JILL A FIELEKE (NPI# 1871663989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871663989 |
| Entity Type | Individual |
| Full Name | JILL A FIELEKE |
| Credential | NP |
| Practice Address |
173 Mount Auburn St Watertown MA 02472-4005 |
| Mailing Address |
3 Fair Oaks Ave Newton MA 02460-1216 |
| Practice Telephone | 6179035900 |
| Practice Fax Number | 6186186028 |
| Mailing Telephone | 8572050441 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2019-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
228571NP | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE ID | RN0287 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1493 Cambridge St, Cambridge, MA 021391047 | 6176652229 |
| Street Address |
173 MOUNT AUBURN ST |
| City | WATERTOWN |
| State | MA |
| Zip Code | 02472-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366413841 | Charles Woodrow Styron Jr. | Psychologist | 173 Mount Auburn St, Watertown, MA 02472-4005 | 2006-01-31 |
| 1245866318 | Morgan Sutherland | Massage Therapist | 173 Mount Auburn St, Watertown, MA 02472-4005 | 2020-03-20 |
| 1447629977 | Carrie Pekor | Social Worker | 173 Mount Auburn St, Watertown, MA 02472-4005 | 2015-09-15 |
| 1912125444 | Claire R. Levine | Social Worker | 173 Mount Auburn St, Watertown, MA 02472-4005 | 2007-04-22 |
| 1346363603 | Rachel Crystal | Psychologist | 173 Mount Auburn St, Watertown, MA 02472-4005 | 2007-04-09 |
| 1245380377 | Lisa H. Wolfe | Psychologist | 173 Mount Auburn St, Watertown, MA 02472-4005 | 2007-01-11 |
| 1487713285 | Susan G Falkoff | Social Worker | 173 Mount Auburn St, Watertown, MA 02472-4005 | 2006-12-07 |
| 1013952753 | Janice Stubblefield-tave | Social Worker | 173 Mount Auburn St, Watertown, MA 02472-4005 | 2006-06-17 |
| 1922047679 | Audrey Wagner | Psychologist | 173 Mount Auburn St, Watertown, MA 02472-4005 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735327 | Gladys Nakungu Kasansula | Counselor | Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 | 2018-10-09 |
| 1447741962 | Hannah Edward | Optometrist | 550 Arsenal Street, Watertown, MA 02472 | 2018-05-21 |
| 1982193504 | Ruth Audrey Silverstein | Social Worker | Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 | 2018-05-09 |
| 1376067355 | Mostafa Medhati | Acupuncturist | 265 Lexington St., Watertown, MA 02472 | 2017-08-01 |
| 1003346313 | Eric Trant | Specialist/Technologist | 50 Columbia Street, Watertown, MA 02472 | 2017-06-19 |
| 1477007730 | Neangkanika Chea | Nurse Practitioner | 2 Repton Place, Apt 2204, Watertown, MA 02472 | 2016-08-04 |
| 1396128120 | Michelle Soares Darocha | Dentist | 18 Hovey Street, Watertown, MA 02472 | 2015-06-29 |
| 1760875496 | Ece Evin Yildirim | Acupuncturist | 557 Mt. Auburn St, Watertown, MA 02472 | 2015-03-05 |
| 1396140927 | Fabrizia Torazzi | Behavioral Analyst | 51 Water Street, Suite 200, Watertown, MA 02472 | 2014-10-24 |
| 1265774392 | Emilia Ann Fulop | Social Worker | 127 North Beacon Street, Watertown, MA 02472 | 2013-03-27 |
| Find all providers in zip 02472 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659920890 | Zachary Ryan Lynch | Nurse Practitioner | 211 Jb Wise Place, Watertown, NY 13601-2507 | 2019-09-10 |
| 1891353587 | Erin Lee Phinney | Nurse Practitioner | 482 Black River Parkway, Watertown, NY 13601-2413 | 2019-05-29 |
| 1831441344 | Linda Macqueen | Nurse Practitioner | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2012-10-08 |
| 1285827915 | Jessica B Howell | Nurse Practitioner | 286 Arlington St, Watertown, MA 02472-3510 | 2007-08-27 |
| 1841304656 | Carol Coy | Nurse Practitioner | 144 Eastern Blvd, Watertown, NY 13601-3132 | 2006-08-18 |
| 1982225256 | Chika Francess Egorho | Nurse Practitioner | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2020-04-28 |
| 1588215156 | Rise Up Behavioral Health Services LLC | Nurse Practitioner | 76 Westbury Park Rd, Watertown, CT 06795-2779 | 2019-09-25 |
| 1417515552 | Kourtney K Darrow | Nurse Practitioner | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2019-06-04 |
| 1528534138 | Martha Shirley Labarr | Nurse Practitioner | 830 Washington St, Watertown, NY 13601-4034 | 2018-10-22 |
| 1851743124 | Brandy Baillargeon | Nurse Practitioner | 167 Polk St, Suite 300, Watertown, NY 13601-2097 | 2016-07-11 |
| Find all providers in WATERTOWN | ||||
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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.