CHRISTINE ANNA CORALLINO (NPI# 1366961310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366961310 |
Entity Type | Individual |
Full Name | CHRISTINE ANNA CORALLINO |
Credential | AGPCNP-BC |
Practice Address |
14 Foster Street #3 Boston MA 02109 |
Mailing Address |
14 Foster St Apt 3 Boston MA 02109-5519 |
Practice Telephone | (603) 867-1960 |
Mailing Telephone | 6038671960 |
Enumeration Date | 2017-09-11 |
Last Update Date | 2017-09-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
2017009488 | MA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | ANCC | 2017009488 | 01 |
Street Address |
14 FOSTER STREET #3 |
City | BOSTON |
State | MA |
Zip Code | 02109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477167385 | Hidden Gems Counseling LLC | Clinic/Center | 6 Liberty Sq, Pmb 452, Boston, MA 02109 | 2020-09-08 |
1710596697 | Boston Center for Health Psychology and Biofeedback, LLC | Psychologist | 10 Post Office Sq., Ste 800 South, Boston, MA 02109 | 2020-07-27 |
1568925311 | Robyn Kievit LLC | Dietitian, Registered | 112 Water Street Suite 203, Boston, MA 02109 | 2019-04-09 |
1023503786 | Merissa Wright | Behavior Technician | 8 Faneuil Hall Marketplace, 3rd Floor, Boston, MA 02109 | 2018-06-26 |
1609322858 | Katelyn Patricia Cloutier | Physical Therapist | 4 Water Street, Boston, MA 02109 | 2016-08-28 |
1033546700 | Haidang Truong Kelly | Nurse Practitioner | 147 Milk St Fl 3, Boston, MA 02109 | 2013-09-26 |
1467701821 | One Medical Group, PC | Internal Medicine | 28 State Street, Suite 2850, Boston, MA 02109 | 2012-08-31 |
1326218397 | Monica E. Zuniga | Counselor | 112 Water St Ste 203, Boston, MA 02109 | 2008-03-06 |
1124215298 | Martin B Silverstein | Internal Medicine | 53 State Street, Boston Consulting Group Exchange Place, Boston, MA 02109 | 2007-10-02 |
1285825562 | Jamie L Davis | Nurse Practitioner | 28 State St. Suite 2860, One Medical Group, Boston, MA 02109 | 2007-08-05 |
Find all providers in zip 02109 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669018370 | Ashley Erin Dimauro | Nurse Practitioner | 155 Federal St Ste 700, Boston, MA 02110-1727 | 2019-11-18 |
1366593774 | Laurie A Talarico | Nurse Practitioner | 239 Causeway St, 2nd Floor, Boston, MA 02114-2130 | 2007-01-13 |
1235237173 | Katherine Concilio | Nurse Practitioner | 72 E Concord Street, Robinson 2, Boston, MA 02118 | 2006-09-21 |
1770191868 | Lindsey Anne Landwehrle | Nurse Practitioner | 10 Gove St, Boston, MA 02128-1931 | 2020-07-15 |
1356977193 | Ricky Pamphile | Nurse Practitioner | 75 Francis St, Boston, MA 02115-6110 | 2020-03-12 |
1184271637 | Susan Jane Ulery | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2019-08-20 |
1952865735 | Vanny Mclean | Nurse Practitioner | 72 E Concord Street, Robinson 2, Boston, MA 02118 | 2019-01-26 |
1699276808 | Neuza Barros Fernandes | Nurse Practitioner | 150 S Huntington Ave, Boston, MA 02130-4817 | 2018-02-22 |
1023522497 | Tram T Tran | Nurse Practitioner | 732 Harrison Ave, Preston, 2nd Floor, Boston, MA 02118 | 2017-11-21 |
1780197194 | Junnie Angelina Charles | Nurse Practitioner | 70 Fulton St, Boston, MA 02109-1402 | 2017-11-07 |
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.