HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC (NPI# 1154435915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154435915 |
| Entity Type | Organization |
| Organization Name | HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC |
| Practice Address |
330 Brookline Ave # E/tcc-2 Boston MA 02215 |
| Mailing Address |
Orthopaedic Surgery 330 Brookline Ave, E/tcc-2 Boston MA 02215 |
| Practice Telephone | 6176673940 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-06-18 |
| Authorized Official Name | MS. SHARON GATES (NURSE PRACTITIONER) |
| Authorized Official Telephone | 6176673940 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 78636 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790113389 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | Durable Medical Equipment & Medical Supplies | 40 Allied Dr Ste 104, Dedham, MA 02026-6146 | 2013-10-17 |
| 1538774443 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | Clinic/Center | 910 Washington St, Dedham, MA 02026-6022 | 2020-09-09 |
| 1972116754 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | Clinic/Center | 910 Washington St, Dedham, MA 02026-6022 | 2020-08-31 |
| 1942334933 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | General Acute Care Hospital | 330 Brookline Ave, Boston, MA 02215 | 2007-03-14 |
| 1235218843 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | Pediatrics | 330 Brookline Ave, Boston, MA 02215 | 2006-11-03 |
| 1508963901 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | General Acute Care Hospital | 330 Brookline Ave, Boston, MA 02215 | 2006-09-20 |
| 1043250616 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | Dermatology | 330 Brookline Ave, Masco 3, Boston, MA 02215 | 2006-06-08 |
| 1316987993 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | Emergency Medicine | 330 Brookline Ave, Boston, MA 02215 | 2006-06-08 |
| 1346281938 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | Pathology | 330 Brookline Ave, Boston, MA 02215 | 2006-06-08 |
| 1770524373 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | Psychiatry & Neurology | 330 Brookline Ave, Boston, MA 02215 | 2006-06-08 |
| Street Address |
330 BROOKLINE AVE # E/TCC-2 |
| City | BOSTON |
| State | MA |
| Zip Code | 02215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 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 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058463 | Alexandra Paz | Nurse Practitioner | 55 Dartmouth St, Boston, MA 02116-5906 | 2020-09-23 |
| 1730795238 | Eun Chung Hong | Nurse Practitioner | 2 Sheldon St Apt 1, Boston, MA 02131-2613 | 2020-09-20 |
| 1306450309 | Latoya Browne | Nurse Practitioner | 33 Taunton Ave, Boston, MA 02136-6027 | 2020-09-07 |
| 1649897778 | Molly Rose | Nurse Practitioner | 118 Commonwealth Ave Apt 4, Boston, MA 02116-2901 | 2020-07-06 |
| 1528686680 | Stephanie Marie Devito | Nurse Practitioner | 55 Fruit Street, Ellison 16, Boston, MA 02114-0211 | 2020-07-06 |
| 1558988832 | Skyla Barnett | Nurse Practitioner | 21 Winfield St Apt 1, Boston, MA 02127-3485 | 2020-07-02 |
| 1871130831 | Sarah Chu | Nurse Practitioner | 5 Longfellow Pl Ste 209, Boston, MA 02114-2839 | 2019-12-09 |
| 1851935134 | Melissa Anne Coates | Nurse Practitioner | 330 Brookline Ave # Shapiro7, Boston, MA 02215-5400 | 2019-10-30 |
| 1992348502 | Paula Jeanne Mooney | Nurse Practitioner | 800 Washington St # 70, Boston, MA 02111-1552 | 2019-10-26 |
| 1538712997 | Valerie Kiers | Nurse Practitioner | 55 Fruit St Ste 3e, Boston, MA 02114-2696 | 2019-07-24 |
| 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.