WIBIE S ALTIDOR (NPI# 1427560796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427560796 |
| Entity Type | Individual |
| Full Name | WIBIE S ALTIDOR |
| Credential | LPN |
| Practice Address |
165 Quincy St Brockton MA 02302-2988 |
| Practice Telephone | 5088972092 |
| Mailing Telephone | 5088972092 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LN9400 | MA | Nursing Service Providers |
| Street Address |
165 QUINCY ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-2988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326155458 | The Commonwealth of Massachusetts | Pharmacy | 165 Quincy St, Brockton, MA 02302-2988 | 2006-08-24 |
| 1902415813 | Sarah Coppenrath | Social Worker | 165 Quincy St, Brockton, MA 02302-2988 | 2020-07-27 |
| 1104307347 | Julia A Meehan | Social Worker | 165 Quincy St, Brockton, MA 02302-2988 | 2018-08-26 |
| 1043790629 | Holly Calamese-grazette | Social Worker | 165 Quincy St, Brockton, MA 02302-2988 | 2018-08-14 |
| 1598283459 | Janelle Weir | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-31 |
| 1699292839 | Justine Mcmahon | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-28 |
| 1932626504 | Alice Massery | Registered Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-24 |
| 1326565169 | Deann Paul | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-23 |
| 1144768045 | Commonwealth of Massachusetts | Community Based Residential Treatment Facility, Mental Illness | 165 Quincy St, Brockton, MA 02302-2988 | 2017-02-10 |
| 1255879425 | Melissa Cuthill | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242927 | Sandra Parisien | Licensed Practical Nurse | 66 Keith Ave Apt 2, Brockton, MA 02301-6818 | 2020-07-08 |
| 1871064923 | Samantha Daine Dam | Licensed Practical Nurse | 1 Mulberry Pl, Brockton, MA 02302-2325 | 2018-12-16 |
| 1376036087 | Emma Bernier | Licensed Practical Nurse | 15 Winnifred Rd, Brockton, MA 02301-4135 | 2018-06-08 |
| 1447791462 | Rosica Higgins | Licensed Practical Nurse | 770 E Ashland St, Unit 1502, Brockton, MA 02302-1956 | 2017-03-09 |
| 1295275311 | Ralph Ambroise | Licensed Practical Nurse | 164 Riverview St, Brockton, MA 02302-4033 | 2017-03-08 |
| 1558800425 | Susanne Abreu | Licensed Practical Nurse | 165 Quincy St., Brockton, MA 02302-2988 | 2017-02-13 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184047607 | Patrick Marron | Licensed Practical Nurse | 41 Porter St, Brockton, MA 02301-2343 | 2014-02-04 |
| 1821313560 | Joel K Wangi | Licensed Practical Nurse | 19 Madrid Sq, Suite 12, Brockton, MA 02301-1247 | 2010-04-06 |
| 1861631368 | Austin Osamwonyi Oriakhi | Licensed Practical Nurse | 9 Montello St, Apt #1, Brockton, MA 02301-4089 | 2009-02-07 |
| Find all providers in BROCKTON | ||||
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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.