FRITZLAINE THERMIDOR (NPI# 1588000178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588000178 |
| Entity Type | Individual |
| Full Name | FRITZLAINE THERMIDOR |
| Practice Address |
142 Crescent St Brockton MA 02302-3104 |
| Mailing Address |
230 Norwest Dr Norwood MA 02062-1479 |
| Practice Telephone | 5089410005 |
| Mailing Telephone | 7815889446 |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
142 CRESCENT ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396952149 | Efrain Baez | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2007-05-17 |
| 1861941890 | Lea Stephanie Rojas Otero | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2016-10-03 |
| 1457747131 | Gloria Alfaro-nieves | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2015-04-09 |
| 1699168112 | Julia Martins | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2015-03-09 |
| 1629466982 | Karina Perona-fassi | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2015-01-08 |
| 1063832913 | Maria Amelia Gomes | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2014-04-18 |
| 1225452097 | Jason Yamil Perez I | Student in an Organized Health Care Education/Training Program | 142 Crescent St, Second Floor, Brockton, MA 02302-3104 | 2014-02-13 |
| 1093062754 | Basile Bazina | Counselor | 142 Crescent St, Second Floor, Brockton, MA 02302-3104 | 2012-08-12 |
| 1588911713 | Casandra Ann Smaller | Student in an Organized Health Care Education/Training Program | 142 Crescent St, 2nd Floor, Brockton, MA 02302-3104 | 2012-08-07 |
| 1336421007 | Jimmy Efrain Guity | Student in an Organized Health Care Education/Training Program | 142 Crescent St, Brockton, MA 02302-3104 | 2011-09-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305338 | Rebecca Rivas | Student in an Organized Health Care Education/Training Program | 419 Court St, Brockton, MA 02302-2809 | 2020-10-26 |
| 1053920256 | Scott Pratt | Student in an Organized Health Care Education/Training Program | 35 Hancock Ave, Brockton, MA 02301-2939 | 2020-07-24 |
| 1437773629 | Samuel Dean | Student in an Organized Health Care Education/Training Program | 425 Pleasant St Ste 1, Brockton, MA 02301-2533 | 2020-06-03 |
| 1073148540 | Jennifer Thim Oung | Student in an Organized Health Care Education/Training Program | 55 Michael Dr, Brockton, MA 02301-6219 | 2020-03-05 |
| 1013566629 | Despina Arabatzis | Student in an Organized Health Care Education/Training Program | 74 Frankton Ave, Brockton, MA 02301-1554 | 2019-09-06 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1205364395 | Amy P Coole | Student in an Organized Health Care Education/Training Program | 103 Commercial St Fl 2, Brockton, MA 02302-3101 | 2017-06-01 |
| 1861930653 | Chelsea Paige Dunstan | Student in an Organized Health Care Education/Training Program | 891 Montello St, Brockton, MA 02301 | 2017-02-01 |
| 1649640418 | Shanice Pullen | Student in an Organized Health Care Education/Training Program | 41 Linnea Ave, Brockton, MA 02301-6425 | 2015-10-05 |
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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.