KETURA'H RENEE EDWARDS (NPI# 1467887471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467887471 |
| Entity Type | Individual |
| Full Name | KETURA'H RENEE EDWARDS |
| Credential | RN/NP |
| Practice Address |
45 Dimock St Roxbury MA 02119-1208 |
| Mailing Address |
55 Dimock St Dept 772 Roxbury MA 02119-1029 |
| Practice Telephone | 6174428800 |
| Mailing Telephone | 6174428800 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN2281272 | 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 |
| Find all providers in the same location | ||||
| 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 | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235621905 | Noreen Patricia Post | Nurse Practitioner | 1290 Tremont St, Roxbury, MA 02120-3432 | 2018-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841809332 | Bridget Hillary Barrett | Nurse Practitioner | 5 Dean Cir, Andover, MA 01810-3304 | 2020-07-30 |
| 1144839192 | Lisa Anne Ruffy | Nurse Practitioner | 60 Binney St, Cambridge, MA 02142-1512 | 2020-07-27 |
| 1255949939 | Jazz Lesoleil Hicks | Nurse Practitioner | 16 Forest St, Carver, MA 02330-1115 | 2020-07-17 |
| 1841838935 | Katelyn Tulp Mcnair | Nurse Practitioner | 174 3rd St, Cambridge, MA 02141-2140 | 2019-12-19 |
| 1922642800 | Megan A Lovell | Nurse Practitioner | 200 Commerce Dr # 2, Northbridge, MA 01534-1425 | 2019-11-04 |
| 1003459371 | Elizabeth Connelly Kudzma | Nurse Practitioner | 514 Holly Rd, Marshfield, MA 02050-1775 | 2019-10-19 |
| 1144861303 | Jennifer Abjornson | Nurse Practitioner | 99 Hudson St Apt 3, Boston, MA 02111-1812 | 2019-09-30 |
| 1437706470 | Brittany Griffin | Nurse Practitioner | 123 Camelot Dr Ste 1, Plymouth, MA 02360-3038 | 2019-08-23 |
| 1962069930 | Claudia Anastasia Montesdeoca | Nurse Practitioner | 348 Hyde Park Ave # 3, Roslindale, MA 02131-2116 | 2019-05-24 |
| 1134694565 | Theresa C Murphy | Nurse Practitioner | 100 West St Ste 1, Needham, MA 02494-1319 | 2018-10-12 |
| Find all providers with the same taxonomy | ||||
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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.