Shalisha K Crouch (NPI# 1487898904, PAC ID# 9537345947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1487898904 |
| PAC ID by PECOS | 9537345947 |
| Professional Enrollment ID | I20130405000399 |
| Full Name | Shalisha K Crouch |
| Organization Legal Name | MATTAPAN COMMUNITY HEALTH CENTER, INC. |
| Address |
1575 Blue Hill Ave Boston MA 02126-2122 |
| Phone Number | 6172960061 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2062423866 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1575 Blue Hill Ave, Boston, MA 02126-2122 | 6172960061 | MATTAPAN COMMUNITY HEALTH CENTER, INC. |
| Organization Legal Name | MATTAPAN COMMUNITY HEALTH CENTER, INC. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anubhav Kaul | Hospitalist | Mattapan Community Health Center, Inc. | 1575 Blue Hill Ave, Boston, MA 02126-2122 |
| Chandler H Christophe | Family Medicine | Mattapan Community Health Center, Inc. | 1575 Blue Hill Ave, Boston, MA 02126-2122 |
| Neena Chaturvedi | Internal Medicine | Mattapan Community Health Center, Inc. | 1575 Blue Hill Ave, Boston, MA 02126-2122 |
| Aimee F Williams | Family Medicine | Mattapan Community Health Center, Inc. | 1575 Blue Hill Ave, Boston, MA 02126-2122 |
| Natali M Taylor | Nurse Practitioner | Mattapan Community Health Center, Inc. | 1575 Blue Hill Ave, Boston, MA 02126-2122 |
| Christopher W Shanahan | Internal Medicine | Mattapan Community Health Center, Inc. | 1575 Blue Hill Ave, Boston, MA 02126-2122 |
| Tarma Johnson | Nurse Practitioner | Mattapan Community Health Center, Inc. | 1575 Blue Hill Ave, Boston, MA 02126-2122 |
| Street Address |
1575 BLUE HILL AVE |
| City | BOSTON |
| State | MA |
| Zip | 02126-2122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anubhav Kaul | Hospitalist | Mattapan Community Health Center, Inc. | 1575 Blue Hill Ave, Boston, MA 02126-2122 |
| Chandler H Christophe | Family Medicine | Mattapan Community Health Center, Inc. | 1575 Blue Hill Ave, Boston, MA 02126-2122 |
| Neena Chaturvedi | Internal Medicine | Mattapan Community Health Center, Inc. | 1575 Blue Hill Ave, Boston, MA 02126-2122 |
| Aimee F Williams | Family Medicine | Mattapan Community Health Center, Inc. | 1575 Blue Hill Ave, Boston, MA 02126-2122 |
| Natali M Taylor | Nurse Practitioner | Mattapan Community Health Center, Inc. | 1575 Blue Hill Ave, Boston, MA 02126-2122 |
| Christopher W Shanahan | Internal Medicine | Mattapan Community Health Center, Inc. | 1575 Blue Hill Ave, Boston, MA 02126-2122 |
| Tarma Johnson | Nurse Practitioner | Mattapan Community Health Center, Inc. | 1575 Blue Hill Ave, Boston, MA 02126-2122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip C Barron | Chiropractic | Barron Chiropractic and Rehabilitation PC | 1520 Blue Hill Ave, Mattapan, MA 02126-1747 |
| Gilbert S Weiner | Chiropractic | Barron Chiropractic and Rehabilitation PC | 1520 Blue Hill Ave, Mattapan, MA 02126-1747 |
| Kalpita H Rane | Physical Therapy | 1520 Blue Hill Ave, Mattapan, MA 02126-1747 | |
| Brian T Farrell | Chiropractic | Barron Chiropractic and Rehabilitation PC | 1520 Blue Hill Ave, Mattapan, MA 02126-1747 |
| Donna Zhang | Optometry | Randolph Eye PC | 1587 Blue Hill Ave, Mattapan, MA 02126-2122 |
| Patricia L Tucker | Nurse Practitioner | Harbor Health Services Inc | 1135 Morton St, Mattapan, MA 02126-2834 |
| Victoria C Rines | Nurse Practitioner | Harbor Health Services Inc | 1135 Morton St, Mattapan, MA 02126-2834 |
| Charmaine L Desir | Nurse Practitioner | Harbor Health Services Inc | 1135 Morton St, Mattapan, MA 02126-2834 |
| City | BOSTON |
| Zip Code | 02126 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BOSTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shalisha K Crouch.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.