JEFFREY LUCERO (NPI# 1427482256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427482256 |
| Entity Type | Individual |
| Full Name | JEFFREY LUCERO |
| Credential | PMHNP-BC |
| Practice Address |
10 Gove St East Boston MA 02128-1920 |
| Practice Telephone | 6175695800 |
| Practice Fax Number | 6175684780 |
| Mailing Telephone | 6175695800 |
| Mailing Fax Number | 6175684780 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2016-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
280722 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| Street Address |
10 GOVE ST |
| City | EAST BOSTON |
| State | MA |
| Zip Code | 02128-1920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275530719 | Jackie S Fantes | Family Medicine | 10 Gove St, East Boston, MA 02128-1920 | 2005-06-30 |
| 1528679198 | Nicole Marie Ciolfi | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2020-08-16 |
| 1396356663 | Zoe Blatt | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1931 | 2020-08-11 |
| 1750904710 | Jessica Syswerda | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2020-05-26 |
| 1639791650 | Megan Julia Aitro | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1931 | 2020-05-13 |
| 1568013175 | Michael Domenic Defabrizio | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2019-09-25 |
| 1699325902 | Elyse Marie Riegel | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2019-09-18 |
| 1568010536 | Silvia Pomares | Counselor | 10 Gove St, East Boston, MA 02128-1920 | 2019-09-03 |
| 1215580691 | Sarah M Diamond | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2019-07-24 |
| 1356993596 | Nairobi Oller-laureano | Registered Nurse | 10 Gove St, East Boston, MA 02128-1931 | 2019-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562976 | Kristen Pompey | Speech-Language Pathologist | 244 Paris St Apt 3e, East Boston, MA 02128 | 2020-09-11 |
| 1073122271 | Candice Elene Newmyer | Nurse Practitioner | East Boston Neighborhood Health Center, 10 Gove St, East Boston, MA 02128 | 2020-07-24 |
| 1881155414 | Lucas Felipe Bastos Horta | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Shapiro Primary Care, Precepting Room, Boston, MA 02128 | 2019-03-27 |
| 1245729763 | Josie A Kramer | Registered Nurse | 213 Webster Street, Unit 1, Boston, MA 02128 | 2018-05-10 |
| 1457875775 | Bremen Physical Therapy | Clinic/Center | 464 Bremen St. Suite 4b, East Boston, MA 02128 | 2017-07-28 |
| 1174907588 | Vivian Karina Ibanez | Specialist | 130 Condor Street, East Boston, MA 02128 | 2015-07-15 |
| 1326459546 | Excel Physical Therapy, Inc. | Clinic/Center | 2 Neptune Rd Suite 171, East Boston, MA 02128 | 2014-05-09 |
| 1427394824 | D.a.w., L.L.C. | Durable Medical Equipment & Medical Supplies | 20 Maverick Sq, East Boston, MA 02128 | 2012-12-13 |
| 1356600019 | Rebekah Bronwyn Sheppard | Doula | 253 Webster Street, Boston, MA 02128 | 2012-05-15 |
| 1629340484 | Shahi Lavail Smart Sr. | Counselor | 512 Border Street, #d, East Boston, MA 02128 | 2012-02-08 |
| Find all providers in zip 02128 | ||||
| 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 |
|---|---|---|---|---|
| 1396356663 | Zoe Blatt | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1931 | 2020-08-11 |
| 1851428452 | Cindy Gaito | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2007-02-28 |
| 1568572089 | Valerie S Johnston | Nurse Practitioner | 14 Porter St, East Boston, MA 02128-2116 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | EAST BOSTON |
| Zip Code | 02128 |
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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.