JANE WAGEMA-JOHNSON (NPI# 1780941989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780941989 |
| Entity Type | Organization |
| Organization Name | JANE WAGEMA-JOHNSON |
| Practice Address |
39 Lauren Way Lowell MA 01854-1484 |
| Practice Telephone | 9784553547 |
| Mailing Telephone | 9784553547 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |
| Authorized Official Name | MRS. JANE WAGEMA-JOHNSON (GERONTOLOGICAL NURSE PRACTIONER) |
| Authorized Official Telephone | 9784553547 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315D00000X | Hospice, Inpatient | 242191 | MA | Nursing & Custodial Care Facilities |
| Street Address |
39 LAUREN WAY |
| City | LOWELL |
| State | MA |
| Zip Code | 01854-1484 |
| 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 |
| Find all providers in zip 01854 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609314681 | Regis College | Hospice, Inpatient | 19 Southmere Road, Mattapan, MA 02126 | 2017-02-09 |
| 1548435035 | Salmon Hospice Care, LLC | Hospice, Inpatient | 42 Beaumont Drive, Northbridge, MA 01534 | 2008-04-25 |
| 1558477836 | Epoch Slv Lll | Hospice, Inpatient | 615 Heath Street, Chestnut Hill, MA 02067 | 2006-08-21 |
| 1588601439 | Hospice Services of Massachusetts LLC | Hospice, Inpatient | 577 Main St, Wareham, MA 02571-1030 | 2006-06-01 |
| 1043680408 | Vcare Group,llc | Hospice, Inpatient | 18 Hammond St, Worcester, MA 01610-1513 | 2015-09-29 |
| 1881929990 | Edith Nourse Rogers Memorial Veterans Hospital | Hospice, Inpatient | 200 Springs Rd, #180, Bedford, MA 01730-1114 | 2009-10-07 |
| 1134335540 | Deborah Louise Hardman | Hospice, Inpatient | 940 Belmont St, Brockton, MA 02301-5596 | 2007-05-15 |
| 1265551733 | Sudbury Pines Extended Care Facility | Hospice, Inpatient | 642 Boston Post Rd, Sudbury, MA 01776-3302 | 2007-03-28 |
Please comment or provide details below to improve the information on JANE WAGEMA-JOHNSON.
| 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.