ENIANA JANE TABOR


Address: 289 Great Road, Suite G1, Acton, MA 01720
Phone: 9786791200

ENIANA JANE TABOR (NPI# 1902350408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902350408
Entity Type Individual
Full Name ENIANA JANE TABOR
Other Name ENIANA JANE AGOLLI
Credential PMHNP-BC
Practice Address 289 Great Road
Suite G1
Acton
MA 01720
Practice Telephone 9786791200
Practice Fax Number 9784864037
Mailing Telephone 9786791200
Mailing Fax Number 9784864037
Enumeration Date 2016-08-12
Last Update Date 2019-05-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN2310374 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 020860 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
200 Springs Rd, Bedford, MA 017301114 (781) 687-3825

Office Location

Street Address 289 GREAT ROAD
SUITE G1
City ACTON
State MA
Zip Code 01720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467440370 Jessica X Hennessey Nurse Practitioner 289 Great Road, Suite 102, Acton, MA 01720 2005-10-13
1396292892 Shannon R Grove Nurse Practitioner 289 Great Road, Suite G1, Acton, MA 01720 2016-09-01
1346560083 New England Center for Mental Health LLC Counselor 289 Great Road, Suite G1, Acton, MA 01720 2010-06-04
1790935773 Natalie Amanda Fekete Nurse Practitioner 289 Great Road, Suite G1, Acton, MA 01720 2008-09-25
1962444992 Janice Martha Wester Registered Nurse 289 Great Road, Suite G1, Acton, MA 01720 2006-06-12
1255313466 Madhavi Kamireddi Counselor 289 Great Road, Suite G1, Acton, MA 01720 2005-11-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346872322 Gianpiero De Mari Behavior Technician 8 Post Office Square Suite 204, Acton, MA 01720 2020-02-07
1871134890 Rachel Vinicor Social Worker 171 Pope Rd., Acton, MA 01720 2019-10-01
1295387991 Manman Zhang Nurse Practitioner Apt B9, 9 Davis Road, Acton, MA 01720 2019-07-12
1215595608 Karen Weeks Clinical Medical Laboratory 526 Main St, One Acton Pl, Suite 102, Acton, MA 01720 2019-05-31
1689165151 Richard J. Cowen Psychologist 16 Charter Road, Acton, MA 01720 2018-05-21
1265929798 Angela Madge Psychologist 525 Massachusetts Ave Ste 101g, Acton, MA 01720 2018-04-19
1811404544 B-xi Operations Holding Company LLC Assisted Living Facility Benchmark At Robbins Brook, 10 Devon Drive, Acton, MA 01720 2018-01-03
1396265211 Kristen Devenezia Counselor 360 Massachusetts Avenue, Suite 201, Acton, MA 01720 2017-06-21
1760886592 Waybond Pllc Clinic/Center 31 Powder Mill Rd, Acton, MA 01720 2014-10-22
1760802797 Kimberly Greene Murachver Dietitian, Registered 525 Massachusetts Ave Ste 101c, Acton, MA 01720 2014-04-17
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528094182 Maureen T Beirne Streff Nurse Practitioner 532 Great Road, Acton, MA 01720 2006-06-24
1558842617 Gary Charles Piandes Nurse Practitioner 289 Great Rd, Acton, MA 01720-4766 2018-08-27
1396292892 Shannon R Grove Nurse Practitioner 289 Great Road, Suite G1, Acton, MA 01720 2016-09-01
1841663903 Jason P Knowles Nurse Practitioner 289 Great Rd Ste G1, Acton, MA 01720-4766 2015-11-10
1790935773 Natalie Amanda Fekete Nurse Practitioner 289 Great Road, Suite G1, Acton, MA 01720 2008-09-25
1528127750 Judith Casarella Nurse Practitioner 289 Great Rd, Acton, MA 01720-4766 2006-12-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225639552 Kelly Ann Hancock Nurse Practitioner 6 Margot Ln, East Bridgewater, MA 02333-1689 2020-11-03
1366042715 Jacqueline Ann Owens Nurse Practitioner 32 Hammond Ave, Cohasset, MA 02025-1928 2020-10-27
1144829177 Amiee N Caruso Nurse Practitioner 26 Queen St Ste 4, Worcester, MA 01610-2473 2020-10-21
1629676234 Sandpiper Wellness, LLC Nurse Practitioner 345 Union St Unit 5, New Bedford, MA 02740-3679 2020-10-15
1912505777 Samantha Deglaoui Nurse Practitioner 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 2020-10-14
1699372235 Square Behavioral Health, LLC Nurse Practitioner 733 Turnpike St # 162, North Andover, MA 01845-6137 2020-10-06
1184221046 Abdonne Ngo Nyele Mbouadeu Nurse Practitioner 34 Tannery Rd, Sturbridge, MA 01518-1171 2020-10-05
1013524164 Atlee Quarrier Nurse Practitioner 29 Birch Meadow Rd, Merrimac, MA 01860-1826 2020-09-23
1669086997 Unique Psych Services LLC Nurse Practitioner 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 2020-09-03
1457961138 Savina Nicole Setze Nurse Practitioner 15 N Beacon St Apt 914, Allston, MA 02134-1941 2020-08-06
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Competitor

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City ACTON
Zip Code 01720

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Dataset Information

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.

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