MS. BONNY C NOTHERN


Address: 705 Mount Auburn St, Bewell Center, Watertown, MA 02472-1508
Phone: 6179721053

MS. BONNY C NOTHERN (NPI# 1538194865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538194865
Entity Type Individual
Full Name MS. BONNY C NOTHERN
Credential NP
Practice Address 705 Mount Auburn St
Bewell Center
Watertown
MA 02472-1508
Practice Telephone 6179721053
Mailing Telephone 6179721053
Enumeration Date 2006-07-12
Last Update Date 2013-10-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
MA236176 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA NP472601 05

Office Location

Street Address 705 MOUNT AUBURN ST
BEWELL CENTER
City WATERTOWN
State MA
Zip Code 02472-1508

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972570844 May S Chin Social Worker 705 Mount Auburn St, Watertown, MA 02472-1508 2006-03-01
1326513300 Tracy Daugherty Social Worker 705 Mount Auburn St, Watertown, MA 02472-1508 2018-10-05
1780167270 Anne Essaran Social Worker 705 Mount Auburn St, Watertown, MA 02472-1508 2018-09-11
1609356492 Amber Gaia Silverman Social Worker 705 Mount Auburn St, Watertown, MA 02472-1508 2018-08-21
1235619867 Carmel Toomey Steger Social Worker 705 Mount Auburn St, Watertown, MA 02472-1508 2018-08-14
1083122162 Erin Terkoski Young Social Worker 705 Mount Auburn St, Watertown, MA 02472-1508 2018-01-11
1447767082 Melody Rose Chappel Social Worker 705 Mount Auburn St, Watertown, MA 02472-1508 2018-01-04
1437558657 Jennifer Souza Nurse Practitioner 705 Mount Auburn St, Watertown, MA 02472-1508 2014-08-14
1356628184 Healthworks Med Group of Massachusetts P C Clinic/Center 705 Mount Auburn St, Watertown, MA 02472-1508 2011-11-08
1700165347 Jaclyn Lavigne Social Worker 705 Mount Auburn St, Watertown, MA 02472 2011-08-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548735327 Gladys Nakungu Kasansula Counselor Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 2018-10-09
1447741962 Hannah Edward Optometrist 550 Arsenal Street, Watertown, MA 02472 2018-05-21
1982193504 Ruth Audrey Silverstein Social Worker Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 2018-05-09
1376067355 Mostafa Medhati Acupuncturist 265 Lexington St., Watertown, MA 02472 2017-08-01
1003346313 Eric Trant Specialist/Technologist 50 Columbia Street, Watertown, MA 02472 2017-06-19
1477007730 Neangkanika Chea Nurse Practitioner 2 Repton Place, Apt 2204, Watertown, MA 02472 2016-08-04
1396128120 Michelle Soares Darocha Dentist 18 Hovey Street, Watertown, MA 02472 2015-06-29
1760875496 Ece Evin Yildirim Acupuncturist 557 Mt. Auburn St, Watertown, MA 02472 2015-03-05
1396140927 Fabrizia Torazzi Behavioral Analyst 51 Water Street, Suite 200, Watertown, MA 02472 2014-10-24
1265774392 Emilia Ann Fulop Social Worker 127 North Beacon Street, Watertown, MA 02472 2013-03-27
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346322450 Jane M Prendergast Nurse Practitioner 218 Stone St Fl 2, Community Clinic of Jefferson County, Watertown, NY 13601-3211 2006-10-19
1699759100 Dawn Lillian Scott Nurse Practitioner 1511 Washington St, Suite 7, Watertown, NY 13601-9314 2005-11-30
1043202005 Linda M Moser Nurse Practitioner 53 Public Sq, Suite 201, Watertown, NY 13601-2674 2005-08-16
1811431877 Megan Merkel Nurse Practitioner 401 9th Ave Nw, Watertown, SD 57201-1548 2016-12-10
1003203456 Jacklyn Ann Karli Nurse Practitioner 401 9th Ave Nw, Watertown, SD 57201-1548 2015-04-23
1043634652 Np Adult Healthcare Pllc Nurse Practitioner 1511 Washington St, Suite 7, Watertown, NY 13601-9314 2014-02-18
1386899359 Maureen A Skehill Nurse Practitioner 485 Arsenal St, Internal Medicine, Watertown, MA 02472-5091 2008-11-18
1922259373 Debra R Marsala Nurse Practitioner 160 Stone St, Watertown, NY 13601-3250 2008-10-03
1669654414 Mary Dawley Nurse Practitioner 830 Washington St, Watertown, NY 13601-4034 2007-12-04
1831102748 Marcy B Mills Nurse Practitioner 1575 Washington St, Watertown, NY 13601-9367 2006-08-14
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Competitor

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City WATERTOWN
Zip Code 02472

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Dataset Information

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.

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