MRS. TERYL DAWN PETT (NPI# 1538118971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538118971 |
| Entity Type | Individual |
| Full Name | MRS. TERYL DAWN PETT |
| Credential | PA-C |
| Practice Address |
20 Patriot Place Foxboro MA 02035 |
| Practice Telephone | 5087184050 |
| Practice Fax Number | 5087184527 |
| Mailing Telephone | 5087184050 |
| Mailing Fax Number | 5087184527 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2017-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 012126 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA3039 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20 PATRIOT PLACE |
| City | FOXBORO |
| State | MA |
| Zip Code | 02035 |
| 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 |
| 1699739250 | Bruce Levine | Physical Therapist | 5 Lincoln Road, Foxboro, MA 02035 | 2006-04-12 |
| Find all providers in zip 02035 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124415393 | Angela Farmer | Physician Assistant | 28 Chestnut St Apt 106, Foxboro, MA 02035-1451 | 2015-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869274 | David M Correll | Physician Assistant | 45 Wollaston Ave, Arlington, MA 02476-5836 | 2020-10-23 |
| 1699374660 | Sarah Ilana Katz | Physician Assistant | 11a Laurel St, Salem, MA 01970-4657 | 2020-10-21 |
| 1205435393 | Allison Lee Nocon | Physician Assistant | 289 Beacon St Apt 8, Boston, MA 02116-1263 | 2020-10-20 |
| 1841898384 | Chloe Friedman | Physician Assistant | 62 Patricia Dr, Abington, MA 02351-1081 | 2020-10-16 |
| 1760080378 | Jason Lee | Physician Assistant | 42 Electric Ave, Somerville, MA 02144-1604 | 2020-10-15 |
| 1700484656 | Emily Cioffi | Physician Assistant | 5 Cosma Rd, North Easton, MA 02356-1331 | 2020-10-13 |
| 1407453806 | Emily Louis | Physician Assistant | 174 Groton Rd, North Chelmsford, MA 01863-1205 | 2020-10-08 |
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1073110433 | Ellen Boyle | Physician Assistant | 11 Castle Gate Rd, Wayland, MA 01778-4310 | 2020-10-07 |
| 1992302897 | Marissa Pond | Physician Assistant | 95 Concord St, Haverhill, MA 01830-2809 | 2020-10-04 |
| 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.