ANDREA JENNIFER DESMOND


Address: 295 Varnum Ave, Lowell, MA 01854-2134
Phone: 9789376800

ANDREA JENNIFER DESMOND (NPI# 1780236786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780236786
Entity Type Individual
Full Name ANDREA JENNIFER DESMOND
Credential APRN, AGACNP-BC
Practice Address 295 Varnum Ave
Lowell
MA 01854-2134
Mailing Address 16 Carter St
Woburn
MA 01801-5710
Practice Telephone 9789376800
Mailing Telephone 3392230987
Enumeration Date 2019-07-10
Last Update Date 2019-10-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN2322682 MA Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
16 Carter St, Woburn, MA 018015710 3392230987

Office Location

Street Address 295 VARNUM AVE
City LOWELL
State MA
Zip Code 01854-2134

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215931597 Jonas J Berman Radiology 295 Varnum Ave, Lowell, MA 01854-2134 2005-06-02
1437758125 Amy Marie Dellogono Nurse Practitioner 295 Varnum Ave, Lowell, MA 01854-2134 2020-10-22
1720686108 Emily Rose Claude Family Medicine 295 Varnum Ave, Lowell, MA 01854-2134 2020-10-16
1265041305 The Lowell General Hospital Emergency Medical Technician, Paramedic 295 Varnum Ave, Lowell, MA 01854-2134 2020-07-24
1639714744 Shara A King Nurse Practitioner 295 Varnum Ave, Lowell, MA 01854-2134 2019-11-12
1861036451 Obhg Massachusetts - Lowell PC Emergency Medicine 295 Varnum Ave, Lowell, MA 01854-2134 2019-11-06
1871147264 Ronald Wilson Makarutsa Registered Nurse 295 Varnum Ave, Lowell, MA 01854-2134 2019-07-24
1235791831 Nicole Nolan Pharmacist 295 Varnum Ave, Lowell, MA 01854-2193 2019-07-03
1578123253 Alec Garabedian Nurse Anesthetist, Certified Registered 295 Varnum Ave, Lowell, MA 01854-2134 2019-06-16
1326517715 Circle Health Pharmacy, LLC Pharmacist 295 Varnum Ave, Lowell, MA 01854-2134 2018-11-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780224246 Alexander C Mellin Specialist/Technologist Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 2020-01-13
1831656131 Shaquilla U Terry Behavior Technician 810 Broadway St, Apt 5, Lowell, MA 01854 2019-02-23
1073010187 John R Dunn Counselor Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 2018-04-06
1730604661 Grecia Aybar Counselor 11 White Street, Lowell, MA 01854 2017-08-11
1659812550 Krystal Demmons Counselor 371 Varnum Ave, Lowell, MA 01854 2017-03-13
1891115366 Stacey Bourbeau Counselor 391 Varnum Avenue Lower Level, Lowell, MA 01854 2014-04-23
1013270446 Alexandra Miniati Internal Medicine 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 2012-06-20
1750608923 Elisha S Bartlett Social Worker 391 Varnum Avenue, Lowell, MA 01854 2010-04-28
1871820399 Sandy Ann Thongkhamsouk Counselor 391 Varnum St., Lowell, MA 01854 2009-11-04
1427299007 Kristin A. Larson Nurse Practitioner 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 2009-03-12
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780238659 Adeyemi Christanah Adeniyi Nurse Practitioner 113 Wilder St Ste 200, Lowell, MA 01854-3057 2019-07-30
1477606697 Patients First Emergency Medicine Consultants PC Nurse Practitioner 15061 W 197th Ave, Lowell, IN 46356-9456 2007-01-19
1275509747 Jill Mary Geoffroy Nurse Practitioner 491 Dutton St. - Loft 504, Lowell, MA 01854-0002 2006-02-24
1396739934 Lisa Ann Brown Nurse Practitioner 35 Market St, Lowell, MA 01852-6245 2005-09-09
1285270579 Katie Favreau Nurse Practitioner 275 Varnum Ave Ste 201, Lowell, MA 01854-2141 2019-11-21
1154899557 New England Neurological Associates-lowell, LLC Nurse Practitioner 10 George St Ste 300, Lowell, MA 01852-2293 2018-11-05
1013419217 Julie Frances Vergados Simoneau Nurse Practitioner 295 Varnum Ave, Lowell, MA 01854-2134 2018-03-02
1578062535 Latasha Pittman Nurse Practitioner 2072b E Commercial Ave, Lowell, IN 46356-2116 2018-02-06
1366819435 Tamra Lee Brennan Nurse Practitioner 2 Hospital Dr, Pain Management Center, Lowell, MA 01852-1311 2015-08-25
1316375512 Jubie Vinu Nurse Practitioner 10 George St Ste 300, Lowell, MA 01852-2293 2013-10-24
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Competitor

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City LOWELL
Zip Code 01854

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Dataset Information

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.

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