MISS NICOLE BOTTINO (NPI# 1982950002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982950002 |
| Entity Type | Individual |
| Full Name | MISS NICOLE BOTTINO |
| Credential | PA-C |
| Practice Address |
319 Longwood Ave Boston MA 02115 |
| Mailing Address |
89 Fairfax Ct Madison NJ 07940-1150 |
| Practice Telephone | 6173553501 |
| Practice Fax Number | 6177300682 |
| Mailing Telephone | 2017392402 |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2018-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00383500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA4441 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 319 Longwood Ave, Boston, MA 021155728 | 6173553501 | 6177300682 |
| Street Address |
319 LONGWOOD AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326040080 | Gary P Kearney | Urology | 319 Longwood Ave, Boston, MA 02115-5728 | 2005-08-12 |
| 1124518329 | Brianna Quintiliani | Physician Assistant | 319 Longwood Ave, Boston, MA 02115 | 2018-05-14 |
| 1831687300 | Kevin Walter Wenner | Physician Assistant | 319 Longwood Ave, Boston, MA 02115-5728 | 2018-04-30 |
| 1740723139 | Shannon Savage | Physician Assistant | 319 Longwood Ave, Boston, MA 02115-5728 | 2016-12-02 |
| 1336591023 | Meghan Leigh Keating | Physician Assistant | 319 Longwood Ave, Floor Six, Boston, MA 02115-5728 | 2016-07-06 |
| 1528418001 | Mary Mihovan | Nurse Practitioner | 319 Longwood Ave, Boston, MA 02115-5728 | 2016-06-15 |
| 1386014173 | Jacqueline Hastings | Nurse Practitioner | 319 Longwood Ave, 6th Floor Sports Medicine, Boston, MA 02115-5728 | 2015-10-06 |
| 1205243078 | Agnieszka Kowalczyk | Pediatrics | 319 Longwood Ave, Boston, MA 02115-5728 | 2014-07-14 |
| 1093121055 | Emily Hanson | Specialist/Technologist | 319 Longwood Ave, Boston, MA 02115-5728 | 2014-07-10 |
| 1053743245 | Rachel Stephanie Shade | Psychologist | 319 Longwood Ave, Boston, MA 02115-5728 | 2013-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780235333 | Emily Fregeau | Physician Assistant | 1 Canal St Unit 518, Boston, MA 02114-2053 | 2019-09-25 |
| 1255853917 | Jessica Amy Casper | Physician Assistant | 110 Francis St., Lmob Suite 3b, Beth Israel Deaconess Medical Center, Neurosurgery Dept, Boston, MA 02215 | 2017-07-13 |
| 1760884688 | Brian Patrick Abbott | Physician Assistant | 17 Tileston St, Apt 4, Boston, MA 02113-1950 | 2014-09-23 |
| 1043489560 | Pamela Veronica Maingon | Physician Assistant | 20 Lime St Apt 2, Boston, MA 02108-1117 | 2008-02-28 |
| 1962558585 | Lori Heather Sinclair | Physician Assistant | Mass General Hospital 55 Fruit Street, Cox 630, Boston, MA 02114 | 2007-01-26 |
| 1013531789 | Jillian Hamlin | Physician Assistant | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2020-05-29 |
| 1578102455 | Madison Altwies | Physician Assistant | 75 Francis St, Boston, MA 02115-6106 | 2019-12-25 |
| 1205482551 | Kendra King | Physician Assistant | 75 Francis St, Boston, MA 02115-6106 | 2019-08-13 |
| 1124598396 | Rebecca Jayne Moriarty | Physician Assistant | 75 Francis St, Boston, MA 02115-6110 | 2018-11-30 |
| 1689151516 | Thomas Doucette | Physician Assistant | 75 Francis St, Boston, MA 02115-6110 | 2018-07-24 |
| 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.