BOSTON VAMC (NPI# 1447290176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447290176 |
| Entity Type | Organization |
| Organization Name | BOSTON VAMC |
| Other Organization Name | LOWELL VA CBOC |
| Practice Address |
130 Marshall Rd Lowell MA 01852-5130 |
| Mailing Address |
Po Box 3012 Lebanon PA 17042-3012 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lowell VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215995410 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 251 Causeway St, Boston, MA 02114-2148 | 2006-05-04 |
| 1861887721 | Boston Vamc | Clinic/Center | 150 S Huntington Ave, Boston, MA 02130-4817 | 2015-03-30 |
| 1952650525 | Boston Vamc | Clinic/Center | 116 Long Pond Rd, Plymouth, MA 02360-2663 | 2012-08-29 |
| 1497851802 | Boston Vamc | General Acute Care Hospital | 150 S Huntington Ave, Boston, MA 02130-4817 | 2006-09-15 |
| 1730127952 | Boston Vamc | Clinic/Center | 110 W Squantum St, Quincy, MA 02171-2122 | 2006-06-02 |
| 1184677213 | Boston Vamc | Clinic/Center | 61 Lincoln St, Suite 112, Framingham, MA 01702-8264 | 2006-05-18 |
| 1912958596 | Boston Vamc | Clinic/Center | 251 Causeway St, Boston, MA 02114-2148 | 2006-05-16 |
| 1508815549 | Boston Vamc | General Acute Care Hospital | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-05-08 |
| 1023066529 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-05-05 |
| 1306894613 | Boston Vamc | General Acute Care Hospital | 940 Belmont St, Brockton, MA 02301-5596 | 2006-05-05 |
| Street Address |
130 MARSHALL RD |
| City | LOWELL |
| State | MA |
| Zip Code | 01852-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720079668 | Meredith A Enright | Nurse Practitioner | 130 Marshall Rd, Lowell, MA 01852-5130 | 2005-10-31 |
| 1801401336 | Kristin Latino | Occupational Therapist | 130 Marshall Rd, Lowell, MA 01852-5130 | 2020-09-11 |
| 1881119733 | Justin Mayhew | Dietitian, Registered | 130 Marshall Rd, Lowell, MA 01852-5130 | 2017-08-11 |
| 1376786715 | Keiya Angenette Myles | Social Worker | 130 Marshall Rd, Lowell, MA 01852-5130 | 2009-04-15 |
| 1861681934 | Alexander J Scerbo | Clinical Nurse Specialist | 130 Marshall Rd, Lowell Cboc, Lowell, MA 01852-5130 | 2007-10-15 |
| 1760684955 | Shivani Motkar Reddy | Internal Medicine | 130 Marshall Rd, Lowell, MA 01852-5130 | 2007-06-01 |
| 1750509063 | Sun Ok Lee | Nurse Practitioner | 130 Marshall Rd, Lowell, MA 01852-5130 | 2007-04-23 |
| 1659408235 | Diane F Clinton | Registered Nurse | 130 Marshall Rd, Lowell, MA 01852-5130 | 2007-02-28 |
| 1619038015 | Nicole Marie Powell | Social Worker | 130 Marshall Rd, Lowell, MA 01852-5130 | 2006-12-12 |
| 1235222019 | Joanne Mary Lyson | Physical Therapist | 130 Marshall Rd, Lowell, MA 01852-5130 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244747 | Erin Elisabeth Burke | Specialist/Technologist | 424 Douglas Rd, Lowell, MA 01852 | 2019-09-12 |
| 1235799602 | Osvaldo Rivera | Social Worker | 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 | 2019-06-18 |
| 1003393620 | Erin Maureen Hurley | Social Worker | 34 Newhall Street #204, Lowell, MA 01852 | 2018-07-26 |
| 1699273540 | Laura Ardila | Registered Nurse | 10 Linden St, Lowell, MA 01852 | 2018-01-25 |
| 1285153692 | Ashley Holmes | Counselor | 77 E Merrimack Street, Lowell, MA 01852 | 2017-09-18 |
| 1932627155 | Veronica H Birungi | Registered Nurse | 257 West Manchester Street, Lowell, MA 01852 | 2017-09-08 |
| 1255859245 | Kalyn Lee O'brien | Counselor | 77 E Merrimack St., Lowell, MA 01852 | 2017-08-30 |
| 1912424920 | Danielle Dirton | Behavior Technician | 106 Lundberg St. Unit 10, Lowell, MA 01852 | 2017-08-30 |
| 1770007072 | Leena Chann | Registered Nurse | 166 Central St., Lowell, MA 01852 | 2017-07-28 |
| 1942724257 | Stephanie Catherine Joubert | Registered Nurse | 166 Central Street, Lowell, MA 01852 | 2017-07-28 |
| Find all providers in zip 01852 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407399298 | Northampton Vamc | Clinic/Center | 55 N. Lake Avenue, 7th Floor, Worcester, MA 01655-0002 | 2016-11-28 |
| 1265832943 | Milton Vazquez | Clinic/Center | 95 Ashley Ave Ste A, Springfield Vet Center, West Springfield, MA 01089-1352 | 2014-08-29 |
| 1659665537 | Northampton Vamc | Clinic/Center | 881 Main Street, Phillip J. Philbin Federal Building, Fitchburg, MA 01420-3057 | 2011-06-08 |
| 1083767503 | Northampton Vamc | Clinic/Center | 143 Munson St, Greenfield, MA 01301-9694 | 2007-01-19 |
| 1033156518 | Northampton Vamc | Clinic/Center | 73 Eagle St, Pittsfield, MA 01201-4714 | 2006-06-01 |
| 1902851306 | Providence Vamc | Clinic/Center | 233 Stevens St, Hyannis, MA 02601-3766 | 2006-05-23 |
| 1417301714 | Northampton Vamc | Clinic/Center | 377 Plantation St, Building #4, Worcester, MA 01605-2300 | 2016-04-22 |
| 1861887721 | Boston Vamc | Clinic/Center | 150 S Huntington Ave, Boston, MA 02130-4817 | 2015-03-30 |
| 1952650525 | Boston Vamc | Clinic/Center | 116 Long Pond Rd, Plymouth, MA 02360-2663 | 2012-08-29 |
| 1669766564 | Northampton Vamc | Clinic/Center | 605 Lincoln St, Worcester, MA 01605-1901 | 2011-06-08 |
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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.