MR. JEAN-MERIMEE KOUAGHEU (NPI# 1689208050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689208050 |
| Entity Type | Individual |
| Full Name | MR. JEAN-MERIMEE KOUAGHEU |
| Practice Address |
85 Patton Rd Devens MA 01434-4401 |
| Mailing Address |
43 Norwood Ave Ayer MA 01432 |
| Practice Telephone | 9786155200 |
| Mailing Telephone | 9785511607 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN2263506 | MA | Nursing Service Providers |
| Street Address |
85 PATTON RD |
| City | DEVENS |
| State | MA |
| Zip Code | 01434-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962451716 | Craig M Coldwell | Psychiatry & Neurology | 85 Patton Rd, Devens, MA 01434-4401 | 2006-05-09 |
| 1649888702 | Yangchen Tenzin Gethoktsang | Nurse Practitioner | 85 Patton Rd, Devens, MA 01434-4401 | 2020-07-15 |
| 1518514884 | Kerrie Moran | Nurse Practitioner | 85 Patton Rd, Devens, MA 01434 | 2019-08-21 |
| 1710547385 | Amanda Irene Gustafson | Physician Assistant | 85 Patton Rd, Devens, MA 01434-4401 | 2019-06-17 |
| 1063984540 | Christine Elizabeth Manseau | Physician Assistant | 85 Patton Rd, Devens, MA 01434-4401 | 2018-12-21 |
| 1184195521 | Kendra Beth Allan | Physician Assistant | 85 Patton Rd, Devens, MA 01434-4401 | 2018-12-11 |
| 1922589134 | Jean Marie Barrile | Social Worker | 85 Patton Rd, Devens, MA 01434-4401 | 2018-08-25 |
| 1811473267 | Devens Treatment & Recovery Center, LLC | Nurse Practitioner | 85 Patton Rd, Devens, MA 01434-4401 | 2018-07-18 |
| 1336693951 | Alison Ballantyne | Nurse Practitioner | 85 Patton Rd, Devens, MA 01434-4401 | 2016-08-11 |
| 1063876241 | Devens Treatment & Recovery Center, LLC | Psychiatric Hospital | 85 Patton Rd, Devens, MA 01434-4401 | 2016-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598063794 | Erik Pfundstein | Physical Therapist | 399th Combat Support Hospital, Apo, AA 01434 | 2011-03-11 |
| 1245729060 | Ericka Rice-aquino | Psychologist | 42 Patton Rd, Devens, MA 01434-3801 | 2018-05-07 |
| 1700829058 | Diane Kilduff | Internal Medicine | 42 Patton Rd, Ayer, MA 01434-3801 | 2006-06-14 |
| 1861056418 | Dean J. Overmiller | Emergency Medical Technician, Basic | 42 Patton Rd, Ayer, MA 01434-3802 | 2019-04-30 |
| 1982185096 | Robyn Coons | Social Worker | 42 Patton Rd, Ayer, MA 01434-3802 | 2018-08-27 |
| 1043703598 | Paul Anderson | Psychologist | 42 Patton Rd, Devens, MA 01434-3802 | 2018-06-10 |
| 1649769613 | Janet Howson | Psychologist | 42 Patton Rd, Ayer, MA 01434-3802 | 2018-05-05 |
| 1407356421 | Christina L Cozza | Social Worker | 42 Patton Rd, Ayer, MA 01434-3802 | 2018-02-16 |
| 1578085114 | Chelsea Coffey | Physician Assistant | 42 Patton Rd, Devens, MA 01434-3802 | 2017-07-15 |
| 1497175970 | Michaela Alexis Montecalvo | Physician Assistant | 42 Patton Rd, Ayer, MA 01434-3802 | 2014-04-23 |
| Find all providers in zip 01434 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
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|---|---|---|---|---|
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| 1609485945 | Geraldei Paul | Registered Nurse | 24 Belmont Ct Apt 9, Brockton, MA 02301-4728 | 2020-07-22 |
| 1952938136 | Douglas Crook | Registered Nurse | 12 Wellington Ave, Haverhill, MA 01830-2729 | 2020-03-26 |
| 1043846942 | Debra Louise Booth | Registered Nurse | 19 Bryant St, Salem, MA 01970-2330 | 2020-03-23 |
| 1134755028 | Ademola Solomon Obele | Registered Nurse | 11 Paper Birch Path, Worcester, MA 01605-3372 | 2020-03-23 |
| 1811521644 | Edith A Barrett | Registered Nurse | 9 Thorndike St, Arlington, MA 02474-8729 | 2020-03-02 |
| 1013553536 | Valerie Witline Louis | Registered Nurse | 9 W Milton St, Hyde Park, MA 02136-1921 | 2019-11-19 |
| 1750927489 | Austin Agbonifo | Registered Nurse | 36 Westminster Ct Apt E36, Roxbury, MA 02119-1192 | 2019-11-18 |
| 1083258875 | Hilda Adaeze Epelle | Registered Nurse | 911 River St, Hyde Park, MA 02136-3714 | 2019-11-05 |
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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.