MICHELLE DEDON (NPI# 1669960274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669960274 |
| Entity Type | Individual |
| Full Name | MICHELLE DEDON |
| Practice Address |
225 New Lancaster Rd Leominster MA 01453-4958 |
| Practice Telephone | 7853465009 |
| Mailing Telephone | 7853465009 |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2020-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 262213 | MA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN262213 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
225 NEW LANCASTER RD |
| City | LEOMINSTER |
| State | MA |
| Zip Code | 01453-4958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093798902 | Joseph R Difranza | Family Medicine | 225 New Lancaster Rd, Leominster, MA 01453 | 2005-11-23 |
| 1730722703 | Daniel J O'connell | Physical Therapist | 225 New Lancaster Rd, Leominster, MA 01453-4958 | 2019-10-23 |
| 1659912053 | Ronald Vereen Jr. | Developmental Therapist | 225 New Lancaster Rd, Leominster, MA 01453-4958 | 2019-10-07 |
| 1073043022 | Lindsay Ann Burdsall | Nurse Practitioner | 225 New Lancaster Rd, Leominster, MA 01453-4958 | 2017-06-13 |
| 1427505916 | Kathryn Allen | Social Worker | 225 New Lancaster Rd, Leominster, MA 01453-4958 | 2016-09-01 |
| 1740525625 | Jennifer Ann Raymond | Physical Therapist | 225 New Lancaster Rd, Leominster, MA 01453 | 2012-12-04 |
| 1104179860 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 225 New Lancaster Rd, Leominster, MA 01453-4958 | 2012-10-18 |
| 1891070173 | Melanie Ann Shortall | Counselor | 225 New Lancaster Rd, Leominster, MA 01453-4958 | 2011-10-18 |
| 1255307781 | Mark Hryniewich | Internal Medicine | 225 New Lancaster Rd, Leominster, MA 01453-4958 | 2006-02-24 |
| 1164409462 | Mark J Rollo | Family Medicine | 225 New Lancaster Rd, Leominster, MA 01453-4958 | 2005-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1538705553 | Zazrak, Incorporated | Behavior Technician | 435 Leominster Street Suite 335, Leominster, MA 01453 | 2019-11-25 |
| 1003473547 | Ana Gabriela Rosa | Massage Therapist | 301 6th Sreet, Leominster, MA 01453 | 2019-05-21 |
| 1962973719 | Sandra Trippi-leroux | Social Worker | 122 Granite Street Leominster High School, Leominster, MA 01453 | 2018-12-05 |
| 1134623887 | A&r Home Care LLC | Home Health | 40 Albert Drive, Unit A1, Leominster, MA 01453 | 2018-03-19 |
| 1619326048 | Icon Medical Solutions Corp | Durable Medical Equipment & Medical Supplies | 40 Spruce St Ste 202, Leominster, MA 01453 | 2016-06-07 |
| 1194113837 | Amy Tansey | Pharmacist | 927 Merriam Ave, Leominster, MA 01453 | 2015-01-05 |
| 1730506429 | Mitchel Pyles | Social Worker | Community Healthlink, Inc., 40 Spruce Street, Leominster, MA 01453 | 2014-03-20 |
| 1013341585 | Denise R Tufts | Counselor | 142 Richard Rd, Leominster, MA 01453 | 2013-09-02 |
| 1699010421 | Wendy Ann Leblanc | Homeopath | 1123 Central S, Leominster, MA 01453 | 2012-12-05 |
| Find all providers in zip 01453 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447862925 | Ann Nowlin O'connor | Nurse Practitioner | 223 Stuart Ave, Leominster, MA 01453-6755 | 2020-08-17 |
| 1699307363 | Hyosim Seon-spada | Nurse Practitioner | 50 Memorial Dr Ste 110, Leominster, MA 01453-2238 | 2020-02-10 |
| 1265073035 | Christiana Dennis-fallah | Nurse Practitioner | 345 Legate Hill Rd, Leominster, MA 01453-5260 | 2019-10-03 |
| 1386080984 | Marilou J Bartus | Nurse Practitioner | 165 Mill St Fl 2, Leominster, MA 01453-3289 | 2013-05-22 |
| 1932467453 | Jonathan Patrick Goguen | Nurse Practitioner | 87 N. Main St, Leominster, MA 01453 | 2012-05-03 |
| 1386931699 | Andrea Turbide | Nurse Practitioner | 87 N Main Street, Leominster, MA 01453 | 2011-07-07 |
| 1437361086 | Margaret Papanastassiou | Nurse Practitioner | 79 Erdman Way Ste 101, Leominster, MA 01453-1805 | 2007-05-04 |
| 1225007230 | Kathryn K Sullivan | Nurse Practitioner | 246 Mill St, Leominster, MA 01453-3310 | 2006-03-14 |
| 1851905186 | Laura Marie Godin | Nurse Practitioner | 246 Mill St, Leominster, MA 01453-3310 | 2020-09-03 |
| 1619580602 | Gina Alexis | Nurse Practitioner | 246 Mill St, Leominster, MA 01453-3310 | 2020-08-28 |
| Find all providers in LEOMINSTER | ||||
| City | LEOMINSTER |
| Zip Code | 01453 |
Please comment or provide details below to improve the information on MICHELLE DEDON.
| 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.