BENJAMIN LAWRENCE GRANT (NPI# 1417390881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417390881 |
| Entity Type | Individual |
| Full Name | BENJAMIN LAWRENCE GRANT |
| Practice Address |
165 Charles River Plaza Suite 404 Occupational Health Services Boston MA 02114-0000 |
| Mailing Address |
165 Charles River Plaza Suite 404 Boston MA 02114 |
| Practice Telephone | 6177243909 |
| Practice Fax Number | 6177243944 |
| Mailing Telephone | 6177243909 |
| Mailing Fax Number | 6177243944 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN274235 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN274235 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659872679 | Benjamin William Grant | Behavior Technician | 7932 Summa Ave Ste B2, Baton Rouge, LA 70809-3736 | 2018-02-25 |
| 1114348737 | Benjamin C Grant | Physician Assistant | 100 Michigan St Ne, Mc019, Grand Rapids, MI 49503-2560 | 2013-12-27 |
| 1376766956 | Benjamin Howard Grant | Dentist | 3744 Lavista Rd, Suite B, Decatur, GA 30033-1006 | 2007-04-11 |
| Street Address |
165 CHARLES RIVER PLAZA SUITE 404 OCCUPATIONAL HEALTH SERVICES |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275685117 | Andrew Gottlieb | Nurse Practitioner | 165 Charles River Plaza, Suite 404, Boston, MA 02114-2750 | 2007-01-18 |
| 1174679898 | Patricia Wheeler Shea | Nurse Practitioner | 165 Charles River Plaza, Suite 404, Boston, MA 02114 | 2007-01-26 |
| 1417001769 | Angela Marie Hurley | Nurse Practitioner | 165 Charles River Plaza, Suite 404, Boston, MA 02114 | 2007-01-23 |
| 1770637118 | Gregory Francis Mckenna | Nurse Practitioner | 165 Charles River Plaza, Suite 404, Boston, MA 02114 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
| 1881230027 | Linda Marie Sabo | Nurse Practitioner | 300 Pier 4 Blvd Unit 4j, Boston, MA 02210-2644 | 2019-11-22 |
| 1417479940 | Sarah Jane Georgia | Nurse Practitioner | 165 Cambridge St Ste 301, Boston, MA 02114-2751 | 2017-07-17 |
| 1932597499 | Sheila Brown | Nurse Practitioner | 218 Humboldt Avenue, Boston, MA 02121 | 2015-01-06 |
| 1871902635 | Lindsy Mary Gusiora | Nurse Practitioner | 1 Brookline Ave Ste 105, Boston, MA 02215-3421 | 2014-08-06 |
| 1710308218 | Kristin Fleischmann-rose | Nurse Practitioner | 330 Brookline Ave Fl 5, Breastcare Center, Boston, MA 02215-5400 | 2013-12-31 |
| 1033546700 | Haidang Truong Kelly | Nurse Practitioner | 147 Milk St Fl 3, Boston, MA 02109 | 2013-09-26 |
| 1659620821 | Darlene Electa Sawicki | Nurse Practitioner | 55 Fruit Street, Bigelow 1256, Massachusetts General Hospital, Boston, MA 02114 | 2012-09-04 |
| 1710258371 | Megan Leahy Grady | Nurse Practitioner | 165 Cambridge St., Charles River Plaza 5th Floor Mgh Senior Health, Boston, MA 02114 | 2012-01-13 |
| 1568739480 | Ariel Leora Watriss | Nurse Practitioner | 1340 Boylston St Fl 8, Boston, MA 02215-4302 | 2011-11-21 |
| 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.