ALISSA L SHEEHAN (NPI# 1598102352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598102352 |
| Entity Type | Individual |
| Full Name | ALISSA L SHEEHAN |
| Credential | PNP |
| Practice Address |
415 Columbia Rd Dorchester MA 02125-2424 |
| Practice Telephone | 6178259205 |
| Practice Fax Number | 6179299062 |
| Mailing Telephone | 6178259205 |
| Mailing Fax Number | 6179299062 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2017-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN2259112 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
415 COLUMBIA RD |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02125-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558332270 | Elisabeth Joan Moths-rebrovic | Family Medicine | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2006-01-30 |
| 1386251437 | Laurel Carr Frazier | Case Management | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-09-23 |
| 1104441203 | Shamila Ali | Pharmacist | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-06-15 |
| 1508486861 | Norma I Gonzalez | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-04-16 |
| 1790304533 | Bettina Brea | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-04-12 |
| 1538795935 | Abigail Rose Rezendes | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-03-17 |
| 1538793997 | Antonette R Kennedy | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-02-25 |
| 1992338339 | Ashley Felix | Social Worker | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-02-13 |
| 1134762396 | Julmide Eugene | Licensed Practical Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2019-10-21 |
| 1093358368 | Cini Pillai-kadu | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2019-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922520840 | Aj Guerrero | Counselor | 6 Glen St. #3, Boston, MA 02125 | 2017-07-12 |
| 1982059218 | Ana Fernandez | Psychologist | University of Massachusetts, Boston, 100 William T. Morrissey Blvd, Boston, MA 02125 | 2016-04-23 |
| 1558725184 | Algecira Garcia-ortiz | Massage Therapist | 12 Judson St, Dorchester, MASSACHUSETTS 02125 | 2016-04-10 |
| 1508251414 | Sing Hong Ty | Registered Nurse | 415 Colombia Rd, Dorchester, MA 02125 | 2015-03-30 |
| 1972806750 | Joanne Pomales | Counselor | 18 Harbor Crest Court 102, Dorchester, MA 02125 | 2010-12-16 |
| 1386969335 | Kara Jillian Sheridan | Counselor | 58 Dorset St, Boston, MA 02125 | 2010-04-02 |
| 1750533956 | Wendy M. Jern | Physical Therapist | 21riley Rd #2, Hyde Park, MA 02125 | 2008-10-21 |
| 1174729743 | Payton Brandyberry | Counselor | 500 Columbia Rd, Mail Stop 415-05, Upham's Corner Health Center, Dorchester, MA 02125 | 2007-06-21 |
| 1699817247 | Dong Lan Corporation | Pharmacist | 1167 A Dorchester Ave, Dorchester, MA 02125 | 2007-02-12 |
| 1457490153 | Sarah L Merin | Social Worker | Upham's Corner Health Center, 500 Columbia Rd, Mailstop 415-05, Dorchester, MA 02125 | 2007-02-06 |
| Find all providers in zip 02125 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407834658 | Sarah Rachel Desmond | Nurse Practitioner | 632 Blue Hill Ave, Harvard Street Neighborhood Health Center, Dorchester, MA 02121-3213 | 2006-01-07 |
| 1205494630 | Elizabeth Moran | Nurse Practitioner | 637 Washington St, Dorchester, MA 02124 | 2019-05-31 |
| 1407358088 | Caitlin Barrett | Nurse Practitioner | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2018-02-28 |
| 1457719031 | Ella Stemmer | Nurse Practitioner | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2016-02-10 |
| 1053712174 | Susanne Adams | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124-2737 | 2014-09-08 |
| 1598017410 | Sara Davis Helm | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124-2737 | 2012-10-03 |
| 1194006726 | Taylor Julia Ricketson | Nurse Practitioner | 230 Bowdoin St, Dorchester, MA 02122-1817 | 2011-09-09 |
| 1497883151 | John T. Hardiman Jr. | Nurse Practitioner | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2007-03-02 |
| 1144372418 | Katherine Danielle Cook | Nurse Practitioner | 230 Bowdoin St, Bowdoin Street Health Center, Dorchester, MA 02122-1817 | 2007-01-17 |
| 1962462952 | Barbara A Rogers | Nurse Practitioner | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2006-03-24 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02125 |
Please comment or provide details below to improve the information on ALISSA L SHEEHAN.
| 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.