DEBORAH KEOHAN (NPI# 1801918008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801918008 |
Entity Type | Individual |
Full Name | DEBORAH KEOHAN |
Credential | RN CS |
Practice Address |
500 W Cummings Park Suite 3900 Woburn MA 01801-6503 |
Mailing Address |
170 Old Billerica Rd Bedford MA 01730-1225 |
Practice Telephone | 7818716550 |
Enumeration Date | 2007-04-06 |
Last Update Date | 2010-08-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364S00000X | Clinical Nurse Specialist | 153775 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
500 W CUMMINGS PARK SUITE 3900 |
City | WOBURN |
State | MA |
Zip Code | 01801-6503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447259163 | Massachusetts Medical & Physical Therapy Associates Inc. | Physical Therapist | 500 W Cummings Park, Suite 2100, Woburn, MA 01801-6503 | 2005-07-14 |
1902279789 | Focus Care, Inc. | Home Health | 500 W Cummings Park, Suite 2950, Woburn, MA 01801-6503 | 2015-11-03 |
1336518091 | Joshua Adle | Counselor | 500 W Cummings Park, Woburn, MA 01801-6503 | 2015-09-23 |
1023411352 | Nathaniel Deknatel | Counselor | 500 W Cummings Park, Woburn, MA 01801-6503 | 2014-10-01 |
1609276518 | Sara Eranio | Counselor | 500 W Cummings Park, Suite 3900, Woburn, MA 01801-6503 | 2014-08-27 |
1255731550 | Jennifer Hatalla | Counselor | 500 W Cummings Park, Woburn, MA 01801-6503 | 2014-08-25 |
1982012076 | Diana Lavancher | Social Worker | 500 W Cummings Park, Suite 3900, Woburn, MA 01801-6503 | 2014-08-01 |
1700294956 | Elysia Humphrey | Counselor | 500 W Cummings Park, Woburn, MA 01801-6503 | 2014-07-31 |
1336557677 | Kristina Marie Lessard | Counselor | 500 W Cummings Park, Suite 3900, Woburn, MA 01801-6503 | 2014-07-30 |
1699186049 | Marissa Kathleen Digilio | Counselor | 500 W Cummings Park, Suite 3900, Woburn, MA 01801-6503 | 2014-05-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
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Taxonomy Code | 364S00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487289641 | Carol P Corcoran | Clinical Nurse Specialist | 34 Lawrence St, Wakefield, MA 01880-1847 | 2020-03-09 |
1770618803 | Beverlee Sclar | Clinical Nurse Specialist | 8 Alton Place Suite #5, Brookline, MA 02446 | 2007-02-22 |
1629123542 | Jane M Woodman | Clinical Nurse Specialist | Appleton Building 2 No Main St Suite 3, Ipswich, MA 01938 | 2007-01-23 |
1467531426 | Peggy Louise Wolff | Clinical Nurse Specialist | 126 Cave Hill Road, Leverett, MA 01054-9728 | 2006-11-02 |
1043390909 | Ann Galligan | Clinical Nurse Specialist | 25 Mohawk Drive, Leominster, MA 01453 | 2006-10-16 |
1073609301 | Katherine A Blake | Clinical Nurse Specialist | 55 Pleasant Street, Newbury Port, MA 01950 | 2006-10-05 |
1770597429 | Elizabeth Mccusker-hunt | Clinical Nurse Specialist | 125 Liberty St Ste 2, Danvers, MA 01923-3325 | 2006-07-28 |
1881625242 | Rachel A Darian | Clinical Nurse Specialist | 169 Libbey Pkwy 2nd Floor, Weymouth, MA 02189-3101 | 2006-07-05 |
1891735726 | Rochelle Cooper | Clinical Nurse Specialist | 20 Watertown St, Watertown, MA 02472-2505 | 2006-06-08 |
1316984065 | Jeanette Marie Maddix | Clinical Nurse Specialist | 323 Boston Post Rd, Sudbury, MA 01776-3022 | 2006-06-01 |
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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.