KRISTEN H GOODELL (NPI# 1134329691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134329691 |
| Entity Type | Individual |
| Full Name | KRISTEN H GOODELL |
| Other Name | KRISTEN HANSSEN |
| Credential | MD |
| Practice Address |
11 Melnea Cass Blvd Boston MA 02119 |
| Mailing Address |
801 Albany Street Fl G Boston MA 02119-3791 |
| Practice Telephone | 6174142080 |
| Practice Fax Number | 6174142090 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 232592 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110076041A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Boston Medical Center Place, Dowling 5, Boston, MA 02118 | 6174144465 | 6174143345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487900221 | Kristen Goodell | Marriage & Family Therapist | 2075 Corte Del Nogal Ste K, Carlsbad, CA 92011-1414 | 2012-07-31 |
| Street Address |
11 MELNEA CASS BLVD |
| City | BOSTON |
| State | MA |
| Zip Code | 02119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316911399 | Lana Habash | Family Medicine | 11 Melnea Cass Blvd, Boston, MA 02119-4401 | 2006-02-15 |
| 1851868111 | Joanna Ly | Nurse Practitioner | 11 Melnea Cass Blvd, Boston, MA 02119-4401 | 2018-10-25 |
| 1164901146 | Rebecca Anne Bilodeau | Social Worker | 11 Melnea Cass Blvd, Boston, MA 02119-4401 | 2018-08-09 |
| 1619327566 | Claire M Lyons | Family Medicine | 11 Melnea Cass Blvd, Boston, MA 02119-4401 | 2016-06-21 |
| 1023209129 | Katherine A Gergen Barnett | Family Medicine | 11 Melnea Cass Blvd, Boston, MA 02119-4401 | 2007-08-05 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386260594 | Form Health Associates (ma), P.C. | Family Medicine | 179 Lincoln St Ste 404, Boston, MA 02111-2425 | 2020-06-23 |
| 1043835044 | Form Health Associates, P.C. | Family Medicine | 179 Lincoln St Fl 4, Boston, MA 02111-2424 | 2020-06-15 |
| 1578099404 | Medexpress Primary Care Massachusetts, P.C. | Family Medicine | 578 Huntington Ave Fl 2, Boston, MA 02115-5902 | 2017-05-11 |
| 1144761438 | Shravya Budidi | Family Medicine | 72 E Concord St # 2600, Boston, MA 02118-2642 | 2017-03-20 |
| 1942650106 | Morgan Younkin | Family Medicine | 801 Massachusetts Ave Fl 2, Boston, MA 02118-2605 | 2016-06-20 |
| 1205220126 | Brian T Kroener | Family Medicine | 1 Dowling Medical Center Place, Dowling 5, Boston, MA 02119-2908 | 2015-03-28 |
| 1093129488 | Maya Yasmin Mauch | Family Medicine | South End Community Health Center, 1601 Washington St., Boston, MA 02118 | 2014-06-13 |
| 1528478500 | Maria Joan Bachman | Family Medicine | Boston Medical Center, 1 Bmc Place, Department of Family Medicine / Dowling 5, Boston, MA 02118 | 2014-04-30 |
| 1154680668 | Brian Robert Clear | Family Medicine | 68 Harrison Ave Fl 6, Boston, MA 02111-1929 | 2012-05-04 |
| 1861750333 | Jessica R Gray | Family Medicine | 720 Harrison Ave., Dob 503, Boston, MA 02118 | 2012-05-02 |
| Find all providers in BOSTON | ||||
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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.