BRIDGETT ALEXANDER (NPI# 1699122028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699122028 |
| Entity Type | Individual |
| Full Name | BRIDGETT ALEXANDER |
| Practice Address |
454 Broadway Revere MA 02151-3034 |
| Practice Telephone | 7814858222 |
| Practice Fax Number | 7814858220 |
| Mailing Telephone | 7184858222 |
| Mailing Fax Number | 7814858220 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2019-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
11004 | MA | Behavioral Health & Social Service Providers |
| Street Address |
454 BROADWAY |
| City | REVERE |
| State | MA |
| Zip Code | 02151-3034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346809324 | Eileen Vitale | Registered Nurse | 454 Broadway, Revere, MA 02151-3034 | 2019-06-12 |
| 1760955660 | Tahji Mumford | Registered Nurse | 454 Broadway, Revere, MA 02151-3034 | 2019-01-03 |
| 1679044283 | Sarah N Wagner | Licensed Practical Nurse | 454 Broadway, Revere, MA 02151-3034 | 2018-12-07 |
| 1356850564 | Kristin Hawley | Registered Nurse | 454 Broadway, Revere, MA 02151-3034 | 2017-09-20 |
| 1063931327 | Leyanna Marie Williams | Registered Nurse | 454 Broadway, Revere, MA 02151-3034 | 2017-09-18 |
| 1114478625 | Crescentia Sieh | Registered Nurse | 454 Broadway, Revere, MA 02151-3034 | 2016-10-19 |
| 1427406941 | Andreia De Oliveira | Health Educator | 454 Broadway, Revere, MA 02151-3034 | 2016-05-25 |
| 1639525520 | Israel Molina | Family Medicine | 454 Broadway, Revere, MA 02151-3034 | 2016-05-10 |
| 1710342175 | Stanley Gerald | Registered Nurse | 454 Broadway, Revere, MA 02151-3034 | 2015-12-29 |
| 1336517788 | Shulamit Bel | Physician Assistant | 454 Broadway, Revere, MA 02151-3034 | 2015-09-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558853580 | Carla Richman | Behavioral Analyst | 29 Arnold Street, Revere, MA 02151 | 2018-06-05 |
| 1558859850 | Citizens Physical Therapy Inc | Clinic/Center | 221 Beach St, Revere, MA 02151 | 2018-04-23 |
| 1396254892 | Holness Home Care | Home Health | 959 Revere Beach Parkway, Revere, MA 02151 | 2017-09-27 |
| 1841709938 | Stefanie Finocchio-durham | Acupuncturist | 107 Pearl Ave, Apt 3, Revere, MA 02151 | 2017-09-21 |
| 1174064265 | Hope Noelle Crowe | Behavioral Analyst | 164 Winthrop Parkway, Revere, MA 02151 | 2017-03-09 |
| 1033660469 | Driss Bahraoui | Interpreter | 21 Thornton St #1, Revere, MA 02151 | 2016-10-20 |
| 1568910081 | Lindsey J. Ellermeyer | Student in an Organized Health Care Education/Training Program | Revere Community Counseling, 265 Beach Street, Revere, MA 02151 | 2016-09-13 |
| 1851743470 | Jacqueline Galvez | Counselor | 252 Proctor Ave # 3, Revere, MA 02151 | 2016-07-07 |
| 1518321090 | Kathleen Elizabeth Pellecchia | Health Educator | 454 Broadway Fl 3, Revere, MA 02151 | 2016-04-11 |
| 1780098814 | David A Gross | Internal Medicine | Mgh Revere, 385 Broadway, Revere, MA 02151 | 2014-06-17 |
| Find all providers in zip 02151 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000703 | Jonathan Inz Phd LLC | Psychologist | 100 Cummings Ctr Ste 453, Beverly, MA 01915-6115 | 2020-10-14 |
| 1114524337 | T Psychological Services Professional LLC | Psychologist | 305 Avalon Dr, Bedford, MA 01730-2067 | 2020-10-01 |
| 1235746934 | Alexandra R Nelson Phd | Psychologist | 46 Gerald Rd, Milton, MA 02186-4769 | 2020-09-26 |
| 1396359154 | Theresa Mary Brasier | Psychologist | 25 Birch St Ste A, Milford, MA 01757-3585 | 2020-08-31 |
| 1154934685 | David S Sugarbaker | Psychologist | 1015 Brook Rd, Milton, MA 02186-4114 | 2020-08-25 |
| 1114537131 | Annemarie Baldauf, Psyd, Pllc | Psychologist | 49 Hancock St Ste 104, Cambridge, MA 02139-3188 | 2020-08-04 |
| 1801406103 | Barbara Kellogg Gannon | Psychologist | 30 Western Ave Ste 209, Gloucester, MA 01930-3664 | 2020-08-03 |
| 1992314330 | Deborah Cohen | Psychologist | 25 State St Fl 26, Boston, MA 02109-2700 | 2020-07-30 |
| 1710596697 | Boston Center for Health Psychology and Biofeedback, LLC | Psychologist | 10 Post Office Sq., Ste 800 South, Boston, MA 02109 | 2020-07-27 |
| 1487271664 | Thoughtful Psychiatry, P.C. | Psychologist | 20 W Emerson St Lowr Level, Melrose, MA 02176-3137 | 2020-07-03 |
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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.