MRS. DEBORAH ROUSSINOS (NPI# 1558313114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558313114 |
| Entity Type | Individual |
| Full Name | MRS. DEBORAH ROUSSINOS |
| Credential | NP |
| Practice Address |
150 S Huntington Ave Boston MA 02130-4817 |
| Mailing Address |
104 Brooks Ave Arlington MA 02474-8515 |
| Practice Telephone | 8573643710 |
| Practice Fax Number | 8573646547 |
| Mailing Telephone | 7816411575 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
181746 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
150 S HUNTINGTON AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02130-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500429 | Thomas Peter Fantes | Family Medicine | 150 S Huntington Ave, Boston, MA 02130-4817 | 2005-06-30 |
| 1225640758 | Juliette Mcclendon-iacovino | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-08-17 |
| 1912524232 | William A Delaney | Social Worker | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-07-02 |
| 1659997948 | Thomas Favale | Dentist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-06-22 |
| 1972129385 | Anisha Pandya | Dentist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-06-22 |
| 1194347849 | Amanda Vessels | Student in an Organized Health Care Education/Training Program | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-05-15 |
| 1275155947 | Rachel Nicole Werner | Student in an Organized Health Care Education/Training Program | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-05-15 |
| 1235750639 | Michelle Lee Bourgeois | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-04-27 |
| 1962031617 | Tina Khieu | Student in an Organized Health Care Education/Training Program | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-04-05 |
| 1083240238 | Southey Saul | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116133 | Riva Stephens | Nurse Practitioner | 281 Beacon St Apt 12, Boston, MA 02116-1273 | 2019-07-22 |
| 1548736077 | Shashi Narayan Uhlmann | Nurse Practitioner | 360 Huntington Ave Bldg 135, Boston, MA 02115-5000 | 2018-10-23 |
| 1669973244 | Teresa Morreale | Nurse Practitioner | 243 Charles St 712, Boston, MA 02114 | 2018-02-28 |
| 1790159697 | Malgorzata E Smas | Nurse Practitioner | 16 Anderson St Apt 2, Boston, MA 02114-3645 | 2015-11-16 |
| 1881083152 | Phuong My Ho | Nurse Practitioner | 72 E Concord St # 2, Boston, MA 02118-2307 | 2015-01-09 |
| 1285837336 | Rebecca Koeniger Donohue | Nurse Practitioner | 94 Pilgrim Rd, Boston, MA 02215-4127 | 2007-06-07 |
| 1184238438 | Michele Newman | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-09-03 |
| 1023628468 | Bryar Hasenjaeger | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-31 |
| 1659925907 | Jacqueline Suzanne Roman | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2696 | 2019-07-25 |
| 1912563180 | Julian Allroth Dormitzer | Nurse Practitioner | 1340 Boylston St, Boston, MA 02215-4302 | 2019-05-14 |
| Find all providers in BOSTON | ||||
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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.