Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Izadora Thamie Theodore

Individual provider Case Manager/Care Coordinator · NPI 1497554232

Izadora Thamie Theodore is a Case Manager/Care Coordinator in Randolph, Massachusetts. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

400 N Main St
Randolph, MA 02368-4177
Phone: (781) 885-0277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1497554232
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 12, 2025
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025
Mailing address79 Kennedy Rd, Stoughton, MA 02072-3814

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