KATHRYN KOCHAN (NPI# 1417159898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417159898 |
Entity Type | Individual |
Full Name | KATHRYN KOCHAN |
Credential | NP-C |
Practice Address |
45 Dimock St Roxbury MA 02119-1208 |
Mailing Address |
136 Eliot St Chestnut Hill MA 02467-1436 |
Practice Telephone | 6174428800 |
Mailing Telephone | 8888978947 |
Mailing Fax Number | 6177725519 |
Enumeration Date | 2007-06-05 |
Last Update Date | 2020-02-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
154743 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
45 DIMOCK ST |
City | ROXBURY |
State | MA |
Zip Code | 02119-1208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104813856 | Debra Jean Reid | Pharmacist | 45 Dimock St, Roxbury, MA 02119-1208 | 2005-09-27 |
1063022028 | Hoda Hamed | Optometrist | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-08-05 |
1790394096 | Jonathan Foster-moore | Nurse Practitioner | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-07-23 |
1730797077 | Kristie Michelle Grimes-mallard | Registered Nurse | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-07-22 |
1558987859 | Dina Cabrejos Arauco | Social Worker | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-06-23 |
1104440908 | Joelle Sulistio | Registered Nurse | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-06-08 |
1346883980 | Kristen Monique Beard | Registered Nurse | 45 Dimock St, Roxbury, MA 02119-1208 | 2019-10-27 |
1639731649 | Alyssa Meltzer | Social Worker | 45 Dimock St, Roxbury, MA 02119-1208 | 2019-07-01 |
1184283012 | Claudia Rizzo | Social Worker | 45 Dimock St, Roxbury, MA 02119-1208 | 2019-06-13 |
1740849959 | Sabiha Zaman | Social Worker | 45 Dimock St, Roxbury, MA 02119-1208 | 2019-06-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
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Taxonomy Code | 363LC1500X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093164345 | Melissa Kelly Charles | Nurse Practitioner | 200 Nashua St, Boston, MA 02114-1105 | 2016-06-08 |
1568664001 | Kathryn J Foley | Nurse Practitioner | 31 Partridge Ave, Somerville, MA 02145-3629 | 2007-06-05 |
1295937795 | Michael Berdan | Nurse Practitioner | 399 Revolution Dr, Suite 810, Somerville, MA 02145-1446 | 2007-06-05 |
1063540326 | Rita Olans | Nurse Practitioner | 18 Oriole Dr, Andover, MA 01810-3409 | 2007-03-01 |
1649718198 | Julie Ann Pelletier | Nurse Practitioner | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2017-02-05 |
1730639253 | Erin Muldoon | Nurse Practitioner | 55 West St, Walpole, MA 02081-1837 | 2016-10-07 |
1326495151 | Kara Pesola | Nurse Practitioner | 47 Congress St, Salem, MA 01970-7308 | 2016-05-23 |
1073918876 | Regina Roberto | Nurse Practitioner | 100 Institute Rd, Worcester, MA 01609-2247 | 2014-10-23 |
1508120445 | Constance Mary Flynn | Nurse Practitioner | 165 Tor Ct, Pittsfield, MA 01201-3001 | 2012-06-26 |
1487947164 | Stephanie Powers Convey | Nurse Practitioner | 269 Union St, Lynn, MA 01901-1314 | 2011-05-27 |
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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.