Izadora Thamie Theodore

Case Manager/Care Coordinator · Randolph, MA

Individual Active NPI

NPI number 1497554232

Practice location

400 N Main St
Randolph, MA 02368-4177
Phone
(781) 885-0277

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NPI record

NPI
1497554232
Entity type
Individual (Type 1)
Enumeration date
March 12, 2025
Last updated
March 12, 2025
Certified
March 12, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Mailing address

79 Kennedy Rd
Stoughton, MA 02072-3814
Phone
(401) 422-9717

About Izadora Theodore

Izadora Thamie Theodore is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 400 N Main St, Randolph, MA 02368-4177. The NPI number 1497554232 was assigned on March 12, 2025 and the record was last updated on March 12, 2025.

Frequently asked questions

What is the NPI number of Izadora Thamie Theodore?

The NPI number is 1497554232.

What is the phone number of Izadora Theodore?

The phone number listed for the practice location is (781) 885-0277.

Where is Izadora Theodore located?

400 N Main St, Randolph, MA 02368-4177.

What is the taxonomy code for Izadora Theodore?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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