OLIVIA BONANNO (NPI# 1720564735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720564735 |
Entity Type | Individual |
Full Name | OLIVIA BONANNO |
Credential | CNP |
Practice Address |
541 Main St Ste 303 Weymouth MA 02190-1845 |
Mailing Address |
5 Pacella Park Dr Apt 2206 Randolph MA 02368-1779 |
Practice Telephone | 7813317866 |
Enumeration Date | 2018-07-12 |
Last Update Date | 2018-09-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | RN2323992 | MA | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2323992 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
50 Aldrin Rd, Plymouth, MA 023604827 | 5088300000 |
Street Address |
541 MAIN ST STE 303 |
City | WEYMOUTH |
State | MA |
Zip Code | 02190-1845 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104121912 | Heather Ann Northrop | Counselor | 541 Main St Ste 303, Weymouth, MA 02190-1845 | 2011-01-26 |
1730643271 | Devin Jacob Young | Case Manager/Care Coordinator | 541 Main St Ste 303, Weymouth, MA 02190-1845 | 2019-01-29 |
1356846497 | Miesha Williams-jeanty | Counselor | 541 Main St Ste 303, Weymouth, MA 02190-1845 | 2018-03-29 |
1225536030 | Mahesh Balan | Community/Behavioral Health | 541 Main St Ste 303, Weymouth, MA 02190-1845 | 2018-01-26 |
1881108967 | Emily Marie Pelrine | Counselor | 541 Main St Ste 303, Weymouth, MA 02190-1845 | 2017-11-28 |
1700304037 | Miquel Cordova | Counselor | 541 Main St Ste 303, Weymouth, MA 02190-1845 | 2017-09-07 |
1871015743 | Nicole Colageo | Counselor | 541 Main St Ste 303, Weymouth, MA 02190-1845 | 2017-07-12 |
1740701077 | Briana Bizokas | Social Worker | 541 Main St Ste 303, Weymouth, MA 02190-1845 | 2017-06-27 |
1598145369 | Robin Ashley Little | Counselor | 541 Main St Ste 303, Weymouth, MA 02190-1845 | 2015-06-05 |
1821428939 | Abby Foley | Counselor | 541 Main St Ste 303, Weymouth, MA 02190-1845 | 2013-11-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
Find all providers in zip 02190 |
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 |
---|---|---|---|---|
1144521527 | Meredith Laurel Richardson | Nurse Practitioner | 49 Pleasant St, Weymouth, MA 02190-2435 | 2010-11-16 |
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 |
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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.