TINA JACQUES (NPI# 1548821234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548821234 |
| Entity Type | Individual |
| Full Name | TINA JACQUES |
| Credential | RN |
| Practice Address |
132 Carrington Rd Montgomery MA 01050-9789 |
| Practice Telephone | 4133742592 |
| Mailing Telephone | 4138624030 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN200077 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
132 CARRINGTON RD |
| City | MONTGOMERY |
| State | MA |
| Zip Code | 01050-9789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134186620 | Charles Michael Simmons | Emergency Medicine | 20 Cullen Hill Road, Huntington, MA 01050 | 2006-04-27 |
| 1356341242 | Anne G Fine | Nurse Practitioner | Hilltown Community Health Center - School-based Program, 12 Littleville Road, Huntington, MA 01050 | 2005-07-21 |
| 1386834455 | Doreen Michele Kruger | Occupational Therapist | 10 Birchwood Dr, Huntington, MA 01050-9623 | 2007-07-25 |
| 1457682254 | Doreen Kruger | Occupational Therapist | 10 Birchwood Dr, Huntington, MA 01050-9623 | 2010-01-19 |
| 1093953846 | Angela Mary Pucino | Occupational Therapist | 10 Birchwood Dr, Huntington, MA 01050-9623 | 2009-02-02 |
| 1659521284 | Safe At Home | Occupational Therapist | 10 Birchwood Dr, Huntington, MA 01050-9623 | 2008-09-18 |
| 1164821609 | Susan Dion | Dietitian, Registered | 77 Worthington Rd, Huntington, MA 01050-9671 | 2014-08-21 |
| 1194706648 | Hilltown Community Ambulance Association Inc | Ambulance | 1 Bromley Rd, Huntington, MA 01050-9675 | 2005-11-10 |
| 1871954834 | Deborah Ann Wyand | Behavioral Analyst | 19 Pleasant St, Huntington, MA 01050-9758 | 2016-03-17 |
| 1922645480 | Karen Lucas | Student in an Organized Health Care Education/Training Program | 69 Worthington Rd, Huntington, MA 01050-9759 | 2019-12-04 |
| Find all providers in zip 01050 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528526704 | Deangelo Cartez Cooper | Nurse Practitioner | 4371 Narrow Lane Rd Ste 205, Montgomery, AL 36116-2975 | 2019-03-07 |
| 1063034320 | Carine Laure Djuidje | Nurse Practitioner | 4385 Narrow Lane Rd, Montgomery, AL 36116-2978 | 2020-05-09 |
| 1780218818 | Nicole Dean | Nurse Practitioner | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-02-27 |
| 1760015374 | Julie Anne Bond | Nurse Practitioner | 7125 University Ct, Montgomery, AL 36117-8016 | 2020-02-21 |
| 1932740032 | Sharon Ford | Nurse Practitioner | 215 Perry Hill Road, Montgomery, AL 36109 | 2019-10-01 |
| 1275186843 | John Caleb Walker | Nurse Practitioner | 300 Twining St, Montgomery, AL 36112-6027 | 2019-07-22 |
| 1508427170 | Summyji Groom | Nurse Practitioner | 233 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2019-06-25 |
| 1952878340 | Rachel Liner | Nurse Practitioner | 7085 Sydney Curv, Montgomery, AL 36117 | 2018-10-24 |
| 1073003018 | Cicely Baugh Hooten | Nurse Practitioner | 7085 Sydney Curv, Montgomery, AL 36117-3509 | 2018-05-15 |
| 1861931255 | Leticia Mccrary | Nurse Practitioner | 1331 Old Oak Place, Montgomery, AL 36117 | 2017-02-17 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 01050 |
Please comment or provide details below to improve the information on TINA JACQUES.
| 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.