MS. NICOLE TAVERAS (NPI# 1619310794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619310794 |
| Entity Type | Individual |
| Full Name | MS. NICOLE TAVERAS |
| Practice Address |
1266 Furnace Brook Pkwy Suite 404 Quincy MA 02169-4758 |
| Practice Telephone | 6174819395 |
| Practice Fax Number | 8884345097 |
| Mailing Telephone | 6174819395 |
| Mailing Fax Number | 8884345097 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1266 FURNACE BROOK PKWY SUITE 404 |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-4758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487626123 | Pauline M. Pagliocca | Psychologist | 1266 Furnace Brook Pkwy, Suite 210, Quincy, MA 02169-4758 | 2006-02-06 |
| 1376166009 | Colleen Cullen | Speech-Language Pathologist | 1266 Furnace Brook Pkwy, Quincy, MA 02169-4758 | 2020-05-28 |
| 1396378592 | Lorrie-michelle Bertrand | Social Worker | 1266 Furnace Brook Pkwy, Quincy, MA 02169-4758 | 2020-02-15 |
| 1255961033 | Noell Redfern | Dietitian, Registered | 1266 Furnace Brook Pkwy, Quincy, MA 02169-4758 | 2020-01-22 |
| 1235788381 | Ariana Wood | Dietitian, Registered | 1266 Furnace Brook Pkwy, Quincy, MA 02169-4758 | 2019-09-10 |
| 1942732128 | Rachel Hammond | Counselor | 1266 Furnace Brook Pkwy, Quincy, MA 02169-4758 | 2017-03-28 |
| 1932650967 | Jennifer Baum | Dietitian, Registered | 1266 Furnace Brook Pkwy, 404, Quincy, MA 02169-4758 | 2016-10-14 |
| 1750796512 | Andrea Roche | Nutritionist | 1266 Furnace Brook Pkwy, Quincy, MA 02169-4758 | 2014-06-30 |
| 1518387950 | Behavioral Nutrition, Inc. | Nutritionist | 1266 Furnace Brook Pkwy, Suite #404, Quincy, MA 02169-4758 | 2014-04-24 |
| 1376965905 | Behavioral Nutrition, Inc | Dietitian, Registered | 1266 Furnace Brook Pkwy, Suite 404, Quincy, MA 02169-4758 | 2014-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617339 | Meghan Earle | Counselor | 1354 Hancock St Ste 214, Quincy, MA 02169-5109 | 2020-10-19 |
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1427608223 | Derrick Lacasse | Counselor | 79 Curtis Ave Apt 1, Quincy, MA 02169-7200 | 2019-09-13 |
| 1396309134 | Ariana B Teixeira | Counselor | 859 Willard St Ste 4, Quincy, MA 02169-7482 | 2019-04-26 |
| 1417510553 | Seth Andrew Stultz I | Counselor | 23 Branch St, Quincy, MA 02169-7561 | 2019-04-15 |
| 1033676945 | Martinette Z Douglas | Counselor | 2931 Payson Hts Apt Suite, Quincy, IL 62305-6429 | 2019-02-27 |
| 1942772793 | Maura Eileen Papile | Counselor | 34 Coddington St, Quincy, MA 02169-4501 | 2018-12-18 |
| 1295219285 | Katrina D Reyes | Counselor | 460 Quincy Ave Fl 3, Quincy, MA 02169-8130 | 2018-09-17 |
| 1548740301 | Amanda Paige Reilly | Counselor | 500 Victory Rd Ste 24, Quincy, MA 02171-3109 | 2018-08-20 |
| 1023501517 | Kelly Marie O'gara | Counselor | 1419 Hancock St Ste 200, Quincy, MA 02169-5250 | 2018-06-11 |
| Find all providers in QUINCY | ||||
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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.