KRYSTA L DOUCETTE (NPI# 1962921379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962921379 |
| Entity Type | Individual |
| Full Name | KRYSTA L DOUCETTE |
| Credential | MS, RN, AGNP-C |
| Practice Address |
47 High Street Suite 101 North Andover MA 01845-5201 |
| Practice Telephone | (312) 637-9861 |
| Practice Fax Number | 7705739513 |
| Mailing Telephone | 3126379861 |
| Mailing Fax Number | 7705739513 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2018-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN2280448 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
47 HIGH STREET SUITE 101 |
| City | NORTH ANDOVER |
| State | MA |
| Zip Code | 01845-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427551605 | Evgenia Khemlin | Nurse Practitioner | 47 High Street Suite 101, North Andover, MA 01845-5201 | 2018-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780222091 | Bh Brightview North Andover Opco, LLC | Alzheimer Center (Dementia Center) | 1275 Turnpike Street, North Andover, MA 01845 | 2019-12-17 |
| 1770132052 | Nancy Boshar | Social Worker | 109 Saw Mill Road, North Andover, MA 01845 | 2019-09-09 |
| 1497307854 | Maria Nappa | Nurse Practitioner | 47 High Street, Suite 101, North Andover, MA 01845 | 2019-07-15 |
| 1235794041 | North Andover Women's Care Pllc | Obstetrics & Gynecology | 100 Andover Bypass, Suite 300, North Andover, MA 01845 | 2019-05-07 |
| 1891278040 | Kristen Dee | Counselor | 6 Garnet Circle, North Andover, MA 01845 | 2018-09-13 |
| 1154809770 | Oped Medical, Inc. | Durable Medical Equipment & Medical Supplies | 37 Flagship Drive, North Andover, MA 01845 | 2018-08-06 |
| 1902382658 | Barry Myers | Physical Therapist | 231 Sutton Street, Suite 1c, North Andover, MA 01845 | 2018-07-16 |
| 1174042337 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | Lahey Health Primary Care, North Andover, 170 Pleasant St., N. Andover, MA 01845 | 2017-09-19 |
| 1174041792 | Eric Tweedie | Specialist/Technologist | 72 Fernview Ave Apt 2, North Andover, MA 01845 | 2017-09-04 |
| 1043734379 | Hiron Health | Internal Medicine | 820a Turnpike Street, North Andover, MA 01845 | 2017-07-28 |
| Find all providers in zip 01845 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528330388 | Kshiti Merchant | Nurse Practitioner | 120 Water Street, Suite 404, North Andover, MA 01845 | 2012-02-08 |
| 1700346194 | Krista Shaw | Nurse Practitioner | 47 High St., Suite 101, North Andover, MA 01845 | 2019-03-21 |
| 1134696222 | Prerana Karki | Nurse Practitioner | 242 Sutton St, North Andover, MA 01845-1631 | 2018-10-27 |
| 1245780477 | Rebecca Collins | Nurse Practitioner | 47 High Street, Suite 101, North Andover, MA 01845 | 2016-10-12 |
| 1487924445 | Julie Marie Jamgochian | Nurse Practitioner | 451 Andover St Ste 110, North Andover, MA 01845-5069 | 2012-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018370 | Ashley Erin Dimauro | Nurse Practitioner | 155 Federal St Ste 700, Boston, MA 02110-1727 | 2019-11-18 |
| 1780228924 | Jeffrey J Benoit | Nurse Practitioner | 103 Upper Rd, Deerfield, MA 01342-9739 | 2019-10-31 |
| 1962064626 | Katharine Kingsley Campbell | Nurse Practitioner | 50 Orchardhill Rd, Jamaica Plain, MA 02130-3725 | 2019-07-02 |
| 1124502737 | Rebecca Gaffney | Nurse Practitioner | 200 Mill Rd Ste 190, Fairhaven, MA 02719-5259 | 2018-09-19 |
| 1154821114 | Caroline Namuzinda Mawanda | Nurse Practitioner | 8 Baron Park Ln Apt 20, Burlington, MA 01803-5453 | 2018-02-16 |
| 1205334588 | Mary Torkornoo | Nurse Practitioner | 430 Massasoit Rd, Worcester, MA 01604-3546 | 2018-01-31 |
| 1508374406 | Kristin Tyrrell Chouinard | Nurse Practitioner | Home Md, 75 Sylvan St., Danvers, MA 01923-0192 | 2018-01-14 |
| 1366961310 | Christine Anna Corallino | Nurse Practitioner | 14 Foster Street, #3, Boston, MA 02109 | 2017-09-11 |
| 1922546407 | Lisa Marie Joyce | Nurse Practitioner | 321 Manley St, West Bridgewater, MA 02379 | 2017-02-06 |
| 1891232906 | Stella Uchendu | Nurse Practitioner | 127 Grove St, Lynn, MA 01905-1615 | 2017-01-26 |
| Find all providers with the same taxonomy | ||||
| City | NORTH ANDOVER |
| Zip Code | 01845 |
Please comment or provide details below to improve the information on KRYSTA L DOUCETTE.
| 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.