JACQUELINE EAGAN (NPI# 1780127191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780127191 |
Entity Type | Individual |
Full Name | JACQUELINE EAGAN |
Credential | NP |
Practice Address |
102 Hampshire St Apt 3 Cambridge MA 02139-1541 |
Practice Telephone | 7817241756 |
Mailing Telephone | 7817241756 |
Enumeration Date | 2016-12-02 |
Last Update Date | 2016-12-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN2299397 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
102 HAMPSHIRE ST APT 3 |
City | CAMBRIDGE |
State | MA |
Zip Code | 02139-1541 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598316044 | Diane Greenleaf | Registered Nurse | Cha Windsor Clinic, 119 Windsor St, Cambridge, MA 02139 | 2019-09-26 |
1730738345 | Martin Bednar | Student in an Organized Health Care Education/Training Program | 350 Massachusetts Avenue, Cambridge, MA 02139 | 2019-09-06 |
1861050049 | Rebecca Marie Addison | Dietitian, Registered | 75 Auburn St, Cambridge, MA 02139 | 2019-06-03 |
1285103051 | Jenna Halloran | Social Worker | 929 Massaschusetts Ave, Cambridge, MA 02139 | 2018-11-21 |
1750859286 | Lisa Marie Keovongsa | Dietitian, Registered | 186 1/2 Hampshire St., Cambridge, MA 02139 | 2018-11-02 |
1245714237 | Eleanor Coffin | Occupational Therapist | 1483 Cambridge St, Cambridge, MA 02139 | 2018-09-17 |
1649758277 | Sariya Idriss | Social Worker | Cambridge Health Alliance, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
1538647151 | Ari Pehkonen | Social Worker | Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
1528596533 | Adam Liebling | Acupuncturist | 11 Fiske Pl., Cambridge, MA 02139 | 2017-06-03 |
Find all providers in zip 02139 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669920179 | Tory Leif Larsen | Nurse Practitioner | 872 Mass Ave, Apt 503, Cambridge, MA 02139-3073 | 2016-09-13 |
1477816775 | Eric Charles Snyder | Nurse Practitioner | 1341 Clark St, Cambridge, OH 43725-9614 | 2012-06-21 |
1326106121 | Stephen C Andrews | Nurse Practitioner | 300 Byrn St, Cambridge, MD 21613-1908 | 2006-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386244770 | Paul Thomas Bruemmer | Nurse Practitioner | 23 Captain Curtis Way, Orleans, MA 02653-2601 | 2020-10-27 |
1962001693 | Joseph Prendergast | Nurse Practitioner | 5 Jasmine Rd, Oxford, MA 01540-3304 | 2020-10-23 |
1669071601 | Katherine Parrott | Nurse Practitioner | 95 Prince St Apt 8, Boston, MA 02113-1738 | 2020-10-21 |
1154928687 | Mary A Hodgerney | Nurse Practitioner | 3 Johnny Cake Rd, Centerville, MA 02632-2446 | 2020-10-07 |
1083221659 | Alexis Casimir | Nurse Practitioner | 495 Varnum Ave, Lowell, MA 01854-2123 | 2020-09-28 |
1760009476 | Rohit Prakash Shah | Nurse Practitioner | 1884 River St, Hyde Park, MA 02136-1419 | 2020-06-29 |
1790307825 | Erin Anne Hennigan | Nurse Practitioner | 54 Payson St, Attleboro, MA 02703-1612 | 2020-05-12 |
1639712060 | Elizabeth Gina Hayden | Nurse Practitioner | 330 Brookline Ave # Baker304, Boston, MA 02215-5400 | 2019-10-17 |
1477107910 | Deanna Louise Benjamin | Nurse Practitioner | Harvard Rd, Shirley, MA 01464 | 2019-08-01 |
1295397545 | Sandy Love Hunt | Nurse Practitioner | 994 Middle St, Weymouth, MA 02188-3957 | 2019-07-07 |
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.