SHANISE MARGOT PEREZ (NPI# 1639652878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639652878 |
| Entity Type | Individual |
| Full Name | SHANISE MARGOT PEREZ |
| Practice Address |
29 Pine St Southbridge MA 01550-1823 |
| Practice Telephone | 5087659167 |
| Mailing Telephone | 5087659167 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2019-09-05 |
| 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 |
RN2293487 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
29 PINE ST |
| City | SOUTHBRIDGE |
| State | MA |
| Zip Code | 01550-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487649117 | Mary E Judd-pechie | Social Worker | 29 Pine St, Southbridge, MA 01550-1823 | 2005-09-19 |
| 1831676782 | Deborah Abrahams | Registered Nurse | 29 Pine St, Southbridge, MA 01550-1823 | 2018-07-24 |
| 1114425832 | George M Gachuma | Nurse Practitioner | 29 Pine St, Southbridge, MA 01550-1823 | 2018-01-28 |
| 1275041691 | Shawn Barney | Registered Nurse | 29 Pine St, Southbridge, MA 01550-1823 | 2018-01-19 |
| 1366990665 | Gui Hua Estes | Social Worker | 29 Pine St, Southbridge, MA 01550-1823 | 2016-09-14 |
| 1548632185 | Sara Kosmider | Social Worker | 29 Pine St, Southbridge, MA 01550-1823 | 2015-10-22 |
| 1851737530 | Candice Syriac | Social Worker | 29 Pine St, Southbridge, MA 01550-1823 | 2013-05-21 |
| 1194065110 | Sandra Anne Fallon | Social Worker | 29 Pine St, Southbridge, MA 01550-1823 | 2013-02-28 |
| 1083979652 | Carol Ann Eliadi | Nursing Care | 29 Pine St, Southbridge, MA 01550-1823 | 2012-07-10 |
| 1952696106 | Kirsten Marie Bright | Counselor | 29 Pine St, Southbridge, MA 01550-1823 | 2011-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726765 | Nathanael Lopez | Counselor | 328 Main St Apt #1, Southbridge, MA 01550 | 2020-09-27 |
| 1356969497 | Sarah Anne Mcnulty | Registered Nurse | Harrington Hospital, 100 South Street, Southbridge, MA 01550 | 2020-07-06 |
| 1699316406 | Adrienne Ellen Soucy | Developmental Therapist | Kennedy Donovan Center, 486 Worcester St., Southbridge, MA 01550 | 2019-10-02 |
| 1184101610 | Charles D Fraser | Nurse Practitioner | 657 Worcester St Apt 204, Southbridge, MA 01550 | 2018-07-26 |
| 1689160954 | Christine Ann Surrette | Nurse Practitioner | 11 Sandersdale Rd, Southbridge, MA 01550 | 2018-07-10 |
| 1528560075 | Danielle Torre Aspinwall | Physician Assistant | 100 South Street Suite 208, Southbridge, MA 01550 | 2018-03-01 |
| 1215455829 | New Beginnings of Southbridge | Marriage & Family Therapist | 146 Ashland Ave Suite B, Southbridge, MA 01550 | 2017-09-03 |
| 1902323835 | Shannon Paisley | Counselor | 328 Main St. #1, Southbridge, NY 01550 | 2017-08-22 |
| 1811300023 | Mary Dayotas | Counselor | 176 Main St., Southbridge, MA 01550 | 2014-06-05 |
| 1962752121 | You Inc | Community/Behavioral Health | 238 Main Street, Southbridge, MA 01550 | 2012-09-14 |
| Find all providers in zip 01550 | ||||
| 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 |
|---|---|---|---|---|
| 1568071512 | Jessica Lynn Cournoyer | Nurse Practitioner | 40 Colonial Dr, Southbridge, MA 01550-2254 | 2020-07-27 |
| 1154828549 | Allison Doreen Read | Nurse Practitioner | 100 South Street, Southbridge, MA 01550-4051 | 2018-04-11 |
| 1114425832 | George M Gachuma | Nurse Practitioner | 29 Pine St, Southbridge, MA 01550-1823 | 2018-01-28 |
| 1831307024 | Shirley N Faucher | Nurse Practitioner | 29 Pine St, Southbridge, MA 01550-1823 | 2007-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639552 | Kelly Ann Hancock | Nurse Practitioner | 6 Margot Ln, East Bridgewater, MA 02333-1689 | 2020-11-03 |
| 1366042715 | Jacqueline Ann Owens | Nurse Practitioner | 32 Hammond Ave, Cohasset, MA 02025-1928 | 2020-10-27 |
| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHBRIDGE |
| Zip Code | 01550 |
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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.