D'Mani Andre Vass

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

12 Southern Ave
Boston, MA 02124-2012

Phone

(617) 708-0870

NPI assigned

Jul 18, 2023

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Fathers' Uplift Family Group, LLC

  • Clinical Social Worker
  • Dorchester, MA
  • NPI 1174975452
  NPD

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1689353492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WINTHROP ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021194300",
            "telephone_number": "857-492-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SOUTHERN AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021242012",
            "telephone_number": "617-708-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASS",
        "first_name": "D'MANI",
        "middle_name": "ANDRE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Vasquez, CRNA
• Evalynn Vasquez, M.D.
• Ginnelle Vasquez
• Leslie M Vasquez
• Louvelin Maria Vasquez, LICSW
• Susan A Vassallo, MD
• Kimberley O Vassar
• Cashana Tyveshe Vassell
• Athanasios Vassilopoulos, MD
• Stephanos Vassilopoulos, MD

• Community Health Worker in Boston, MA
• Providers in Boston, 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 Jul 18, 2023; 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.