MRS. JILL ELIZABETH DECOLOGERO (NPI# 1902100324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902100324 |
| Entity Type | Individual |
| Full Name | MRS. JILL ELIZABETH DECOLOGERO |
| Credential | ANP-BC, MSN |
| Practice Address |
3 Woodland Rd Ste 322 Stoneham MA 02180-1713 |
| Practice Telephone | 7816622243 |
| Practice Fax Number | 7816624878 |
| Mailing Telephone | 7816622243 |
| Mailing Fax Number | 7816624878 |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN267529 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3 WOODLAND RD STE 322 |
| City | STONEHAM |
| State | MA |
| Zip Code | 02180-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487279303 | Bhavi Patel | Registered Nurse | 3 Woodland Rd Ste 322, Stoneham, MA 02180-1713 | 2020-06-16 |
| 1184265381 | Jamie L Powers | Registered Nurse | 3 Woodland Rd Ste 322, Stoneham, MA 02180-1713 | 2019-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073092839 | Ann M Campbell | Social Worker | 490 William St, Stoneham, MA 02180 | 2018-08-12 |
| 1669997243 | Melissa Meskell, Lmhc | Clinic/Center | 38 Montvale Avenue Suite 327, Stoneham, MA 02180 | 2017-08-04 |
| 1033593306 | Melissa Zeitlin | Counselor | 178 North St, Stoneham, MA 02180 | 2015-07-16 |
| 1053708370 | Michael Stangler | Dentist | 2 Main St Ste 225, Stoneham, MA 02180 | 2015-04-24 |
| 1699086397 | Kimberly Y Chin | Acupuncturist | 105 Marble Street, Apt 7, Stoneham, MA 02180 | 2010-06-28 |
| 1538305446 | John Nyaga Njine | Registered Nurse | 5 Glen Rd, Apt 110, Stoneham, MA 02180 | 2008-12-23 |
| 1427189000 | Stoneham Public Schools | Local Education Agency (LEA) | 149 Franklin St., Stoneham, MA 02180 | 2007-03-08 |
| 1487715181 | Bernard J Augot, Jr. | Acupuncturist | Acupuncture Health Care Ctr., 370 Main Street, Stoneham, MA 02180 | 2006-12-13 |
| 1730257684 | Advantage Sports Medicine & Physical Therapy,inc. | Physical Therapist | 245 North Street, Stoneham, MA 02180 | 2006-11-30 |
| 1851465538 | Town of Stoneham | Public Health or Welfare | 35 Central Street, Stoneham, MA 02180 | 2006-11-17 |
| Find all providers in zip 02180 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871064170 | Linda V Pham | Nurse Practitioner | 92 Montvale Ave Ste 3000, Stoneham, MA 02180-3658 | 2018-12-12 |
| 1356617047 | Jessica Ann Lynch | Nurse Practitioner | 88 Montvale Ave, Stoneham, MA 02180-3643 | 2012-03-27 |
| 1316195647 | Mandy Jean Ladner | Nurse Practitioner | 3 Woodland Rd, Suite 216, Stoneham, MA 02180-1711 | 2008-08-28 |
| 1669410494 | Sandra Mackay Kelly | Nurse Practitioner | 41 Montvale Ave, Stoneham, MA 02180-2445 | 2006-06-03 |
| 1407837230 | Larah Bartlett-jacques | Nurse Practitioner | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 | 2005-11-09 |
| 1447241757 | Carolyn L Fallica | Nurse Practitioner | 41 Montvale Ave, Hallmark Health Hematology & Oncology Center, Stoneham, MA 02180-2445 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576121 | Alexander I Hoffman | Nurse Practitioner | 54 Southbourne Rd, Jamaica Plain, MA 02130-4633 | 2020-10-26 |
| 1104423482 | Paola Buchanan | Nurse Practitioner | 351 Engamore Ln Apt T3, Norwood, MA 02062-2505 | 2020-10-08 |
| 1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
| 1902411341 | Anne Marie Marie Dicredico | Nurse Practitioner | 916 Sherwood Forest Ln Unit 916, Saugus, MA 01906-1973 | 2020-09-12 |
| 1407460322 | Devi Sivanandan | Nurse Practitioner | 18 Dale St Unit 5c, Andover, MA 01810-5663 | 2020-09-08 |
| 1447863600 | Diana Stephanie Freiberger | Nurse Practitioner | 965 West St, Walpole, MA 02081-1200 | 2020-08-27 |
| 1063023216 | Christine Cibotti | Nurse Practitioner | 8 Forty Acres Dr, Wayland, MA 01778-2702 | 2020-08-12 |
| 1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
| 1295344547 | Janelle Sherry Romain | Nurse Practitioner | 91 Codman Hill Ave, Dorchester, MA 02124-4636 | 2020-07-23 |
| 1245848852 | Patrice Nicholas | Nurse Practitioner | 14 Shipway Pl, Charlestown, MA 02129-4301 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. JILL ELIZABETH DECOLOGERO.
| 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.