MICKER SAMIOS (NPI# 1770036097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770036097 |
| Entity Type | Individual |
| Full Name | MICKER SAMIOS |
| Credential | NP |
| Practice Address |
1340 Boylston St Boston MA 02215 |
| Mailing Address |
1340 Boylston St Boston MA 02215-4302 |
| Practice Telephone | 6172670900 |
| Practice Fax Number | 6172473460 |
| Mailing Telephone | 6172670900 |
| Mailing Fax Number | 6172473460 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2332729 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1340 Boylston St, Boston, MA 02215 | 6172670900 | 6172473460 |
| 3715 Union Rd, Gastonia, NC 280568044 | 7048548202 |
| Street Address |
1340 BOYLSTON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477541217 | Stephen Louis Boswell | Internal Medicine | 1340 Boylston St, Boston, MA 02215-4302 | 2005-10-06 |
| 1629681762 | Yvette Leblanc | Counselor | 1340 Boylston St, Boston, MA 02215-4302 | 2020-08-28 |
| 1689299521 | Simonne Katz | Social Worker | 1340 Boylston St, Boston, MA 02215-4302 | 2020-06-16 |
| 1922622992 | Emily Price | Social Worker | 1340 Boylston St, Boston, MA 02215-4302 | 2020-06-04 |
| 1962021931 | Emily F Thomas | Student in an Organized Health Care Education/Training Program | 1340 Boylston St, Boston, MA 02215-4302 | 2020-04-10 |
| 1720616303 | Dena Anne Shuster | Student in an Organized Health Care Education/Training Program | 1340 Boylston St, Boston, MA 02215-4302 | 2020-03-30 |
| 1427688282 | Annie Lynn Crossman | Counselor | 1340 Boylston St, Boston, MA 02215-4302 | 2020-01-21 |
| 1902452022 | Sophia Turner Axtman | Nurse Practitioner | 1340 Boylston St, Boston, MA 02215-4302 | 2019-08-14 |
| 1063065290 | Christina M King | Social Worker | 1340 Boylston St, Boston, MA 02215-4302 | 2019-07-17 |
| 1912563180 | Julian Allroth Dormitzer | Nurse Practitioner | 1340 Boylston St, Boston, MA 02215-4302 | 2019-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968461 | Naira Aleksanyan | Nurse Practitioner | 5 Ellis St, Boston, MA 02119-3728 | 2020-10-04 |
| 1154930048 | Patricia M Ciarleglio | Nurse Practitioner | 51 Franklin St Ste 400, Boston, MA 02110-1335 | 2020-07-27 |
| 1689292161 | Barbara Regina Massa | Nurse Practitioner | 738 E 5th St, Boston, MA 02127-3260 | 2020-07-10 |
| 1114541976 | Ellie Gonyeau | Nurse Practitioner | 17 S Russell St, Boston, MA 02114-3990 | 2020-06-07 |
| 1295357390 | Margaret Sherwood | Nurse Practitioner | 155 W Concord St # 1, Boston, MA 02118-1507 | 2020-05-12 |
| 1760017008 | Venifa White | Nurse Practitioner | 40 Kingsdale St Apt 4, Boston, MA 02124-1700 | 2020-03-06 |
| 1063059467 | Shevonne Renee Linnane | Nurse Practitioner | 619 Adams St Apt 1, Boston, MA 02122-2569 | 2019-12-04 |
| 1730737602 | Melanie Matthews | Nurse Practitioner | 14 Worthington St, Boston, MA 02120-1605 | 2019-09-03 |
| 1114585940 | Jessica Paige Oliver | Nurse Practitioner | 2557 State Line Rd, Boston, GA 31626-2441 | 2019-06-05 |
| 1760944748 | Melissa Stanvick | Nurse Practitioner | 117 Park Dr Apt 5, Boston, MA 02215-5114 | 2019-04-01 |
| 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.