CAROLYN JAMIE KUSSMAUL (NPI# 1255859757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255859757 |
| Entity Type | Individual |
| Full Name | CAROLYN JAMIE KUSSMAUL |
| Credential | PA |
| Practice Address |
216 Beacon Street Apt 1 Boston MA 02116 |
| Mailing Address |
216 Beacon St Apt 1 Boston MA 02116-1302 |
| Practice Telephone | 3392226786 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
216 BEACON STREET APT 1 |
| City | BOSTON |
| State | MA |
| Zip Code | 02116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439272 | Dennis Lau | Pharmacist | 21-23 Stanhope St., Boston, MA 02116 | 2020-08-28 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1114407467 | Marissa Shallcross | Social Worker | 120 Boylston Street, Boston, MA 02116 | 2018-08-16 |
| 1245732825 | Rachel Klein | Social Worker | 39 Boylston Street, Boston, MA 02116 | 2018-02-28 |
| 1447759691 | Yintuition Wellness, Pllc | Acupuncturist | 551 Boylston St., Suite 4, Boston, MA 02116 | 2018-02-02 |
| 1104324094 | Anne Vinick | Social Worker | The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 | 2018-01-25 |
| 1982117743 | Cassandra Xanthos | Social Worker | Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 | 2017-11-14 |
| 1215472634 | Chantel Castro | Counselor | 8 Yarmouth Place Apt #2, Boston, MA 02116 | 2016-12-20 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
| 1770937997 | Yoon-young Heo | Student in an Organized Health Care Education/Training Program | 62 Boylston St, Apt 911, Boston, MA 02116 | 2016-04-14 |
| Find all providers in zip 02116 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435393 | Allison Lee Nocon | Physician Assistant | 289 Beacon St Apt 8, Boston, MA 02116-1263 | 2020-10-20 |
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1639781230 | Amanda Mae Saxton | Physician Assistant | 1410 Columbia Rd Apt 8g, Boston, MA 02127-4016 | 2020-08-17 |
| 1336757137 | Sabrina J Jamiel | Physician Assistant | 144 Calumet St Apt 3, Boston, MA 02120-3378 | 2020-07-17 |
| 1811505969 | Matthew George Cronin | Physician Assistant | 105 Landseer St, Boston, MA 02132-3436 | 2020-07-15 |
| 1902420284 | Rebecca Lee | Physician Assistant | 89 Chester St Apt A5, Boston, MA 02134-2219 | 2020-06-03 |
| 1982239430 | Catherine Dam | Physician Assistant | 357 Commercial St Apt 420, Boston, MA 02109-1236 | 2020-03-05 |
| 1033742390 | Melissa Stathas | Physician Assistant | 32 Fruit St Bldg 5th, Boston, MA 02114-2620 | 2020-02-14 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1275184905 | Danielle Dacunha | Physician Assistant | 42 Worcester Sq Apt 10, Boston, MA 02118-2920 | 2019-09-24 |
| 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.