MS. BRANDY AULT PETERSEN (NPI# 1194904532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194904532 |
Entity Type | Individual |
Full Name | MS. BRANDY AULT PETERSEN |
Credential | RN, MSN, ANP |
Practice Address |
180 George Washington Blvd Hull MA 02045-3069 |
Mailing Address |
110 W Squantum St North Quincy MA 02171-2122 |
Practice Telephone | 6173763000 |
Practice Fax Number | 6177741906 |
Mailing Telephone | 6173763000 |
Mailing Fax Number | 6177741906 |
Enumeration Date | 2007-11-02 |
Last Update Date | 2013-08-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
262850 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
180 GEORGE WASHINGTON BLVD |
City | HULL |
State | MA |
Zip Code | 02045-3069 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427027275 | Jennifer Fossan Sabir | Family Medicine | 180 George Washington Blvd, Manet Community Health Center Inc, Hull, MA 02045-3069 | 2006-03-15 |
1356607584 | Nikita Fitzcharles | Student in an Organized Health Care Education/Training Program | 180 George Washington Blvd, Hull, MA 02045-3069 | 2012-04-02 |
1609931609 | Judith L Lyden | Dietitian, Registered | 180 George Washington Blvd, Manet Community Health Center, Hull, MA 02045-3069 | 2006-12-27 |
1285665018 | Manet Community Health Center, Inc. | Clinic/Center | 180 George Washington Blvd, Hull, MA 02045-3069 | 2006-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134527286 | Bilun Ozbilen | Counselor | 485 Nantasket Ave Unit C, Hull, MA 02045 | 2014-12-05 |
1669756961 | Door Is Open Counseling Center | Counselor | 485 Nantasket Avenue, Unit C, Hull, MA 02045 | 2011-10-05 |
1376758664 | Town of Hull | Public Health or Welfare | 253 Atlantic Ave, 2nd Floor Board of Health, Hull, MA 02045 | 2007-05-11 |
1235254913 | Cleopatra Peterson Knight-wilkins | Occupational Therapist | 10 A Marina Drive, Hull, MA 02045 | 2007-03-20 |
1922161108 | Kenneth James Goodman | Chiropractor | 487 Nantasket Ave, Hull, MA 02045 | 2006-12-18 |
1336157338 | Locke White Dental Associates LLC | Dentist | 529 Nantasket Ave, Hull, MA 02045 | 2006-08-04 |
1699829705 | Goodman Chiropractic Offices | Chiropractor | 487 Nantasket Ave, Hull, MA 02045 | 2007-01-23 |
1942218946 | John A Silva | Dentist | 529 Nantasket Ave, Hull, MA 02045 | 2006-08-04 |
1609884618 | Stephen A Locke | Dentist | 529 Nantasket Ave, Hull, MA 02045 | 2006-08-04 |
1699783605 | Jessica L White | Dentist | 529 Nantasket Ave, Hull, MA 02045 | 2006-08-04 |
Find all providers in zip 02045 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619576121 | Alexander I Hoffman | Nurse Practitioner | 54 Southbourne Rd, Jamaica Plain, MA 02130-4633 | 2020-10-26 |
1104423482 | Paola Buchanan | Nurse Practitioner | 351 Engamore Ln Apt T3, Norwood, MA 02062-2505 | 2020-10-08 |
1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
1902411341 | Anne Marie Marie Dicredico | Nurse Practitioner | 916 Sherwood Forest Ln Unit 916, Saugus, MA 01906-1973 | 2020-09-12 |
1407460322 | Devi Sivanandan | Nurse Practitioner | 18 Dale St Unit 5c, Andover, MA 01810-5663 | 2020-09-08 |
1447863600 | Diana Stephanie Freiberger | Nurse Practitioner | 965 West St, Walpole, MA 02081-1200 | 2020-08-27 |
1063023216 | Christine Cibotti | Nurse Practitioner | 8 Forty Acres Dr, Wayland, MA 01778-2702 | 2020-08-12 |
1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
1295344547 | Janelle Sherry Romain | Nurse Practitioner | 91 Codman Hill Ave, Dorchester, MA 02124-4636 | 2020-07-23 |
1245848852 | Patrice Nicholas | Nurse Practitioner | 14 Shipway Pl, Charlestown, MA 02129-4301 | 2020-07-20 |
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.