JASON ANDREW TELLES (NPI# 1659502334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659502334 |
| Entity Type | Individual |
| Full Name | JASON ANDREW TELLES |
| Credential | N.P. |
| Practice Address |
200 Springs Rd Bedford MA 01730-1114 |
| Practice Telephone | 7816872000 |
| Mailing Telephone | 7816872000 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN280021 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN280021 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 SPRINGS RD |
| City | BEDFORD |
| State | MA |
| Zip Code | 01730-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497749618 | Sven Knudsen Ljaamo | Preventive Medicine | 200 Springs Rd, Edith Nourse Rodgers Memorial Va Hospital, Bedford, MA 01730-1114 | 2005-09-02 |
| 1740889161 | Elias Mbogo | Licensed Practical Nurse | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-10-19 |
| 1740898089 | Hillary Elizabeth Silvia | Nurse Practitioner | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-07-22 |
| 1669099131 | Robert Jurgens Parker | Nurse Practitioner | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-07-01 |
| 1962029314 | Philip Tah | Licensed Practical Nurse | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-07-01 |
| 1396368387 | Douglas Allen | Optometrist | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-05-25 |
| 1407476963 | Stacy Kathy Tsionis | Registered Nurse | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-04-24 |
| 1063040962 | Garret Sacco | Psychologist | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-03-28 |
| 1770123838 | Hannah Murphy | Social Worker | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-01-07 |
| 1164062220 | Spencer Logan Diehl | Social Worker | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779614 | Access Physical Therapy, LLC | Physical Therapist | 158 Great Rd Unit J, #661, Bedford, MA 01730 | 2019-09-16 |
| 1578113478 | Holly Babineau | Counselor | Building 7, Springs Rd, Bedford, MA 01730 | 2019-09-13 |
| 1205318656 | Ella Bitman | Social Worker | 9 Mudge Way, Bedford, MA 01730 | 2018-09-02 |
| 1578045928 | Abaigeal Doherty | Counselor | 205 Burlington Road, Bedford, MA 01730 | 2018-09-02 |
| 1669950853 | Patriot Urgent Care Professionals, PC | General Practice | 154 Great Road, Bedford, MA 01730 | 2018-07-31 |
| 1609369701 | Katharine Smidt | Psychologist | 61 Springs Rd, Bedford, MA 01730 | 2018-06-13 |
| 1043702053 | Bethel Care International Inc | Home Health Aide | 114 Page Rd, Bedford, MA 01730 | 2018-06-05 |
| 1689187064 | Lori Merlo | Physical Therapist | 6 Paul Revere Road, Bedford, MA 01730 | 2017-11-08 |
| 1093268260 | Patriot Urgent Care Professionals, PC | Clinic/Center | 160 Great Road, Unit 4a, Bedford, MA 01730 | 2016-07-25 |
| 1568839991 | Amy Bonneau | Social Worker | 59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730 | 2015-09-02 |
| Find all providers in zip 01730 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740769173 | Annette Theresa Pohlchuck | Nurse Practitioner | 44 Blaine Ave Fl 4, Bedford, OH 44146-2709 | 2018-08-07 |
| 1831335173 | Kimberly Ann Koch | Nurse Practitioner | 1305 Airport Fwy Ste 405, Bedford, TX 76021-6607 | 2008-12-16 |
| 1205912995 | Lisa A Kleindorfer | Nurse Practitioner | 2424 Q St, Bedford, IN 47421-4734 | 2006-10-27 |
| 1629175146 | Ann Louise Paladin | Nurse Practitioner | Edith North Hospital, 200 Springs Rd, Bedford, MA 01730-1198 | 2006-09-19 |
| 1548282718 | Elizabeth Mary Cullity | Nurse Practitioner | 300 Springs Road, Bedford, MA 01730 | 2006-07-24 |
| 1942204540 | Judy A Custer | Nurse Practitioner | 342 Richard St, Bedford, PA 15522 | 2005-06-10 |
| 1770587024 | Gloria Just | Nurse Practitioner | 217 Washington Street, Bedford, VA 24523 | 2005-06-02 |
| 1851905970 | Kortney Nicole Curtis | Nurse Practitioner | 2811 Washington Ave, Bedford, IN 47421-5310 | 2020-09-04 |
| 1750912960 | Stephanie Holdcroft | Nurse Practitioner | 3251 Shawnee Dr S, Bedford, IN 47421-5277 | 2020-01-28 |
| 1104348903 | Nidish Jose | Nurse Practitioner | 2700 Tibbets Dr Ste 300, Bedford, TX 76022-5938 | 2017-07-13 |
| Find all providers in BEDFORD | ||||
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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.