THERESA MANNING (NPI# 1417079922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417079922 |
| Entity Type | Individual |
| Full Name | THERESA MANNING |
| Credential | APRN |
| Practice Address |
120 Beacon St Ste 202 House Call Program Somerville MA 02143-4398 |
| Practice Telephone | 6178686323 |
| Mailing Telephone | 6178686323 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2012-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 192595 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110074832A | 05 | |
| MA | BCBS MA PROVIDER NUMBER | NP1088 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376195511 | Theresa J Manning | Occupational Therapist | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2019-07-09 |
| 1225474562 | Theresa A Manning | Speech-Language Pathologist | 725 Harrison St, Syracuse, NY 13210-2395 | 2013-05-14 |
| 1902175565 | Theresa Mae Manning | Student in an Organized Health Care Education/Training Program | 1115 West Chestnut St, Brockton, MA 02301 | 2011-12-27 |
| 1679733273 | Theresa Manning | Licensed Practical Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2008-06-17 |
| Street Address |
120 BEACON ST STE 202 HOUSE CALL PROGRAM |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143-4398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548716996 | Katherine Aurigemma | Nurse Practitioner | 40 Holland St, Somerville, MA 02144-2705 | 2016-08-26 |
| 1154606168 | Elizabeth Stacy Varley | Nurse Practitioner | 600 Memory Lane, Somerville, TX 77879-5073 | 2011-10-21 |
| 1710203450 | Grace Abad | Nurse Practitioner | 110 Rehill Ave, Rwj Barnabas Somerville, Somerville, NJ 08876-2519 | 2010-04-19 |
| 1316178858 | Elisabeth Crawford Vanderweele | Nurse Practitioner | 40 Holland St, Somerville, MA 02144-2705 | 2009-07-31 |
| 1205036308 | Sherri Henry Suozzo | Nurse Practitioner | 30 Rehill Ave, Suite 2500, Somerville, NJ 08876-2500 | 2007-07-18 |
| 1407065451 | Paula Charos | Nurse Practitioner | 71 4th St, Somerville, NJ 08876-3235 | 2007-05-22 |
| 1528283694 | Kathleen Waterhouse | Nurse Practitioner | 120 Beacon St, House Call Program, Somerville, MA 02143-4370 | 2007-04-16 |
| 1558488205 | Jane Tallent | Nurse Practitioner | 40 Holland St, Somerville, MA 02144-2705 | 2007-03-26 |
| 1316076334 | Vlasta D Lavalle | Nurse Practitioner | 40 Holland St, Internal Medicine, Somerville, MA 02144-2705 | 2007-03-05 |
| 1114070208 | Cynthia Tefft | Nurse Practitioner | 40 Holland St, Somerville, MA 02144-2705 | 2007-01-19 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
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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.