MRS. CHRISTINE MARIE BOURGEOIS (NPI# 1366658213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366658213 |
| Entity Type | Individual |
| Full Name | MRS. CHRISTINE MARIE BOURGEOIS |
| Credential | CPNP |
| Practice Address |
500 W Cummings Park Suite 3900 Woburn MA 01801-6503 |
| Mailing Address |
20 Curtis Street Waltham MA 02453 |
| Practice Telephone | 7819328114 |
| Mailing Telephone | 7813302265 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2012-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
237019 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699186957 | Christine Bourgeois | Family Medicine | 1631 S Westnedge Ave, Kalamazoo, MI 49008-1928 | 2014-05-08 |
| 1245660588 | Christine Bourgeois | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2013-11-23 |
| Street Address |
500 W CUMMINGS PARK SUITE 3900 |
| City | WOBURN |
| State | MA |
| Zip Code | 01801-6503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447259163 | Massachusetts Medical & Physical Therapy Associates Inc. | Physical Therapist | 500 W Cummings Park, Suite 2100, Woburn, MA 01801-6503 | 2005-07-14 |
| 1902279789 | Focus Care, Inc. | Home Health | 500 W Cummings Park, Suite 2950, Woburn, MA 01801-6503 | 2015-11-03 |
| 1336518091 | Joshua Adle | Counselor | 500 W Cummings Park, Woburn, MA 01801-6503 | 2015-09-23 |
| 1023411352 | Nathaniel Deknatel | Counselor | 500 W Cummings Park, Woburn, MA 01801-6503 | 2014-10-01 |
| 1609276518 | Sara Eranio | Counselor | 500 W Cummings Park, Suite 3900, Woburn, MA 01801-6503 | 2014-08-27 |
| 1255731550 | Jennifer Hatalla | Counselor | 500 W Cummings Park, Woburn, MA 01801-6503 | 2014-08-25 |
| 1982012076 | Diana Lavancher | Social Worker | 500 W Cummings Park, Suite 3900, Woburn, MA 01801-6503 | 2014-08-01 |
| 1700294956 | Elysia Humphrey | Counselor | 500 W Cummings Park, Woburn, MA 01801-6503 | 2014-07-31 |
| 1336557677 | Kristina Marie Lessard | Counselor | 500 W Cummings Park, Suite 3900, Woburn, MA 01801-6503 | 2014-07-30 |
| 1699186049 | Marissa Kathleen Digilio | Counselor | 500 W Cummings Park, Suite 3900, Woburn, MA 01801-6503 | 2014-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
| 1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
| 1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
| 1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
| 1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
| 1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| Find all providers in zip 01801 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336780451 | Kimberly Jean Healey | Nurse Practitioner | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-09-30 |
| 1598046351 | Lindsay Weinstein | Nurse Practitioner | 7 Alfred St, Baldwin Park II, Woburn, MA 01801-1976 | 2011-09-07 |
| 1114235694 | Lindsay Mccarthy | Nurse Practitioner | 7 Alfred St, Baldwin Park II, Woburn, MA 01801-1976 | 2010-09-19 |
| 1679727762 | Kelly M Galvin | Nurse Practitioner | 7 Alfred St, Baldwin Park II, Woburn, MA 01801-1976 | 2008-11-17 |
| 1760639348 | Caroline Reilley | Nurse Practitioner | 7 Alfred St, Baldwin Park II, Woburn, MA 01801-1976 | 2008-08-26 |
| 1174770754 | Mary Raymond | Nurse Practitioner | 7 Alfred St, Balwin Park II, Woburn, MA 01801-1976 | 2008-08-26 |
| 1780849307 | Bernadette Lane | Nurse Practitioner | 7 Alfred St, Baldwin Park II, Woburn, MA 01801-1976 | 2008-07-23 |
| 1366607970 | Andrea Dicicco | Nurse Practitioner | 7 Alfred St, Baldwin Park II, Woburn, MA 01801-1976 | 2008-07-23 |
| 1396900908 | Nancy Mignosa | Nurse Practitioner | 7 Alfred St, Baldwin Park II, Woburn, MA 01801-1976 | 2008-07-23 |
| 1891955241 | Carolyn A Wells | Nurse Practitioner | 7 Alfred St, Baldwin Park II, Woburn, MA 01801-1976 | 2008-06-10 |
| Find all providers in WOBURN | ||||
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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.