GEOFFREY WHITLEY (NPI# 1083994404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083994404 |
| Entity Type | Individual |
| Full Name | GEOFFREY WHITLEY |
| Credential | FNP |
| Practice Address |
1 Harborside Dr East Boston MA 02128-2907 |
| Mailing Address |
90 New State Hwy Raynham MA 02767-5460 |
| Practice Telephone | 6175686500 |
| Mailing Telephone | 5088806868 |
| Mailing Fax Number | 5088806848 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2014-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2267850 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 HARBORSIDE DR |
| City | EAST BOSTON |
| State | MA |
| Zip Code | 02128-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619940046 | Alan Mark Smolinski | General Practice | 1 Harborside Dr, East Boston, MA 02128-2907 | 2006-02-08 |
| 1811167596 | American Current Care of Massachusetts PC | Clinic/Center | 1 Harborside Dr, East Boston, MA 02128-2907 | 2008-03-10 |
| 1972629616 | Laura A. Kellogg-abraham | Physical Therapist | 1 Harborside Dr, East Boston, MA 02128-2907 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562976 | Kristen Pompey | Speech-Language Pathologist | 244 Paris St Apt 3e, East Boston, MA 02128 | 2020-09-11 |
| 1073122271 | Candice Elene Newmyer | Nurse Practitioner | East Boston Neighborhood Health Center, 10 Gove St, East Boston, MA 02128 | 2020-07-24 |
| 1881155414 | Lucas Felipe Bastos Horta | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Shapiro Primary Care, Precepting Room, Boston, MA 02128 | 2019-03-27 |
| 1245729763 | Josie A Kramer | Registered Nurse | 213 Webster Street, Unit 1, Boston, MA 02128 | 2018-05-10 |
| 1457875775 | Bremen Physical Therapy | Clinic/Center | 464 Bremen St. Suite 4b, East Boston, MA 02128 | 2017-07-28 |
| 1174907588 | Vivian Karina Ibanez | Specialist | 130 Condor Street, East Boston, MA 02128 | 2015-07-15 |
| 1326459546 | Excel Physical Therapy, Inc. | Clinic/Center | 2 Neptune Rd Suite 171, East Boston, MA 02128 | 2014-05-09 |
| 1427394824 | D.a.w., L.L.C. | Durable Medical Equipment & Medical Supplies | 20 Maverick Sq, East Boston, MA 02128 | 2012-12-13 |
| 1356600019 | Rebekah Bronwyn Sheppard | Doula | 253 Webster Street, Boston, MA 02128 | 2012-05-15 |
| 1629340484 | Shahi Lavail Smart Sr. | Counselor | 512 Border Street, #d, East Boston, MA 02128 | 2012-02-08 |
| Find all providers in zip 02128 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122271 | Candice Elene Newmyer | Nurse Practitioner | East Boston Neighborhood Health Center, 10 Gove St, East Boston, MA 02128 | 2020-07-24 |
| 1568013175 | Michael Domenic Defabrizio | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2019-09-25 |
| 1215580691 | Sarah M Diamond | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2019-07-24 |
| 1104394279 | Jacqueline Marie Fluegel | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2018-11-07 |
| 1801363452 | Heather Elizabeth Crocker | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2018-10-31 |
| 1316440506 | Jessica Lynn Gray | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2018-03-14 |
| 1508364142 | Jasmin Irizarry | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2018-01-29 |
| 1689194011 | Valerie Goodman | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2017-06-27 |
| 1174067987 | Maria Elizabeth Marques | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2016-12-13 |
| 1821547381 | Emily A Chase | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2016-09-26 |
| Find all providers in EAST BOSTON | ||||
| City | EAST BOSTON |
| Zip Code | 02128 |
Please comment or provide details below to improve the information on GEOFFREY WHITLEY.
| 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.