SUSANNA DRAINE (NPI# 1417484254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417484254 |
| Entity Type | Individual |
| Full Name | SUSANNA DRAINE |
| Credential | APRN |
| Practice Address |
386 Stanley St Fall River MA 02720-6009 |
| Practice Telephone | 5086795222 |
| Practice Fax Number | 5086733182 |
| Mailing Telephone | 5083243550 |
| Mailing Fax Number | 5086765671 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2327944 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN01685 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1010 S Main St, Fall River, MA 027242855 | 5083243550 | 5086765671 |
| Street Address |
386 STANLEY ST |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02720-6009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164702 | Robert Kiernan | Physician Assistant | 386 Stanley St, Fall River, MA 02720-6009 | 2005-06-15 |
| 1811596141 | Eduarda L Silva | Counselor | 386 Stanley St, Fall River, MA 02720-6009 | 2020-10-19 |
| 1912513243 | John Shipley | Counselor | 386 Stanley St, Fall River, MA 02720-6009 | 2020-09-22 |
| 1205448354 | Kriselle Green | Counselor | 386 Stanley St, Fall River, MA 02720-6009 | 2020-08-20 |
| 1548872740 | Shannen Gordon | Counselor | 386 Stanley St, Fall River, MA 02720-6009 | 2020-08-19 |
| 1073124186 | Meghann Froio | Student in an Organized Health Care Education/Training Program | 386 Stanley St, Fall River, MA 02720-6009 | 2020-08-12 |
| 1255942488 | Caroline Gardiner | Case Manager/Care Coordinator | 386 Stanley St, Fall River, MA 02720-6009 | 2020-08-12 |
| 1275144412 | Juan Rosario | Counselor | 386 Stanley St, Fall River, MA 02720-6009 | 2020-08-12 |
| 1497366686 | Liam Lane | Student in an Organized Health Care Education/Training Program | 386 Stanley St, Fall River, MA 02720-6009 | 2020-08-12 |
| 1538770714 | Mary Maddox | Counselor | 386 Stanley St, Fall River, MA 02720-6009 | 2020-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960264 | Robert Walsh | Massage Therapist | 275 High Street, 1st Floor Rear, Fall River, MA 02720 | 2020-04-10 |
| 1487147252 | Patricia Mateus Peterson | Social Worker | 1561 N Main Street, Fall River, MA 02720 | 2018-06-07 |
| 1669980371 | Jolita Perez | Home Health Aide | 92 Hanover St Apt 2, Fall River, MA 02720 | 2018-01-16 |
| 1023537305 | Rebekah Shermer Woolf | Counselor | 1082 Davol St., Fall River, MA 02720 | 2017-09-18 |
| 1467977843 | Elena Amelia Cetola | Nurse Practitioner | 38 Rock St Ste 2, Fall River, MA 02720 | 2017-08-07 |
| 1477903128 | Rebecca Anne Weller | Counselor | 1082 Davol St, Fall River, Ma 02720, Fall River, MA 02720 | 2016-06-14 |
| 1811358773 | Tiana Vidal | Counselor | 1082 N Davol St., Fallriver, MA 02720 | 2016-03-18 |
| 1477925907 | David Vega | Counselor | 1082 N Davol St, Fall River, MA 02720 | 2015-10-23 |
| 1235537473 | Desire Hendricksmoreno | Counselor | 279 North Main Street, Fall River, MA 02720 | 2014-12-19 |
| 1801294160 | Rebecca Bergeron | Counselor | 1080 Davol Street, Suite 202, Fall River, MA 02720 | 2014-12-18 |
| Find all providers in zip 02720 | ||||
| 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 |
|---|---|---|---|---|
| 1467977843 | Elena Amelia Cetola | Nurse Practitioner | 38 Rock St Ste 2, Fall River, MA 02720 | 2017-08-07 |
| 1598373003 | Molly R Sonner | Nurse Practitioner | 170 Pleasant St Ste 100, Fall River, MA 02721-3015 | 2020-07-21 |
| 1003324849 | Katherine E Serra | Nurse Practitioner | 386 Stanley St, Fall River, MA 02720-6009 | 2018-01-15 |
| 1871963678 | Falashade F Adewuyi | Nurse Practitioner | 386 Stanley St, Fall River, MA 02720-6009 | 2015-10-06 |
| 1427366335 | Erin Ann Regan | Nurse Practitioner | 386 Stanley St, Fall River, MA 02720-6009 | 2010-09-14 |
| 1033287172 | David Dane Ryer | Nurse Practitioner | 49 Hillside St, Fall River, MA 02720-5211 | 2006-11-30 |
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|---|---|---|---|---|
| 1225639552 | Kelly Ann Hancock | Nurse Practitioner | 6 Margot Ln, East Bridgewater, MA 02333-1689 | 2020-11-03 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | FALL RIVER |
| Zip Code | 02720 |
Please comment or provide details below to improve the information on SUSANNA DRAINE.
| 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.