DEBORAH DORNON NAVEDO (NPI# 1821510850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821510850 |
Entity Type | Individual |
Full Name | DEBORAH DORNON NAVEDO |
Credential | NP, APRN |
Practice Address |
36 1st Ave Boston MA 02129-4557 |
Mailing Address |
363 S Huntington Ave Apt 3 Jamaica Plain MA 02130-4822 |
Practice Telephone | 6176434899 |
Mailing Telephone | 7742100112 |
Enumeration Date | 2017-07-12 |
Last Update Date | 2017-07-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WE0003X |
Registered Nurse Specialization: Emergency |
240888 | MA | Nursing Service Providers |
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
240888-NP | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
36 1ST AVE |
City | BOSTON |
State | MA |
Zip Code | 02129-4557 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184248882 | Erin Johnson | Student in an Organized Health Care Education/Training Program | 36 1st Ave, Boston, MA 02129-4557 | 2020-05-29 |
1316568249 | Sadana Rangarao | Student in an Organized Health Care Education/Training Program | 36 1st Ave, Boston, MA 02129-4557 | 2020-05-01 |
1770104697 | Mariah Bundy | Student in an Organized Health Care Education/Training Program | 36 1st Ave, Boston, MA 02129-4557 | 2020-05-01 |
1144841396 | Mindy Butler | Student in an Organized Health Care Education/Training Program | 36 1st Ave, Boston, MA 02129-4557 | 2020-04-29 |
1487274759 | Chelsea E. M. Y. Liu | Student in an Organized Health Care Education/Training Program | 36 1st Ave, Boston, MA 02129-4557 | 2020-04-16 |
1376162156 | Hannah Carmel Nolan | Student in an Organized Health Care Education/Training Program | 36 1st Ave, Boston, MA 02129-4557 | 2020-04-13 |
1447879192 | Alyse Churchill | Student in an Organized Health Care Education/Training Program | 36 1st Ave, Boston, MA 02129-4557 | 2020-04-13 |
1447879226 | Luisa Kruter | Student in an Organized Health Care Education/Training Program | 36 1st Ave, Boston, MA 02129-4557 | 2020-04-13 |
1720607799 | Aletrius Booker | Student in an Organized Health Care Education/Training Program | 36 1st Ave, Boston, MA 02129-4557 | 2020-04-10 |
1083233126 | Madeline Marie Schuck | Student in an Organized Health Care Education/Training Program | 36 1st Ave, Boston, MA 02129-4557 | 2020-04-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447875984 | Charles Clifford Engel Jr. | Psychiatry & Neurology | Home Base Program, Massachusetts General Hospital, 1 Constitution Road, Charlestown, MA 02129 | 2020-06-10 |
1033738489 | Boston Health & Wellness, LLC | Physical Therapist | 250 First Aveneue, #506, Charlestown, MA 02129 | 2020-04-15 |
1134693534 | Martavia Richardson | Behavior Technician | 25 Samuel Morse Way Apt 862, 862, Charlestown, MA 02129 | 2019-01-18 |
1669940847 | Erika Marie Lundgren | Social Worker | 1 Constitution Wharf, Suite 140, Charlestown, MA 02129 | 2018-11-06 |
1558845602 | Christopher Wayne Manzano | Specialist/Technologist | 1 Constitution Wharf, Suite 140, Charlestown, MA 02129 | 2018-09-24 |
1023503216 | Justin E Karr | Student in an Organized Health Care Education/Training Program | 79/96 Thirteenth Street, Mgh Charlestown, Charlestown, MA 02129 | 2018-06-29 |
1184140162 | Hakan Ay | Psychiatry & Neurology | Mass General Hospital, 13th Street, Building 149-2303, Charlestown, MA 02129 | 2017-08-21 |
1396271748 | Acra Care and Recovery Associates, LLC | Clinic/Center | 529 Main Street, Suite 217, The Schraffts Building, Power House, Charlestown, MA 02129 | 2017-05-04 |
1003267964 | Allison E White | Student in an Organized Health Care Education/Training Program | Mgh Charlestown Health Ctr, 73 High St, Charlestown, MA 02129 | 2016-06-22 |
1588025258 | Adrienne Senneville | Physical Therapist | 529 Main St., Charlestown, MA 02129 | 2016-03-09 |
Find all providers in zip 02129 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356948525 | Kaylee Woods | Nurse Practitioner | 85 Seaport Blvd Unit 714, Boston, MA 02210-2157 | 2020-10-01 |
1144838384 | Amanda Rose Bakos | Nurse Practitioner | 218 Marion St, Boston, MA 02128-1758 | 2020-07-14 |
1083236749 | Mubina M Rhee | Nurse Practitioner | 170 Brookline Ave Unit 215, Boston, MA 02215-3921 | 2020-05-15 |
1629549977 | Michelle Nicole Deonarine | Nurse Practitioner | Center for Spina Bifida and Spinal Cord Conditions, Boston Childrens Hospital Hu 390. 300 Longwood Ave, Boston, MA 02115-0211 | 2018-12-16 |
1871060905 | Chloe Faye Banks | Nurse Practitioner | 300 Longwood Ave Dept Farley2, Boston, MA 02115-5724 | 2018-10-26 |
1801262050 | Kate Mysak | Nurse Practitioner | 300 Longwood Ave # Fegan9, Boston, MA 02115-5724 | 2015-08-11 |
1639501331 | Rebecca Marie Stevens | Nurse Practitioner | 300 First Ave, Boston, MA 02129 | 2013-08-05 |
1811290380 | Tracy Mahoney | Nurse Practitioner | 300 Longwood Ave Unit 9nw, Boston, MA 02115 | 2010-12-06 |
1639407513 | Courtney Loper Risley | Nurse Practitioner | Boston Children's Hospital, 300 Longwood Avenue, Farley Building Room 403, Boston, MA 02115 | 2009-12-03 |
1417103193 | Loren Jean D'angelo | Nurse Practitioner | 300 Longwood Ave -, Children's Hospital Boston Fegan 707, Boston, MA 02113 | 2008-08-13 |
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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.