MR. GLEIDISTONEY JOSE DEOLIVEIRA (NPI# 1831345990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831345990 |
| Entity Type | Individual |
| Full Name | MR. GLEIDISTONEY JOSE DEOLIVEIRA |
| Credential | APRN |
| Practice Address |
326 Nichols Road Fitchburg MA 01420 |
| Practice Telephone | 9788788440 |
| Practice Fax Number | 9788788535 |
| Mailing Telephone | 9788788516 |
| Mailing Fax Number | 9788788418 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2015-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN215489 | MA | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
215489 | MA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | GROUP MEDICAID NUMBER | 1301071 | 01 |
| Street Address |
326 NICHOLS ROAD |
| City | FITCHBURG |
| State | MA |
| Zip Code | 01420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447218474 | Kathleen A. Sweeney | Family Medicine | 326 Nichols Road, Fitchburg, MA 01420 | 2006-05-01 |
| 1043615321 | Chithu Abraham | Dentist | 326 Nichols Road, Fitchburg, MA 01420 | 2014-10-29 |
| 1316239239 | Carol Lemay Mccarter | Social Worker | 326 Nichols Road, Fitchburg, MA 01420 | 2011-05-11 |
| 1689975484 | Kathryn Elizabeth Bettencourt | Psychologist | 326 Nichols Road, Fitchburg, MA 01420 | 2010-11-10 |
| 1891011318 | Wade A. Munroe | Psychologist | 326 Nichols Road, Fitchburg, MA 01420 | 2010-04-08 |
| 1487981684 | Sarita M. Fage | Physician Assistant | 326 Nichols Road, Fitchburg, MA 01420 | 2009-11-09 |
| 1922230366 | Tina Gupta | Dentist | 326 Nichols Road, Fitchburg, MA 01420-1914 | 2009-08-19 |
| 1780820829 | Rafael A Yanez | Dentist | 326 Nichols Road, Fitchburg, MA 01420 | 2008-12-19 |
| 1215173356 | Andreza Rosetti Castro | Dentist | 326 Nichols Road, Fitchburg, MA 01420 | 2008-12-19 |
| 1811194913 | Terry Osborne II | Psychiatry & Neurology | 326 Nichols Road, Fitchburg, MA 01420 | 2007-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039121 | Maria A Neizvestnaya | Student in an Organized Health Care Education/Training Program | Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 | 2020-07-06 |
| 1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
| 1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
| 1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
| 1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
| 1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
| 1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
| 1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
| Find all providers in zip 01420 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747102 | Alyssa Aguiar | Registered Nurse | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2019-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625892 | Steven M Adkison | Registered Nurse | 197 Lothrop St, Beverly, MA 01915-3763 | 2020-10-06 |
| 1306459862 | Alycen Gail Palmer | Registered Nurse | 769 Plain St Unit 1, Marshfield, MA 02050-2118 | 2020-08-25 |
| 1609485945 | Geraldei Paul | Registered Nurse | 24 Belmont Ct Apt 9, Brockton, MA 02301-4728 | 2020-07-22 |
| 1952938136 | Douglas Crook | Registered Nurse | 12 Wellington Ave, Haverhill, MA 01830-2729 | 2020-03-26 |
| 1043846942 | Debra Louise Booth | Registered Nurse | 19 Bryant St, Salem, MA 01970-2330 | 2020-03-23 |
| 1134755028 | Ademola Solomon Obele | Registered Nurse | 11 Paper Birch Path, Worcester, MA 01605-3372 | 2020-03-23 |
| 1811521644 | Edith A Barrett | Registered Nurse | 9 Thorndike St, Arlington, MA 02474-8729 | 2020-03-02 |
| 1013553536 | Valerie Witline Louis | Registered Nurse | 9 W Milton St, Hyde Park, MA 02136-1921 | 2019-11-19 |
| 1750927489 | Austin Agbonifo | Registered Nurse | 36 Westminster Ct Apt E36, Roxbury, MA 02119-1192 | 2019-11-18 |
| 1083258875 | Hilda Adaeze Epelle | Registered Nurse | 911 River St, Hyde Park, MA 02136-3714 | 2019-11-05 |
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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.