SANDRA MCCURBIN (NPI# 1073652459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073652459 |
Entity Type | Individual |
Full Name | SANDRA MCCURBIN |
Credential | FNP |
Practice Address |
55 New Dudley St John D Obryant Sbhc Roxbury MA 02119 |
Mailing Address |
1010 Massachusetts Avenue Boston MA 02118 |
Practice Telephone | 6175349509 |
Practice Fax Number | 6175349948 |
Mailing Telephone | 6175342398 |
Mailing Fax Number | 6175344688 |
Enumeration Date | 2007-02-05 |
Last Update Date | 2013-03-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
184272 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LS0200X |
Nurse Practitioner Specialization: School |
184272 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
55 NEW DUDLEY ST JOHN D OBRYANT SBHC |
City | ROXBURY |
State | MA |
Zip Code | 02119 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649319013 | Shantanette Patrice | Social Worker | 55 New Dudley St, John D Obryant Sbhc, Roxbury, MA 02119 | 2007-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
Find all providers in zip 02119 |
Taxonomy Code | 363LS0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851923890 | Karen Hendry | Nurse Practitioner | 1 Petticoat Hill Rd, Williamsburg, MA 01096-9431 | 2020-02-07 |
1790256352 | Christine Marie Smith Sutherland | Nurse Practitioner | 135 Forsyth St Bldg 360, Boston, MA 02115-5024 | 2018-12-07 |
1245696491 | Carol Anne Martin | Nurse Practitioner | 617 Cambridge St, Boston, MA 02134-2460 | 2016-01-04 |
1922213792 | Kathleen Mary Maloney | Nurse Practitioner | 415 South St Ms 034, Brandeis University Health Center, Waltham, MA 02454 | 2007-05-14 |
1982743365 | Cynthia D Johnson Smith | Nurse Practitioner | 240 Medford Ave, Charlestown High School, Charlestown, MA 02129 | 2007-02-05 |
1124164454 | Sylvia Josephine Tuller | Nurse Practitioner | Simon's Rock College, 84 Alford Road, Great Barrington, MA 01230 | 2007-01-30 |
1760483143 | Beverly M Hector-smith | Nurse Practitioner | 621 Huntington Ave, Boston, MA 02115-5801 | 2005-08-09 |
1629310214 | Suffolk University Health and Wellness Services Office | Nurse Practitioner | 73 Tremont St, 5th Floor, Boston, MA 02108-3916 | 2013-03-21 |
1235498916 | Sandra N Hickey | Nurse Practitioner | 255 Grapevine Rd, Wenham, MA 01984-1813 | 2012-05-15 |
1417141847 | Marion H Griffin | Nurse Practitioner | 29 Everett St, Lesley University Student Health Service, Cambridge, MA 02138-2702 | 2007-08-29 |
Find all providers with the same taxonomy |
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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.