Active NPI
Jennifer Anne Theran, BA, DS,CEIS
- Case Manager/Care Coordinator
- Plymouth, MA
National Provider Identifier
1609057603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 64 Industrial Park Rd
Plymouth, MA 02360-4881 - Phone
- (508) 747-2012
- NPI assigned
- Nov 19, 2007
- Last updated
- Nov 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
64 Industrial Park Rd
Plymouth, MA 02360-4881
Mailing address
64 Industrial Park Rd
Plymouth, MA 02360-4881
Phone (508) 747-2012
Other names 1
- Ms. Jennifer Anne Tougas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1609057603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 INDUSTRIAL PARK RD",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604881",
"telephone_number": "508-747-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 INDUSTRIAL PARK RD",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604881",
"telephone_number": "508-747-2012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THERAN",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "BA, DS,CEIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-19",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "TOUGAS",
"middle_name": "ANNE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plymouth, MA
- The Home for Little Wanderers
- The Kelley Center
- The Orthotic and Prosthetic Centers, LLC
- The Shea Way, LLC
- The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy #469)
- Therap-Ease, Inc.
- Therapy Counseling Medication Service LLC
- Nicole Marie Theriault, LICSW
- Geraldine Veronica Thissell, MS, CCC, SLP
- Punith Thogaripally, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.