HOLLY BURRIS FONTENOT (NPI# 1447485107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447485107 |
| Entity Type | Individual |
| Full Name | HOLLY BURRIS FONTENOT |
| Credential | RN, MS, WHNP-BC |
| Practice Address |
130 Boylston St Sidney Borum Health Center Boston MA 02116-4608 |
| Practice Telephone | 6174578140 |
| Mailing Telephone | 6174578140 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
226670 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
130 BOYLSTON ST SIDNEY BORUM HEALTH CENTER |
| City | BOSTON |
| State | MA |
| Zip Code | 02116-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306991088 | Sidney Borum Jr. Health Center | Clinic/Center | 130 Boylston St, Boston, MA 02116-4608 | 2007-01-24 |
| 1639328719 | John Matthew Bresnihan | Social Worker | 130 Boylston St, Boston, MA 02216-0001 | 2008-09-15 |
| 1316195985 | Rebecca Henderson | Social Worker | 130 Boylston St, Boston, MA 02116-4608 | 2008-09-08 |
| 1720250194 | Kristy Ann Hardy | Counselor | 130 Boylston St, Boston, MA 02116-4608 | 2008-03-26 |
| 1376713446 | Rachel Allyn Oppenheimer | Counselor | 130 Boylston St, Boston, MA 02116-4608 | 2008-03-05 |
| 1124202106 | Elizabeth-ann Michelle Witkowski | Registered Nurse | 130 Boylston St, Boston, MA 02116-4608 | 2007-12-26 |
| 1891833364 | Elizabeth K Geisel | Social Worker | 130 Boylston St, Boston, MA 02116-4608 | 2007-02-04 |
| 1447306279 | Karin M Burke-lewis | Social Worker | 130 Boylston St, Boston, MA 02116-4608 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439272 | Dennis Lau | Pharmacist | 21-23 Stanhope St., Boston, MA 02116 | 2020-08-28 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1114407467 | Marissa Shallcross | Social Worker | 120 Boylston Street, Boston, MA 02116 | 2018-08-16 |
| 1245732825 | Rachel Klein | Social Worker | 39 Boylston Street, Boston, MA 02116 | 2018-02-28 |
| 1447759691 | Yintuition Wellness, Pllc | Acupuncturist | 551 Boylston St., Suite 4, Boston, MA 02116 | 2018-02-02 |
| 1104324094 | Anne Vinick | Social Worker | The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 | 2018-01-25 |
| 1982117743 | Cassandra Xanthos | Social Worker | Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 | 2017-11-14 |
| 1255859757 | Carolyn Jamie Kussmaul | Physician Assistant | 216 Beacon Street Apt 1, Boston, MA 02116 | 2017-09-05 |
| 1215472634 | Chantel Castro | Counselor | 8 Yarmouth Place Apt #2, Boston, MA 02116 | 2016-12-20 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
| Find all providers in zip 02116 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144861303 | Jennifer Abjornson | Nurse Practitioner | 99 Hudson St Apt 3, Boston, MA 02111-1812 | 2019-09-30 |
| 1770950347 | Yelena Tsybulskiy | Nurse Practitioner | Boston University - Occupational Health Center, 930 Commonwealth Avenue Suite 1200, Boston, MA 02215 | 2015-08-30 |
| 1770701666 | Kathleen Markey Nolan | Nurse Practitioner | 800 Washington Street Box 324, Boston, MA 02111 | 2007-04-23 |
| 1598372427 | Deborah Dill | Nurse Practitioner | 250 Washington St Fl 5, Boston, MA 02108-4603 | 2020-09-24 |
| 1386252682 | Nancy Littlehale | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-22 |
| 1194369199 | Karen Li | Nurse Practitioner | 145 South St, Boston, MA 02111-2826 | 2019-11-01 |
| 1245771773 | Kara Sugihara | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2017-03-16 |
| 1467994848 | Rebecca Leathe | Nurse Practitioner | 55 Fruit St, Cox Building, 5th Floor, Boston, MA 02114-2621 | 2016-11-16 |
| 1801344346 | Maryanne Leavitt Vogel | Nurse Practitioner | 850 Harrison Ave # Yacc5, Boston, MA 02118-4001 | 2016-09-13 |
| 1902267727 | Jamie Tenneill Isaac Jefferson | Nurse Practitioner | 330 Brookline Ave, Bidmc, Department of Ob/gyn, Shapiro 8th Floor, Boston, MA 02215-5400 | 2016-03-08 |
| 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.