MS. JOHANNA KENNEDY BROOKS (NPI# 1518475664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518475664 |
| Entity Type | Individual |
| Full Name | MS. JOHANNA KENNEDY BROOKS |
| Credential | NP-C |
| Practice Address |
113 Washington St Foxboro MA 02035-1332 |
| Mailing Address |
326 River St West Newton MA 02465-1438 |
| Practice Telephone | 7742155579 |
| Practice Fax Number | 7742156179 |
| Mailing Telephone | 6176808479 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN272189 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700835642 | Johanna M Brooks | Physician Assistant | 14239 West Bell Road, Suite 112, Surprise, AZ 85374-2469 | 2006-05-08 |
| Street Address |
113 WASHINGTON ST |
| City | FOXBORO |
| State | MA |
| Zip Code | 02035-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285634634 | Joel Pearlman | Dentist | 113 Washington St, Foxboro, MA 02035-1332 | 2005-07-28 |
| 1336749761 | Britany Lynn Ritchie | 113 Washington St, Foxboro, MA 02035-1496 | 2020-10-26 | |
| 1699325886 | Kelly Piela | Dietitian, Registered | 113 Washington St, Foxboro, MA 02035-1496 | 2019-09-19 |
| 1922660976 | Sarah Veber | Nutritionist | 113 Washington St, Foxboro, MA 02035-1496 | 2019-06-30 |
| 1194208363 | Melissa Teixeira | Family Medicine | 113 Washington St, Foxboro, MA 02035-1332 | 2018-09-12 |
| 1285146464 | Roberta Buckley Villani | Nurse Practitioner | 113 Washington St, Foxboro, MA 02035-1332 | 2017-10-28 |
| 1316470552 | Gregory Mayette | Nutritionist | 113 Washington St, Foxboro, MA 02035-1332 | 2017-04-05 |
| 1821535014 | Julia Diamant | Dietary Manager | 113 Washington St, Foxboro, MA 02035-1332 | 2017-01-25 |
| 1629529755 | Susan Scotton | Social Worker | 113 Washington St, Foxboro, MA 02035-1332 | 2016-10-24 |
| 1720537152 | Nicole Meyer | Dietitian, Registered | 113 Washington St, Foxboro, MA 02035-1332 | 2016-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144711227 | Amy Lynne Gallant | Registered Nurse | 283 South St, Foxboro, MA 02035 | 2018-05-23 |
| 1144695420 | Kennedy-donovan Center, Inc Aba Services | Behavioral Analyst | 1 Commercial Street, Foxboro, MA 02035 | 2015-12-11 |
| 1972912251 | Makenzie Katherine Elliott | Optometrist | 25 Mechanic Street, Foxboro, MA 02035 | 2014-08-12 |
| 1548522691 | Jessica Leigh Pushee | Dentist | 400 Foxborough Blvd, #9205, Foxborough, MA 02035 | 2012-06-14 |
| 1194034447 | Kimberly Roy Cohn | Nurse Practitioner | Studio At H2t, LLC, 17 Cocasset St, Ste 1, Foxboro, MA 02035 | 2010-10-05 |
| 1093809378 | Ann Xavier Wallace | Nurse Practitioner | 71 Walnut St, Foxboro, MA 02035 | 2006-10-03 |
| 1215020466 | Larry Alan Pincus | Psychiatry & Neurology | 30 Mechanic Street, Suite 2, Foxboro, MA 02035 | 2006-10-02 |
| 1104850999 | Amna Haq Khan | Obstetrics & Gynecology | 15 Payson Street, Foxboro, MA 02035 | 2006-07-10 |
| 1336186386 | Munaza Shamshad | Family Medicine | 18 Washington Street, Foxboro Center for Women & Family, Foxboro, MA 02035 | 2006-05-31 |
| 1538118971 | Teryl Dawn Pett | Physician Assistant | 20 Patriot Place, Foxboro, MA 02035 | 2006-05-10 |
| Find all providers in zip 02035 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891326336 | Ruslan R Zakirov | Nurse Practitioner | 46 Joanna Dr, Foxboro, MA 02035-3042 | 2020-02-03 |
| 1982755294 | Susan A. Goode | Nurse Practitioner | 5 Mary Way, Foxboro, MA 02035-2778 | 2007-01-15 |
| 1104894005 | Martha Jacovoni | Nurse Practitioner | 56 Leonard St, Suite 7, Foxboro, MA 02035-2939 | 2006-03-08 |
| 1780653311 | Marilyn Kelly | Nurse Practitioner | 70 Walnut St, Foxboro, MA 02035-5312 | 2006-03-16 |
| 1144298969 | Lucille Cook | Nurse Practitioner | 56 Leonard St, Suite 7, Foxboro, MA 02035-2939 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821885 | Tanya Lee Bailey | Nurse Practitioner | 185 Vining Hill Rd, Southwick, MA 01077-9413 | 2020-11-07 |
| 1134720964 | Arliomey Ambroise | Nurse Practitioner | 2216 Summit Dr, Bridgewater, MA 02324-2178 | 2020-11-06 |
| 1184225161 | Christina Chan Sok | Nurse Practitioner | 24 Hartwell Ave # 204, Lexington, MA 02421-3132 | 2020-11-05 |
| 1871194381 | Stacie Rose | Nurse Practitioner | 131 Hartwell Ave, Lexington, MA 02421-3105 | 2020-11-03 |
| 1881295145 | Heather Thomas | Nurse Practitioner | 39 Brock St Apt 1, Brighton, MA 02135-2661 | 2020-11-03 |
| 1427659069 | Jenna Gunnell | Nurse Practitioner | 700 Greendale Ave Unit 11203, Needham, MA 02492-4362 | 2020-11-02 |
| 1336749936 | Julia Monroe | Nurse Practitioner | 7 Atwood St, Cherry Valley, MA 01611-3332 | 2020-11-01 |
| 1730789744 | Polyana F Barbosa | Nurse Practitioner | 491 Maple St Ste 208, Danvers, MA 01923-4025 | 2020-10-28 |
| 1053910257 | Lauren Michele Flynn | Nurse Practitioner | 173 Sumner St, Quincy, MA 02169-7003 | 2020-10-20 |
| 1043819196 | Kimberly S Christie | Nurse Practitioner | 107 Sheraton Ave, Somerset, MA 02725-1150 | 2020-10-20 |
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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.