LINDA COUGHLIN DEBEASI


Address: 330 Brookline Ave, Shapiro Clinical Center, 6th Floor., Boston, MA 02215-5400
Phone: 6176679600

LINDA COUGHLIN DEBEASI (NPI# 1063791069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063791069
Entity Type Individual
Full Name LINDA COUGHLIN DEBEASI
Credential RN/NP
Practice Address 330 Brookline Ave
Shapiro Clinical Center, 6th Floor.
Boston
MA 02215-5400
Practice Telephone 6176679600
Enumeration Date 2011-08-08
Last Update Date 2011-08-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
RN151745 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 330 BROOKLINE AVE
SHAPIRO CLINICAL CENTER, 6TH FLOOR.
City BOSTON
State MA
Zip Code 02215-5400

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1245842319 Emily Anne Keegan Nurse Practitioner 330 Brookline Ave, Boston, MA 02215-5400 2020-08-20
1043822505 Ann Korkidakis Student in an Organized Health Care Education/Training Program 330 Brookline Ave, Kirstein 3, Boston, MA 02215-5400 2020-08-17
1023628468 Bryar Hasenjaeger Nurse Practitioner 330 Brookline Ave, Boston, MA 02215-5400 2020-07-31
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1386252682 Nancy Littlehale Nurse Practitioner 330 Brookline Ave, Boston, MA 02215-5400 2020-07-22
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NPI Name Taxonomy Address Enumeration
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1922665439 Corey Shaphard Miller Student in an Organized Health Care Education/Training Program 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 2019-05-21
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1790159697 Malgorzata E Smas Nurse Practitioner 16 Anderson St Apt 2, Boston, MA 02114-3645 2015-11-16
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1023628468 Bryar Hasenjaeger Nurse Practitioner 330 Brookline Ave, Boston, MA 02215-5400 2020-07-31
1659925907 Jacqueline Suzanne Roman Nurse Practitioner 55 Fruit St, Boston, MA 02114-2696 2019-07-25
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Competitor

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City BOSTON
Zip Code 02215

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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