MAXWELL DEDE


Address: 11 Bellevue Rd, 2nd Floor, Lynn, MA 01904-2807
Phone: 7815950311

MAXWELL DEDE (NPI# 1942520101) 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) 1942520101
Entity Type Individual
Full Name MAXWELL DEDE
Practice Address 11 Bellevue Rd
2nd Floor
Lynn
MA 01904-2807
Practice Telephone 7815950311
Mailing Telephone 7815950311
Enumeration Date 2010-06-09
Last Update Date 2010-06-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse LN65112 MA Nursing Service Providers
N 376K00000X Nurse's Aide LN65112 MA Nursing Service Related Providers

Office Location

Street Address 11 BELLEVUE RD
2ND FLOOR
City LYNN
State MA
Zip Code 01904-2807

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NPI Name Taxonomy Address Enumeration
1528546991 Dorothy Perry Social Worker Bayridge Hospital 60 Granite St, Lynn, MA 01904 2018-07-30
1700301876 Chris-ann Dawkins Behavioral Analyst 169 Den Quarry Road, Lynn, MA 01904 2017-08-09
1063953594 Juli M Knight Specialist/Technologist, Other 9 Boston St, 2nd Floor, Lynn, MA 01904 2017-03-16
1396972832 Ryan Gosselin Internal Medicine 496 Lynnfield St., Lynn, MA 01904 2009-06-11
1366645665 Robert E Sloane Md PC Surgery 480 Lynnfield Street, Lynn East Medical Bldg, Lynn, MA 01904 2007-06-06
1881895290 Joseph T. Pinho Counselor Children's Friends, 30 Boston St., Lynn, MA 01904 2007-05-31
1033271010 Prabakar Thyagarajan Psychiatry & Neurology 60 Granite Street, Bayridge Hospital, Lynn, MA 01904 2006-12-15
1376616029 Walter J Nalesnik Jr. Internal Medicine 225 Boston Street, 204, Lynn, MA 01904 2006-11-17
1568531515 Kerry Ann Washburn Counselor 30 Boston Street, Children's Friend, Lynn, MA 01904 2006-11-06
1033121033 Joseph A Wescott Dentist 341 Western Avenue, Lynn, MA 01904 2006-08-12
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891219416 Omobolanle O. Akinyemi Licensed Practical Nurse 9 Buffum St, Element Care Inc, Lynn, MA 01902 2017-07-26
1861864522 Ruth Maria Chabot Licensed Practical Nurse 4 Mudge St, Lynn, MA 01902-1216 2015-10-21
1154703346 Hugo Saint-jean Licensed Practical Nurse 309 Chatham St, Apt. 1, Lynn, MA 01902-2133 2015-06-24
1205224003 Hope Anne Sewell Licensed Practical Nurse 38 Milton St Apt 1, Lynn, MA 01902-1557 2014-12-31
1649691817 Jean C Ducasse Licensed Practical Nurse 39 Coburn St., Lynn, MA 01902 2013-12-13
1649533118 Catherine Agang Nkeng Licensed Practical Nurse 60 Lovers Leap Ave, Lynn, MA 01904-2857 2012-06-20
1508402082 Cheryl Ann Hardnett Licensed Practical Nurse 62 Market St, Lynn, MA 01901-1005 2019-11-20
1609411503 Elena Y Vasquez Licensed Practical Nurse 37 Friend St, Lynn, MA 01902-3068 2019-11-14
1003451097 Jesse Lagerblade Licensed Practical Nurse 20 School St, Lynn, MA 01902-2952 2019-11-13
1508320730 Amanda J Poisson Licensed Practical Nurse 269 Union St, Lynn, MA 01901-1314 2019-01-22
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Competitor

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City LYNN
Zip Code 01904

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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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