BETHANY ANN SANDERS (NPI# 1417308750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417308750 |
| Entity Type | Individual |
| Full Name | BETHANY ANN SANDERS |
| Other Name | BETHANY ANN CROMBIE |
| Credential | CNP |
| Practice Address |
10 Gove St East Boston MA 02128-1920 |
| Practice Telephone | 6175695800 |
| Practice Fax Number | 6175684780 |
| Mailing Telephone | 6175695800 |
| Mailing Fax Number | 6175684780 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2019-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN2296169 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN2296169 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326517483 | Bethany Sanders | Nurse Practitioner | 480 Bullion Blvd Ste B, Winchester, KY 40391-2933 | 2018-11-19 |
| 1689790263 | Bethany D Sanders | Midwife | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2007-03-22 |
| Street Address |
10 GOVE ST |
| City | EAST BOSTON |
| State | MA |
| Zip Code | 02128-1920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275530719 | Jackie S Fantes | Family Medicine | 10 Gove St, East Boston, MA 02128-1920 | 2005-06-30 |
| 1528679198 | Nicole Marie Ciolfi | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2020-08-16 |
| 1396356663 | Zoe Blatt | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1931 | 2020-08-11 |
| 1750904710 | Jessica Syswerda | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2020-05-26 |
| 1639791650 | Megan Julia Aitro | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1931 | 2020-05-13 |
| 1568013175 | Michael Domenic Defabrizio | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2019-09-25 |
| 1699325902 | Elyse Marie Riegel | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2019-09-18 |
| 1568010536 | Silvia Pomares | Counselor | 10 Gove St, East Boston, MA 02128-1920 | 2019-09-03 |
| 1215580691 | Sarah M Diamond | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2019-07-24 |
| 1356993596 | Nairobi Oller-laureano | Registered Nurse | 10 Gove St, East Boston, MA 02128-1931 | 2019-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562976 | Kristen Pompey | Speech-Language Pathologist | 244 Paris St Apt 3e, East Boston, MA 02128 | 2020-09-11 |
| 1073122271 | Candice Elene Newmyer | Nurse Practitioner | East Boston Neighborhood Health Center, 10 Gove St, East Boston, MA 02128 | 2020-07-24 |
| 1881155414 | Lucas Felipe Bastos Horta | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Shapiro Primary Care, Precepting Room, Boston, MA 02128 | 2019-03-27 |
| 1245729763 | Josie A Kramer | Registered Nurse | 213 Webster Street, Unit 1, Boston, MA 02128 | 2018-05-10 |
| 1457875775 | Bremen Physical Therapy | Clinic/Center | 464 Bremen St. Suite 4b, East Boston, MA 02128 | 2017-07-28 |
| 1174907588 | Vivian Karina Ibanez | Specialist | 130 Condor Street, East Boston, MA 02128 | 2015-07-15 |
| 1326459546 | Excel Physical Therapy, Inc. | Clinic/Center | 2 Neptune Rd Suite 171, East Boston, MA 02128 | 2014-05-09 |
| 1427394824 | D.a.w., L.L.C. | Durable Medical Equipment & Medical Supplies | 20 Maverick Sq, East Boston, MA 02128 | 2012-12-13 |
| 1356600019 | Rebekah Bronwyn Sheppard | Doula | 253 Webster Street, Boston, MA 02128 | 2012-05-15 |
| 1629340484 | Shahi Lavail Smart Sr. | Counselor | 512 Border Street, #d, East Boston, MA 02128 | 2012-02-08 |
| Find all providers in zip 02128 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861057879 | Celia Megha Bora | Nurse Practitioner | 10 Gove St, East Boston, MA 02128 | 2019-05-06 |
| 1013424480 | Jessica Bardina | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2018-01-05 |
| 1528508249 | Michael Alan Brendel | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2017-02-28 |
| 1437696465 | Rose-marie Khnaizir | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2017-01-29 |
| 1245781897 | Colleen Elizabeth Evans | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2016-10-19 |
| 1982065348 | Christina Marie Bertoli | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2016-03-14 |
| 1174932560 | Jennalin Cho Melaragno | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2014-08-11 |
| 1407289945 | Norma Patricia Sanchez | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2013-08-20 |
| 1366691297 | Mary A Breen | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2008-09-16 |
| 1336332360 | Pamela Mae Schuster | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2007-08-22 |
| Find all providers in EAST BOSTON | ||||
| City | EAST BOSTON |
| Zip Code | 02128 |
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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.