MAYA DAVIDA POORVU (NPI# 1891164984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891164984 |
| Entity Type | Individual |
| Full Name | MAYA DAVIDA POORVU |
| Credential | NP |
| Practice Address |
10 Gove St East Boston MA 02128-1920 |
| Practice Telephone | 6175695800 |
| Practice Fax Number | 6175684780 |
| Mailing Telephone | 6175695800 |
| Mailing Fax Number | 6175684780 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
RN2273369 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10 GOVE ST |
| City | EAST BOSTON |
| State | MA |
| Zip Code | 02128-1920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275530719 | Jackie S Fantes | Family Medicine | 10 Gove St, East Boston, MA 02128-1920 | 2005-06-30 |
| 1528679198 | Nicole Marie Ciolfi | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2020-08-16 |
| 1396356663 | Zoe Blatt | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1931 | 2020-08-11 |
| 1750904710 | Jessica Syswerda | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2020-05-26 |
| 1639791650 | Megan Julia Aitro | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1931 | 2020-05-13 |
| 1568013175 | Michael Domenic Defabrizio | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2019-09-25 |
| 1699325902 | Elyse Marie Riegel | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2019-09-18 |
| 1568010536 | Silvia Pomares | Counselor | 10 Gove St, East Boston, MA 02128-1920 | 2019-09-03 |
| 1215580691 | Sarah M Diamond | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2019-07-24 |
| 1356993596 | Nairobi Oller-laureano | Registered Nurse | 10 Gove St, East Boston, MA 02128-1931 | 2019-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562976 | Kristen Pompey | Speech-Language Pathologist | 244 Paris St Apt 3e, East Boston, MA 02128 | 2020-09-11 |
| 1073122271 | Candice Elene Newmyer | Nurse Practitioner | East Boston Neighborhood Health Center, 10 Gove St, East Boston, MA 02128 | 2020-07-24 |
| 1881155414 | Lucas Felipe Bastos Horta | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Shapiro Primary Care, Precepting Room, Boston, MA 02128 | 2019-03-27 |
| 1245729763 | Josie A Kramer | Registered Nurse | 213 Webster Street, Unit 1, Boston, MA 02128 | 2018-05-10 |
| 1457875775 | Bremen Physical Therapy | Clinic/Center | 464 Bremen St. Suite 4b, East Boston, MA 02128 | 2017-07-28 |
| 1174907588 | Vivian Karina Ibanez | Specialist | 130 Condor Street, East Boston, MA 02128 | 2015-07-15 |
| 1326459546 | Excel Physical Therapy, Inc. | Clinic/Center | 2 Neptune Rd Suite 171, East Boston, MA 02128 | 2014-05-09 |
| 1427394824 | D.a.w., L.L.C. | Durable Medical Equipment & Medical Supplies | 20 Maverick Sq, East Boston, MA 02128 | 2012-12-13 |
| 1356600019 | Rebekah Bronwyn Sheppard | Doula | 253 Webster Street, Boston, MA 02128 | 2012-05-15 |
| 1629340484 | Shahi Lavail Smart Sr. | Counselor | 512 Border Street, #d, East Boston, MA 02128 | 2012-02-08 |
| Find all providers in zip 02128 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590514 | Shaina Kulbersh | Nurse Practitioner | 701 Cambridge St Unit A, Brighton, MA 02135-2803 | 2019-10-21 |
| 1215484761 | Kimberly Angelini | Nurse Practitioner | 2 Haven St., Suite 309, Reading, MA 01867 | 2016-09-01 |
| 1588117188 | Carolina Lopes | Nurse Practitioner | 48 Carlotta Ave, Hyannis, MA 02601-3432 | 2016-07-29 |
| 1780093757 | Sarah Epstein | Nurse Practitioner | 100 Andover Bypass Ste 300, North Andover, MA 01845 | 2014-08-04 |
| 1235441957 | Marina D Goldman | Nurse Practitioner | 395 Pleasant Street, Northampton, MA 01060 | 2010-07-10 |
| 1164654190 | Kirsten T Kowalski | Nurse Practitioner | 34 Main St Ste 1, Amherst, MA 01002-2356 | 2009-08-09 |
| 1952428815 | Natalya Carney | Nurse Practitioner | 10 Westgate Rd, Framingham, MA 01701-8836 | 2007-03-24 |
| 1689747164 | Makeda Kamara | Nurse Practitioner | 39 Dracut St, Dorchester Center, MA 02124-3818 | 2006-11-15 |
| 1699866970 | Maria Lopiano | Nurse Practitioner | 1 Park Way Fl 4, Haverhill, MA 01830-6278 | 2006-09-28 |
| 1427059021 | Cindy Munro Popovic | Nurse Practitioner | 100 Medway Rd, Milford, MA 01757-2923 | 2005-08-03 |
| Find all providers with the same taxonomy | ||||
| City | EAST BOSTON |
| Zip Code | 02128 |
Please comment or provide details below to improve the information on MAYA DAVIDA POORVU.
| 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.