KETTELYNE GILLES (NPI# 1073061883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073061883 |
| Entity Type | Individual |
| Full Name | KETTELYNE GILLES |
| Practice Address |
460 Mystic Ave Unit 402 Somerville MA 02145-1721 |
| Practice Telephone | 6174120243 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
RN2286201 | MA | Nursing Service Providers |
| Street Address |
460 MYSTIC AVE UNIT 402 |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02145-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497230684 | Marisa Katherine Glynn | Psychologist | 35 Edgar Avenue, Somerville, MA 02145 | 2018-10-03 |
| 1811478274 | Rolanda Santos Prophete | Counselor | 18 Sargent Ave, Somerville, MA 02145 | 2018-08-23 |
| 1619465101 | Shannon Comer | Registered Nurse | 64 Sycamore St Apartment 1, Somerville, MA 02145 | 2018-04-30 |
| 1184121261 | Deborah Camara | Social Worker | 89 Cross Street, Apt 1, Somerville, MA 02145 | 2018-04-06 |
| 1073047569 | Nicole Patzelt | Dermatology | 192a School St Apt 2, Somerville, MA 02145 | 2017-04-12 |
| 1316327018 | Christina Gasbarro | Family Medicine | Cha Assembly Square Care Center, 5 Middlesex Avenue, Somerville, MA 02145 | 2015-06-08 |
| 1902236359 | Prativa Bhatta | Counselor | 76 Cross St, Somerville, MA 02145 | 2013-11-21 |
| 1427497015 | Veronica Wu | Physician Assistant | 60 Clyde Street, #5, Somerville, MA 02145 | 2013-06-18 |
| 1790045797 | Cambridge Health Alliance | Rehabilitation Unit | 2 Middlesex Avenue, Somerville, MA 02145 | 2012-05-23 |
| 1871809665 | Lauren Holland | Occupational Therapist | 5 Middlesex Avenue, Somerville, MA 02145 | 2010-08-31 |
| Find all providers in zip 02145 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396289856 | Rosamaria Cauteruccio Derany | Registered Nurse | 260 Highland Ave, Somerville, MA 02143-1322 | 2016-12-16 |
| 1912321985 | Theresa Rodrigues | Registered Nurse | 9 Grant St, Somerville, MA 02145-1908 | 2014-02-12 |
| 1023541042 | Lianne Lucontoni | Registered Nurse | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2017-04-06 |
| 1114357795 | Charlene Ann Torrisi | Registered Nurse | 230 Highland Ave, Somerville, MA 02143-1408 | 2013-11-19 |
| 1609208602 | Fiona Mccaughan | Registered Nurse | 230 Highland Ave, Somerville, MA 02143-1408 | 2013-08-01 |
| 1164766853 | Charlene Carol Williams | Registered Nurse | 230 Highland Ave, Somerville, MA 02143-1408 | 2012-11-19 |
| 1508117359 | Melissa Joseph | Registered Nurse | 236 Highland Ave, Somerville, MA 02143-1495 | 2012-09-19 |
| 1811242662 | Medina Kusuran | Registered Nurse | 230 Highland Ave, Somerville, MA 02143-1408 | 2012-07-18 |
| 1790064442 | Carla Brown Collins | Registered Nurse | 1020 Broadway, Somerville Family Practice, Somerville, MA 02144-1819 | 2011-08-12 |
| 1811295371 | Sheryl Ann Cliggott | Registered Nurse | 230 Highland Ave, Somerville, MA 02143-1408 | 2011-03-08 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02145 |
Please comment or provide details below to improve the information on KETTELYNE GILLES.
| 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.