavior Technician | 22 Cedar Hill Street, Suite 200, Marlborough, MA 01752 | 2020-06-11 |
| 1619501012 | Kady Potter | Behavioral Analyst | 225 Cedar Hill Street, Marlborough, MA 01752 | 2020-02-25 |
| 1639701113 | Cheyenne-lynn Charnik | Behavior Technician | 255 Cedar Hill St, Suite 200, Marlborough, MA 01752 | 2020-02-12 |
| 1063042711 | Nichole Lowder | Behavioral Analyst | 22 5 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-01-22 |
| 1164068649 | Ludiana Andrade | Behavioral Analyst | 225 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2019-11-20 |
| 1215583646 | Olivia Setzer | Behavior Technician | 225 Cedar Street, Suite 200, Marlborough, MA 01752 | 2019-08-12 |
| 1306490867 | Rachael Lee Pennachi | Behavior Technician | 225 Cedar Hill Street Ste 200, Marlborough, MA 01752 | 2019-08-01 |
| 1962964130 | Hero Therapy LLC | Behavioral Analyst | 11 Apex Dr Ste 300a, Marlborough, MA 01752 | 2019-04-04 |
| 1780190728 | Rachel Castleberry | Counselor | Advocates, 340 Maple Street 4th Floor, Marlborough, MA 01752 | 2017-12-28 |
| Find all providers in zip 01752 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726716 | Patrick James Manders | Technician/Technologist | 52 Porter St Apt 1, Somerville, MA 02143-2318 | 2020-09-28 |
| 1669097689 | William Gundersen | Technician/Technologist | 64 Rowena Rd, Newton Center, MA 02459-2440 | 2020-06-15 |
| 1750346771 | Empire Vision Center Inc | Technician/Technologist | 700 Boston Rd, Billerica, MA 01821-5316 | 2006-04-20 |
| 1215915491 | Teresa Marshall-bradbury | Technician/Technologist | 100 Grove St Ste B-8, Worcester, MA 01605-2627 | 2006-01-06 |
| 1619436003 | Stefani Bonetti | Technician/Technologist | 109 Oak St Ste 103, Newton, MA 02464-1493 | 2019-03-15 |
| 1821569047 | Sarah Thibodeau | Technician/Technologist | 21 Highland Ave Ste 16, Newburyport, MA 01950-3873 | 2018-12-16 |
| 1255807863 | Nerijus Rackauskas | Technician/Technologist | 800 Washington St, Boston, MA 02111-1552 | 2018-10-22 |
| 1205316965 | Samuel Anthony Davis Jr. | Technician/Technologist | 150 South Huntington Avenue, Jamaica Plain, MA 02130 | 2018-08-21 |
| 1912118423 | Robin Seth Odentz | Technician/Technologist | 1964 Boston Rd, Wilbraham, MA 01095-1055 | 2007-05-25 |
| 1194940965 | Alice Mazzaferro | Technician/Technologist | 299 Carew St, Suite201, Springfield, MA 01104-2301 | 2007-04-16 |
| Find all providers with the same taxonomy | ||||
| City | MARLBOROUGH |
| Zip Code | 01752 |
Please comment or provide details below to improve the information on EMMA K IWAN.
| 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.