DESIREE VILLENEUVE (NPI# 1962910604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962910604 |
| Entity Type | Individual |
| Full Name | DESIREE VILLENEUVE |
| Credential | PA-C |
| Practice Address |
789 Central Ave Dover NH 03820-2526 |
| Practice Telephone | 6037428787 |
| Practice Fax Number | 6037402446 |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1496 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
789 CENTRAL AVE |
| City | DOVER |
| State | NH |
| Zip Code | 03820-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982605200 | Erwin Kurt Tan Cullamar | Internal Medicine | 789 Central Ave, Level 2, Dover, NH 03820-2526 | 2005-08-09 |
| 1770190571 | Holly Pf Goodell | Speech-Language Pathologist | 789 Central Ave, Dover, NH 03820-2526 | 2020-09-25 |
| 1164037115 | Lindsay Carrier | Physical Therapist | 789 Central Ave, Dover, NH 03820-2526 | 2020-09-15 |
| 1184239493 | Danielle Marie Amero | Occupational Therapist | 789 Central Ave, Dover, NH 03820-2526 | 2020-09-14 |
| 1093320566 | Karissa Mondoux | Physical Therapist | 789 Central Ave, Dover, NH 03820-2526 | 2020-09-11 |
| 1417571944 | Sarah M Bolduc | Nurse Anesthetist, Certified Registered | 789 Central Ave, Dover, NH 03820-2526 | 2020-06-01 |
| 1104447986 | Sonya Anne Kara | Pharmacist | 789 Central Ave, Dover, NH 03820-2526 | 2020-05-02 |
| 1235605429 | Wentworth Douglass Hospital | Clinical Medical Laboratory | 789 Central Ave, Dover, NH 03820-2526 | 2018-10-16 |
| 1386119469 | Elizabeth J Eaton | Physician Assistant | 789 Central Ave, Dover, NH 03820-2526 | 2018-10-04 |
| 1073008736 | Rachel L Velardi | Physician Assistant | 789 Central Ave, Dover, NH 03820-2526 | 2018-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701242 | Kassie Nicole Zukowski | Speech-Language Pathologist | 40 Chestnut St., Unit 3, Dover, NH 03820 | 2020-08-18 |
| 1013537851 | St.pierre Counseling, Pllc | Community/Behavioral Health | 6 Old Rochester Road, Dover, NH 03820 | 2020-04-22 |
| 1790324002 | Mark Boren | Driver | 29 Cornerstone Dr., Dover, NH 03820 | 2020-01-03 |
| 1568963221 | Sarah Hesketh | Speech-Language Pathologist | 61 Locust Street #333, Dover, NH 03820 | 2018-02-27 |
| 1881106524 | Ashley Leighton | Specialist/Technologist | 197 Dover Point Rd, Dover, NH 03820 | 2017-11-03 |
| 1588048854 | Alliance Mental Health and Youth Consultation Services LLC | Counselor | 1 Washington St Ste 318, Dover, NH 03820 | 2015-07-16 |
| 1275920027 | Meredith Ashley Joyce | Counselor | 50 Chesnut St., Dover, NH 03820 | 2015-04-20 |
| 1891182655 | Jodi Alger | Registered Nurse | 113 Crosby Rd Suite 1, Dover, NH 03820 | 2015-04-20 |
| 1497148159 | Laura Anne Forsblad | Counselor | 750 Central Ave Ste Us, Dover, NH 03820 | 2015-03-05 |
| 1295142867 | Heather M Driscoll | Case Management | 50 Chestnut Street, Suite A, Dover, NH 03820 | 2014-07-16 |
| Find all providers in zip 03820 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790119923 | Sara Kay Proctor | Physician Assistant | 3228 San Jose Mission Dr, Dover, FL 33527-4746 | 2013-08-23 |
| 1003986837 | Erin Chudzik-pryor | Physician Assistant | 125 Greentree Dr # 1, Dover, DE 19904-7648 | 2006-11-09 |
| 1073698619 | Breckinridge Sievers Smith II | Physician Assistant | Kent General Hospital Emergency Department, 640 South State St., Dover, DE 19901 | 2006-10-25 |
| 1184643975 | Denise Anne Hanley Gagnon | Physician Assistant | 701 Central Ave, Dover, NH 03820-3403 | 2006-07-19 |
| 1275507915 | Paul Thomas Ciechoski | Physician Assistant | 175 Pickett Rd, Dover, PA 17315-3125 | 2006-02-16 |
| 1912559782 | Taras Yurchenko | Physician Assistant | 1100 Forrest Ave, Dover, DE 19904-3309 | 2019-07-11 |
| 1114410602 | Sierra Rose Palochak | Physician Assistant | 1113 S State St, Dover, DE 19901-4112 | 2018-06-11 |
| 1841783479 | Claire O'connell | Physician Assistant | 540 S Governors Ave Ste 101a, Dover, DE 19904-3530 | 2018-06-08 |
| 1386135887 | Leland Davis IIi | Physician Assistant | 789 Central Ave, Dover, NH 03820-2526 | 2018-05-21 |
| 1679098818 | Jill A. Oliver | Physician Assistant | 770 Central Ave, Dover, NH 03820-3437 | 2017-08-09 |
| Find all providers in DOVER | ||||
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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.