KATHERINE CLAIRE DOLAN (NPI# 1447682356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447682356 |
| Entity Type | Individual |
| Full Name | KATHERINE CLAIRE DOLAN |
| Other Name | KATHERINE CLAIRE KORUDA |
| Credential | CPNP |
| Practice Address |
55 Dimock St The Dimock Center Roxbury MA 02119-1029 |
| Practice Telephone | 6174428800 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN2258300 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134502065 | Katherine Marie Dolan | Physical Therapist | 612 East Main Street, Suite A, Bozeman, MT 59715 | 2015-07-09 |
| Street Address |
55 DIMOCK ST THE DIMOCK CENTER |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831197896 | Kelly Flynn | Obstetrics & Gynecology | 55 Dimock St, Roxbury, MA 02119-1029 | 2005-07-13 |
| 1114574019 | Mary Rose Maiullari | Pharmacist | 55 Dimock St, Roxbury, MA 02119-1029 | 2019-08-25 |
| 1508421033 | Zachary Biedermann | Developmental Therapist | 55 Dimock St, Roxbury, MA 02119-1029 | 2019-05-09 |
| 1851858401 | Yvelande Boursiquot | Social Worker | 55 Dimock St, Roxbury, MA 02119-1029 | 2019-03-01 |
| 1790268837 | Danielle Sharon Ederi | Counselor | 55 Dimock St, Roxbury, MA 02119-1029 | 2018-09-14 |
| 1225527914 | Jevae Nelson | Dentist | 55 Dimock St, Roxbury, MA 02119-1029 | 2018-05-08 |
| 1760996821 | Rachel Shotkin | Social Worker | 55 Dimock St, Roxbury, MA 02119-1029 | 2017-11-28 |
| 1568981421 | Marzieh Bonakdarhashemi | Counselor | 55 Dimock St, Roxbury, MA 02119-1029 | 2017-09-12 |
| 1225554140 | Stacy Lin Longo | Pharmacist | 55 Dimock St, Roxbury, MA 02119-1029 | 2017-08-22 |
| 1639624703 | Cindy Stafford | Counselor | 55 Dimock St, Roxbury, MA 02119-1029 | 2016-08-18 |
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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 |
| Find all providers in zip 02119 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124662960 | Nesreen Ghazi Jawhari | Nurse Practitioner | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-11-05 |
| 1841666757 | Melanie West | Nurse Practitioner | 1290 Tremont St, Roxbury, MA 02120-3432 | 2015-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666203 | Eileen Whyte O'holleran | Nurse Practitioner | 12 Autumn Ln, South Hamilton, MA 01982-1400 | 2020-10-14 |
| 1356948525 | Kaylee Woods | Nurse Practitioner | 85 Seaport Blvd Unit 714, Boston, MA 02210-2157 | 2020-10-01 |
| 1063026946 | Alexandra Louise Lester | Nurse Practitioner | 7 Doris Cir, Newton, MA 02458-1929 | 2020-09-08 |
| 1023627833 | Jennifer Suxin Yu | Nurse Practitioner | 63 Cedar St, Malden, MA 02148-3647 | 2020-07-28 |
| 1417566563 | Julianna Marie Roberts | Nurse Practitioner | 5 Helen Dr, Peabody, MA 01960-1235 | 2020-07-24 |
| 1144838384 | Amanda Rose Bakos | Nurse Practitioner | 218 Marion St, Boston, MA 02128-1758 | 2020-07-14 |
| 1710504949 | Angela Vu | Nurse Practitioner | 83 Nightingale Ave # 1l, Quincy, MA 02169-6413 | 2020-07-03 |
| 1083236749 | Mubina M Rhee | Nurse Practitioner | 170 Brookline Ave Unit 215, Boston, MA 02215-3921 | 2020-05-15 |
| 1841823911 | Rachel N Mick | Nurse Practitioner | 77 Winsor St Ste 103, Ludlow, MA 01056-3470 | 2020-02-18 |
| 1326670803 | Ashley Laverdiere | Nurse Practitioner | 1 Ferncroft Rd, Danvers, MA 01923-4017 | 2020-02-12 |
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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.