MIA HADDAD (NPI# 1790393502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790393502 |
| Entity Type | Individual |
| Full Name | MIA HADDAD |
| Credential | ACCNS-AG |
| Practice Address |
55 Fruit St Boston MA 02114-2621 |
| Mailing Address |
52 Oregon Rd Southborough MA 01772-2015 |
| Practice Telephone | 6177242321 |
| Mailing Telephone | 6035050152 |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
RN2274345 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
55 FRUIT ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465888 | Michael A Nichols | Nurse Anesthetist, Certified Registered | 55 Fruit St, Boston, MA 02114-2696 | 2005-05-31 |
| 1740881374 | Katelyn Mary Bushey | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2696 | 2020-11-02 |
| 1316546849 | Amy Lauren Greenblatt | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-26 |
| 1134728116 | Stephanie Qualls | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-21 |
| 1811596190 | Andrea S Hansen | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-19 |
| 1649879974 | Barbara Healy | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-19 |
| 1770181117 | Molly Cristina Reynolds | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-16 |
| 1245838325 | Katerina Eleni Kafkas | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-12 |
| 1578179040 | Vivian Ellen Donahue | Registered Nurse | 55 Fruit St, Boston, MA 02114-2696 | 2020-09-21 |
| 1699380956 | Joanne Gover | Registered Nurse | 55 Fruit St, Boston, MA 02114-2621 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 364SA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649734153 | Maryalyce Elizabeth Romano | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2621 | 2019-01-29 |
| 1497256366 | Bridgid Joseph | Clinical Nurse Specialist | 330 Brookline Ave, Boston, MA 02215-5400 | 2018-02-26 |
| 1831604875 | Sara Anne Geary | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2621 | 2017-12-13 |
| 1164886958 | Kathleen Mary Breda | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2621 | 2016-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184248478 | Karen Fotino | Clinical Nurse Specialist | 244 Haverhill St, Reading, MA 01867-1808 | 2020-06-02 |
| 1295355048 | Melanie Marco | Clinical Nurse Specialist | 800 Washington St, Norwood, MA 02062-3487 | 2020-04-22 |
| 1528445723 | Jacquelyn Holmberg | Clinical Nurse Specialist | 16 Lincoln St, Gloucester, MA 01930-2000 | 2015-04-27 |
| 1114257938 | Rhona Bernadette Mitchell | Clinical Nurse Specialist | 81 Highland Ave, Salem, MA 01970-2714 | 2009-12-29 |
| 1104089572 | Julie T Rainville | Clinical Nurse Specialist | 41 Highland Ave, Winchester, MA 01890-1446 | 2008-07-07 |
| 1124243548 | Katherine M Saunders | Clinical Nurse Specialist | 85 Herrick St, Beverly, MA 01915-1790 | 2007-04-13 |
| 1215095070 | Mary E Galdauskas | Clinical Nurse Specialist | 759 Chestnut St, Springfield, MA 01107-1619 | 2006-12-05 |
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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.