MISS BEATIE ULTIMO


Address: 185 Pilgrim Rd, Boston, MA 02215-5324
Phone: 6176327000

MISS BEATIE ULTIMO (NPI# 1366917098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366917098
Entity Type Individual
Full Name MISS BEATIE ULTIMO
Credential AGACNP-BC
Practice Address 185 Pilgrim Rd
Boston
MA 02215-5324
Mailing Address Po Box 415348
Boston
MA 02241-5348
Practice Telephone 6176327000
Mailing Telephone 8002258885
Mailing Fax Number 5083341977
Enumeration Date 2018-10-09
Last Update Date 2020-11-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN2287364 MA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
55 Lake Ave N, Worcester, MA 016550002 5083341000

Office Location

Street Address 185 PILGRIM RD
City BOSTON
State MA
Zip Code 02215-5324

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932193851 David Eli Leeman Internal Medicine 185 Pilgrim Rd, Baker 4, Boston, MA 02215-5324 2005-09-07
1669084141 Alyssa Jeanne Kuba Registered Nurse 185 Pilgrim Rd, Boston, MA 02215-5324 2020-08-17
1780209890 Sarah Hannah Lawrence Registered Nurse 185 Pilgrim Rd, Boston, MA 02215-5324 2020-06-15
1740805829 Elizabeth Kelsey Macneil Nurse Practitioner 185 Pilgrim Rd, Boston, MA 02215-5324 2020-06-14
1912529306 Juan Trinidad Ceja Solorio Student in an Organized Health Care Education/Training Program 185 Pilgrim Rd, Boston, MA 02215-5324 2020-05-08
1891316477 Kevin Buczkowski Podiatrist 185 Pilgrim Rd, Boston, MA 02215-5324 2020-05-05
1013536671 Corey Paul Rainboth Counselor 185 Pilgrim Rd, Boston, MA 02215-5324 2020-04-14
1821623042 Justine Delpriore Social Worker 185 Pilgrim Rd, Boston, MA 02215-5324 2020-03-09
1841825023 Marie Ayabe Social Worker 185 Pilgrim Rd, Boston, MA 02215-5324 2020-03-07
1093354466 Katherine Germak Social Worker 185 Pilgrim Rd, Boston, MA 02215-5324 2020-01-02
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
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Competitor

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City BOSTON
Zip Code 02215

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Dataset Information

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.

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