PEGGY GILDERSLEEVE


Address: 1 Del Pond Dr, Orchard Cove Wellness Center, Canton, MA 02021-2759
Phone: 7818213210

PEGGY GILDERSLEEVE (NPI# 1396951190) 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) 1396951190
Entity Type Individual
Full Name PEGGY GILDERSLEEVE
Credential NP
Practice Address 1 Del Pond Dr
Orchard Cove Wellness Center
Canton
MA 02021-2759
Mailing Address 40 Fern St
Lexington
MA 02421-6025
Practice Telephone 7818213210
Practice Fax Number 7818213216
Mailing Telephone 7818213210
Mailing Fax Number 7818213216
Enumeration Date 2007-05-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 145848 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA BLUE SHIELD NP2821 01

Office Location

Street Address 1 DEL POND DR
ORCHARD COVE WELLNESS CENTER
City CANTON
State MA
Zip Code 02021-2759

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326083551 Tara L Gonsalves Nurse Practitioner 1 Del Pond Dr, Canton, MA 02021-2759 2006-06-19
1124505524 Nita Feierstein Aines Social Worker 1 Del Pond Dr, Canton, MA 02021-2759 2018-07-27
1548366990 Jennifer Michelle Brinckerhoff Emergency Medicine 1 Del Pond Dr, Canton, MA 02021-2759 2006-09-15
1578576369 Orchard Cove, Inc Clinic/Center 1 Del Pond Dr, Canton, MA 02021-2759 2006-08-14
1164433520 Orchard Cove, Inc. Skilled Nursing Facility 1 Del Pond Dr, Canton, MA 02021-2759 2006-08-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265931331 Faith Alpiche Felitto Registered Nurse 9 Bay Drive, Apt 113, Canton, MA 02021 2018-02-05
1184122103 Mind Compass, LLC Counselor 45 Dan Road, C/o Workspace@45, Suite 19, Canton, MA 02021 2018-01-24
1861903353 Daphnis Colin Registered Nurse 211 Bay Drive, Canton, MA 02021 2017-10-24
1245772276 Rebecca Selenow Counselor 10 Emerson Rd, Canton, MA 02021 2016-11-08
1407398449 Brightview Canton LLC Alzheimer Center (Dementia Center) 125 Turnpike Street, Canton, MA 02021 2016-11-08
1699144014 Marguerite Hobbs Social Worker 55 Pecunit St, Canton, MA 02021 2015-09-15
1447662234 Cornerstone At Canton Assisted Living LLC Assisted Living Facility 175 Revere Street, Canton, MA 02021 2014-05-28
1508100157 Greystone Pain Management Inc Psychiatry & Neurology 21 Rockland St, Unit M, Canton, MA 02021 2012-11-20
1457678062 Smile Designs Inc Dentist 95 Washington St # 480, Smile Designs Inc, Canton, MA 02021 2010-04-23
1114178803 Jennifer Diana Marie Woodbury Specialist/Technologist 1 Whitman Road, Clarke School East, Canton, MA 02021 2008-10-01
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033754163 Kelly Marie Shirley Nurse Practitioner 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 2019-11-13
1891286928 Joseph Vincent Bautista Doromal Nurse Practitioner 111 Mountain Brook Dr, Canton, GA 30115-9045 2018-05-24
1245748060 Renita Roychelle Strickland Nurse Practitioner 498 Chattin Dr, Canton, GA 30115-8240 2018-01-15
1487176921 Nguyet Tran Tyler Nurse Practitioner 1558 Riverstone Pkwy, Canton, GA 30114-2898 2017-07-15
1255865820 Mercedita Ungab-canete Nurse Practitioner 4019 Sarah Ann Dr, Canton, MI 48188-2193 2017-04-20
1720447477 Shafiq U Rehman Nurse Practitioner 41667 Quail Ct, Canton, MI 48188-5228 2016-02-22
1396119145 Marie Posy Nurse Practitioner 506 Blue Mountain Rise, Canton, GA 30114-5713 2015-11-17
1407231202 Advanced Wound and Ostomy Solutions Nurse Practitioner 203 River Green Ave, Canton, GA 30114-5846 2015-07-22
1427474527 Stephen Collins Nurse Practitioner 1684 Fallen Timber St Ne, Canton, OH 44721-3858 2014-03-13
1992030712 Cheryl Lynn Belopotosky Nurse Practitioner 733 Market Ave. Sw, Canton, OH 44702-1018 2009-10-13
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Competitor

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City CANTON
Zip Code 02021

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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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