Teresa Ribadenyra, PA-C
Individual provider Active NPI Medical Physician Assistant · Lee, MA
NPI 1336197979 · NPPES record last updated Jan 13, 2010
Key facts
- NPI
- 1336197979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 177485 (MA)
- Practice address
- 710 Stockbridge Rd
Lee, MA 01238-9316 - Phone
- (413) 243-0122
- Fax
- (413) 243-2251
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177485 | MA | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 177485 | MA | Yes |
Addresses
Primary practice location
710 Stockbridge Rd
Lee, MA 01238-9316
Mailing address
1556 Route 203
Chatham, NY 12037-1708
Other providers in Lee, MA
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- Briana M. Reid
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- Cesar Ismael Rivera
- Rafael Rivera
- Randi Rocca
- Muhammed Faseeh Saif
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All providers in Lee, MA · Medical Physician Assistant in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.