FRED NTALO (NPI# 1710513874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710513874 |
| Entity Type | Individual |
| Full Name | FRED NTALO |
| Practice Address |
89 Fairmount Ave Saugus MA 01906-1424 |
| Practice Telephone | 8572337392 |
| Mailing Telephone | 8572337392 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LN87257 | MA | Nursing Service Providers |
| Street Address |
89 FAIRMOUNT AVE |
| City | SAUGUS |
| State | MA |
| Zip Code | 01906-1424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780131813 | Safety Home Health Care Agency | Home Health | 89 Fairmount Ave, Saugus, MA 01906 | 2016-09-07 |
| 1275161077 | Edith Tusubira | Home Health | 89 Fairmount Ave, Saugus, MA 01906-1424 | 2020-03-29 |
| 1205488830 | Catherine Nankanja | Registered Nurse | 89 Fairmount Ave, Saugus, MA 01906-1424 | 2019-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114383585 | Psychiatric Mental Health Services | Counselor | 1288 Broadway, Saugus, MA 01906 | 2016-01-14 |
| 1548630817 | Marie Decarney | Counselor | 7 Juliette Rd, Saugus, MA 01906 | 2015-09-30 |
| 1265802615 | Anh Duong | General Acute Care Hospital | 10 Bow Street Ext, Saugus, MA 01906 | 2015-09-29 |
| 1760753107 | Melissa Jean Tilton | Occupational Therapy Assistant | 28 Elaine Ave, Saugus, MA 01906 | 2012-01-17 |
| 1235320698 | Dr. Domenic A. D'angelo and Associates | Optometrist | 171 Broadway Rte 1 S, Saugus, MA 01906 | 2007-08-09 |
| 1851422901 | Stephen G. Petinge | Dentist | 15 Essex Street, Saugus, MA 01906 | 2007-03-08 |
| 1053466235 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 159 Square One Mall, Saugus, MA 01906 | 2007-01-25 |
| 1518060771 | For Eyes Optical, Inc. of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 600 Broadway Ste C, Saugus, MA 01906 | 2006-09-06 |
| 1528078284 | North Suburban Dialysis Center Partnership | Clinic/Center | 124 Broadway Route 1 North, Augustine's Plaza, Saugus, MA 01906 | 2006-08-08 |
| 1144234964 | Michael Carl Davis | Dentist | 347 Central St, Saugus, MA 01906 | 2006-07-28 |
| Find all providers in zip 01906 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730521295 | Alicia Osorio | Licensed Practical Nurse | 492 Central St Apt 2, Saugus, MA 01906-3746 | 2013-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556267 | Stephanie Marie Murphy | Licensed Practical Nurse | 35 Admiral Halsey Rd, Plymouth, MA 02360-1815 | 2020-10-22 |
| 1003423336 | Miladys Reyes | Licensed Practical Nurse | 1 General St Fl 4, Lawrence, MA 01841-2961 | 2020-09-30 |
| 1902413073 | Ruchama T Leconte | Licensed Practical Nurse | 898 Read St, Attleboro, MA 02703-6199 | 2020-09-23 |
| 1780299131 | Amanda Marie Holland | Licensed Practical Nurse | 1 Carleton Rd, Plainville, MA 02762-2401 | 2020-09-12 |
| 1689285330 | Kizzy Akeeyaha Guyton | Licensed Practical Nurse | 191 Meadow St, Carver, MA 02330-1524 | 2020-08-14 |
| 1700497096 | Monica Lynn Glasgow | Licensed Practical Nurse | 21 Kenwood St, Greenfield, MA 01301-1973 | 2020-08-11 |
| 1184234841 | Karen Yvonne Harris | Licensed Practical Nurse | 1000 Harvard St Apt 16, Boston, MA 02126-1405 | 2020-08-06 |
| 1316557580 | Teresah Nyaga | Licensed Practical Nurse | 10 Overlook Trl Apt 10211, Peabody, MA 01960-8840 | 2020-08-03 |
| 1073122487 | Evelyn Chacon | Licensed Practical Nurse | 10 Oakland Ave Apt 1, Attleboro, MA 02703-3581 | 2020-07-31 |
| 1225647530 | Lauren Taylor Robbins | Licensed Practical Nurse | 21 Centennial Drive Apt. #3, Norwood, MA 02062 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
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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.