MARIE BERNARD (NPI# 1619921715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619921715 |
| Entity Type | Individual |
| Full Name | MARIE BERNARD |
| Credential | N.P. |
| Practice Address |
1353 Dorchester Ave Dorchester MA 02122-2932 |
| Mailing Address |
22 Lincoln St Winchester MA 01890-2025 |
| Practice Telephone | 6172883230 |
| Practice Fax Number | 6172884377 |
| Mailing Telephone | 7817216262 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LS0200X |
Nurse Practitioner Specialization: School |
181681 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | RN/NP LICENSE | 181681 | 01 |
| MA | STATE CONTROLLED LICENSE | MB0610039I | 01 |
| MA | FEDERAL DEA REGISTRATION | MB1321479 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245515865 | Marie Bernard | Licensed Practical Nurse | 10330 219th St, Queens Village, NY 11429-2019 | 2011-10-14 |
| 1710057625 | Marie G Bernard | Family Medicine | 111 Rt 31, Suite 111, Flemington, NJ 08822-5772 | 2006-11-08 |
| 1093750127 | Marie Antoinette Bernard | Preventive Medicine | 34-33 Junction Blvd, 2nd Floor, Corona, NY 11372 | 2006-06-20 |
| 1760854533 | Marie Gretta Bernard | Licensed Practical Nurse | 404 Creek Crossing Blvd, Hainesport, NJ 08036-2768 | 2015-10-20 |
| 1043288970 | Marie A Bernard | Internal Medicine | 825 Ne 10th St, Oupb 4400, Oklahoma City, OK 73104-5417 | 2006-03-08 |
| Street Address |
1353 DORCHESTER AVE |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02122-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750340410 | Holly L Goodale | Specialist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2006-03-21 |
| 1841891728 | Christopher White | Physical Therapist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-11-05 |
| 1790393767 | Daniel Rabinowicz | Physical Therapist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-07-16 |
| 1902432826 | Dorreen Danesh | Internal Medicine | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-03-23 |
| 1174179857 | Yue Yu | Optometrist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2019-08-17 |
| 1316410376 | Rachel Wasserman | Nurse Practitioner | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2019-01-02 |
| 1114402807 | Dorchester House Multi Service Center | Clinic/Center | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-09-27 |
| 1861988503 | Sirena Huang | Optometrist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-07-05 |
| 1336634526 | Stephen Cronk | Dentist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-06-29 |
| 1356842934 | Kyle Andrew Bertram | Pharmacist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720875 | Joey Mark Nguyen | Pharmacist | 747 Gallivan Blvd, Dorchester, MA 02122 | 2020-08-14 |
| 1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
| 1336789528 | Katheline Leconte | Social Worker | 230 Bowdoin Street, Dorchester, MA 02122 | 2020-01-15 |
| 1700374725 | Renee Ahern | Registered Nurse | 398 Neponset Ave., Dorchester, MA 02122 | 2018-04-25 |
| 1861902371 | Bridget Mary Walsh | Specialist/Technologist | 519 Ashmont St, Dorchester, MA 02122 | 2017-10-10 |
| 1649798133 | Roosevelt Lewis IIi | Registered Nurse | 1486 Dorchester Ave Ste 206, Boston, MA 02122 | 2017-09-05 |
| 1811427404 | Hanh Nguyen | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122 | 2017-06-15 |
| 1669902474 | Thuy T Nguyen | Counselor | 415 Neponset Avenue, Dorchester, MA 02122 | 2017-06-14 |
| 1093262651 | David Scot Rapaport | Counselor | 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 | 2016-09-01 |
| 1104372960 | Kevin Lyn Sisson | Student in an Organized Health Care Education/Training Program | 417 Neponset Ave, Boston, MA 02122 | 2016-08-31 |
| Find all providers in zip 02122 | ||||
| Taxonomy Code | 363LS0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851923890 | Karen Hendry | Nurse Practitioner | 1 Petticoat Hill Rd, Williamsburg, MA 01096-9431 | 2020-02-07 |
| 1790256352 | Christine Marie Smith Sutherland | Nurse Practitioner | 135 Forsyth St Bldg 360, Boston, MA 02115-5024 | 2018-12-07 |
| 1245696491 | Carol Anne Martin | Nurse Practitioner | 617 Cambridge St, Boston, MA 02134-2460 | 2016-01-04 |
| 1922213792 | Kathleen Mary Maloney | Nurse Practitioner | 415 South St Ms 034, Brandeis University Health Center, Waltham, MA 02454 | 2007-05-14 |
| 1982743365 | Cynthia D Johnson Smith | Nurse Practitioner | 240 Medford Ave, Charlestown High School, Charlestown, MA 02129 | 2007-02-05 |
| 1124164454 | Sylvia Josephine Tuller | Nurse Practitioner | Simon's Rock College, 84 Alford Road, Great Barrington, MA 01230 | 2007-01-30 |
| 1760483143 | Beverly M Hector-smith | Nurse Practitioner | 621 Huntington Ave, Boston, MA 02115-5801 | 2005-08-09 |
| 1629310214 | Suffolk University Health and Wellness Services Office | Nurse Practitioner | 73 Tremont St, 5th Floor, Boston, MA 02108-3916 | 2013-03-21 |
| 1235498916 | Sandra N Hickey | Nurse Practitioner | 255 Grapevine Rd, Wenham, MA 01984-1813 | 2012-05-15 |
| 1417141847 | Marion H Griffin | Nurse Practitioner | 29 Everett St, Lesley University Student Health Service, Cambridge, MA 02138-2702 | 2007-08-29 |
| Find all providers with the same taxonomy | ||||
| City | DORCHESTER |
| Zip Code | 02122 |
Please comment or provide details below to improve the information on MARIE BERNARD.
| 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.