Autumn Vezina

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

47 Rolling Green Dr Apt G
Fall River, MA 02720-7872

Phone

(401) 663-6090

NPI assigned

Sep 18, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Autumn Dionizio Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613260800000",
    "number": "1518336601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 SWANSEA MALL DR",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027774119",
            "telephone_number": "508-324-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 ROLLING GREEN DR APT G",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027207872",
            "telephone_number": "401-663-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEZINA",
        "first_name": "AUTUMN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUTUMN",
            "last_name": "DIONIZIO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jariel Vergne
• Victor M Verkade, PA-C
• Vero Health IX, LLC (Vero Health & Rehab, Highland Manor)
• Marydanielle Ann Verrier, LDCP1
• Sarah Beth Verrochi, MA
• Phyllis Rosemarie Vezza, M.D.
• Melissa Machado Vicente, NP
• Henry Vicini, M.D.
• Rebecca Daniels Vickers
• Doangelys Vidal Ortiz

• Community Health Worker in Fall River, MA
• Providers in Fall River, MA by specialty
• Community Health Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.