NIKITA FITZCHARLES (NPI# 1356607584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356607584 |
Entity Type | Individual |
Full Name | NIKITA FITZCHARLES |
Credential | MD |
Practice Address |
180 George Washington Blvd Hull MA 02045-3069 |
Mailing Address |
110 W Squantum St North Quincy MA 02171-2122 |
Practice Telephone | 7819254550 |
Practice Fax Number | 7819255052 |
Mailing Telephone | 6173763000 |
Mailing Fax Number | 6177741905 |
Enumeration Date | 2012-04-02 |
Last Update Date | 2016-06-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
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 |
1194904532 | Brandy Ault Petersen | Nurse Practitioner | 180 George Washington Blvd, Hull, MA 02045-3069 | 2007-11-02 |
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 | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275993032 | Tania Rivers | Student in an Organized Health Care Education/Training Program | 485 Nantasket Ave, Hull, MA 02045-2556 | 2016-03-07 |
1881002558 | Stephen Edmund Howley | Student in an Organized Health Care Education/Training Program | 485 Nantasket Ave, Unit C, Hull, MA 02045-2556 | 2014-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497356810 | Alyssa Collins | Student in an Organized Health Care Education/Training Program | 11 Porter Ln, West Dennis, MA 02670-2318 | 2020-11-03 |
1306447636 | Sarah Wieman | Student in an Organized Health Care Education/Training Program | 16 Blossom St Fl 1, Boston, MA 02114-3104 | 2020-11-03 |
1396346920 | Bridget Costello | Student in an Organized Health Care Education/Training Program | 171 Achilles Way, North Attleboro, MA 02763-4021 | 2020-11-01 |
1932709938 | Brianna Mae Duval | Student in an Organized Health Care Education/Training Program | 58 Colborne Rd, Boston, MA 02135-4103 | 2020-10-28 |
1992305338 | Rebecca Rivas | Student in an Organized Health Care Education/Training Program | 419 Court St, Brockton, MA 02302-2809 | 2020-10-26 |
1417556101 | Rachel Socolof | Student in an Organized Health Care Education/Training Program | 40 Boylston St Apt 1, Malden, MA 02148-7803 | 2020-10-22 |
1932707445 | Kennedy Tambi | Student in an Organized Health Care Education/Training Program | 68 Charles St, Fitchburg, MA 01420-7742 | 2020-10-16 |
1821696261 | Julia Elizabeth Erskine | Student in an Organized Health Care Education/Training Program | 119 Boston Ave Apt 1, Medford, MA 02155-3570 | 2020-10-16 |
1962000216 | Cidney Moscovitch | Student in an Organized Health Care Education/Training Program | 232 Chelsea St Apt 2, East Boston, MA 02128-1765 | 2020-10-09 |
1780281279 | Sarah Hamad Alsaggabi | Student in an Organized Health Care Education/Training Program | 55 Traveler St Apt 1310, Boston, MA 02118-2973 | 2020-10-07 |
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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.