Deborah Tremblay, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

156719 Issued in MA

Practice address

416 Broadway
Raynham, MA 02767-1737

Phone

(508) 828-5020

Fax

(866) 262-4460

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakeside Family Practice PC

  • Primary Care Clinic/Center
  • Raynham, MA
  • NPI 1528176179
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619054368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 BROADWAY",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671737",
            "telephone_number": "508-828-5020",
            "fax_number": "866-262-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 BROADWAY",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671737",
            "telephone_number": "508-828-5020",
            "fax_number": "866-262-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMBLAY",
        "first_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "156719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin C Titus
• Grace Leewan To, PHARMD
• Eric Toe Togba, PMHNP-BC
• Town of Raynham (Raynham Fire Department)
• Sarah Travers, M.S., CC-SLP
• Katherine Anne True, RN
• Richard L Uva, LMHC
• Kassandra Varney, OT
• Ashley Marie Vasquez, LICSW
• Nadege Vilnaigre, FNP

• Adult Health Nurse Practitioner in Raynham, MA
• Providers in Raynham, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.