GISELLE BONILLA (NPI# 1821649609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821649609 |
| Entity Type | Individual |
| Full Name | GISELLE BONILLA |
| Practice Address |
77 Warren St # B Brighton MA 02135-3601 |
| Mailing Address |
130 Dana Ave Apt 2 Boston MA 02136-3431 |
| Practice Telephone | 6177871901 |
| Mailing Telephone | 6173083639 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
77 WARREN ST # B |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457443350 | Eve Lyons | Counselor | 77 Warren St # B, Bamha, Brighton, MA 02135-3601 | 2006-09-28 |
| 1194376970 | Olivia Paige | Student in an Organized Health Care Education/Training Program | 77 Warren St # B, Brighton, MA 02135-3601 | 2019-09-24 |
| 1881243954 | Libby Amer | Social Worker | 77 Warren St # B, Brighton, MA 02135-3601 | 2019-09-10 |
| 1962986943 | Jessica Case Newcomb | Counselor | 77 Warren St # B, Brighton, MA 02135-3601 | 2018-09-17 |
| 1164940664 | Benjamin William Darling | Counselor | 77 Warren St # B, Brighton, MA 02135-3601 | 2017-09-05 |
| 1962948018 | Brittany Synott Johnston | Counselor | 77 Warren St # B, Brighton, MA 02135-3601 | 2017-01-13 |
| 1386190460 | Cassandra Guercia | Counselor | 77 Warren St # B, Brighton, MA 02135-3601 | 2016-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| Find all providers in zip 02135 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306459003 | Michael Thomas Lank | Student in an Organized Health Care Education/Training Program | 19 Turner St, Brighton, MA 02135-2882 | 2020-08-24 |
| 1417565268 | Ahmet Tosun | Student in an Organized Health Care Education/Training Program | Steward St. Elizabeth's Hospital, 736 Cambridge Street Smc8, Brighton, MA 02135-2901 | 2020-07-17 |
| 1477172120 | Vasin Palanukorn | Student in an Organized Health Care Education/Training Program | 310 Faneuil St Apt 2, Brighton, MA 02135-2686 | 2020-04-13 |
| 1518597392 | Soyoun Park | Student in an Organized Health Care Education/Training Program | 267 Corey Rd, Brighton, MA 02135-8365 | 2020-01-22 |
| 1366089278 | Mackenzie Jordan | Student in an Organized Health Care Education/Training Program | 1427 Commonwealth Ave Apt 205, Brighton, MA 02135-6217 | 2019-12-10 |
| 1043871502 | Yunhee Kim | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street., Cmp2, Rm 213, Brighton, MA 02135-2907 | 2019-06-25 |
| 1912440363 | Samantha Werner | Student in an Organized Health Care Education/Training Program | 15371 Kingston St, Brighton, CO 80602-7439 | 2016-12-01 |
| 1528417441 | Eran Brauner | Student in an Organized Health Care Education/Training Program | 276 Chestnut Hill Ave, Brighton, MA 02135-5936 | 2016-06-10 |
| 1215303839 | Laura Jean Rambikur | Student in an Organized Health Care Education/Training Program | 1725 Commonwealth Ave, Apt #3, Brighton, MA 02135-4022 | 2015-08-18 |
| 1588089262 | Rachel Mcmanus | Student in an Organized Health Care Education/Training Program | 27 S Crescent Circuit, Apt. B, Brighton, MA 02135 | 2014-03-04 |
| Find all providers in BRIGHTON | ||||
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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.