REAVA KHRISTENKO (NPI# 1093229379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093229379 |
| Entity Type | Individual |
| Full Name | REAVA KHRISTENKO |
| Credential | NP |
| Practice Address |
150 S Huntington Ave Boston MA 02130-4817 |
| Mailing Address |
193 South St Chestnut Hill MA 02467-3630 |
| Practice Telephone | 6172329500 |
| Mailing Telephone | 6179210966 |
| Enumeration Date | 2017-11-25 |
| Last Update Date | 2017-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | RN2306581 | MA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
RN2306581 | MA | Allopathic & Osteopathic Physicians |
| Y | 363L00000X | Nurse Practitioner | RN2306581 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
150 S HUNTINGTON AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02130-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500429 | Thomas Peter Fantes | Family Medicine | 150 S Huntington Ave, Boston, MA 02130-4817 | 2005-06-30 |
| 1225640758 | Juliette Mcclendon-iacovino | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-08-17 |
| 1912524232 | William A Delaney | Social Worker | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-07-02 |
| 1659997948 | Thomas Favale | Dentist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-06-22 |
| 1972129385 | Anisha Pandya | Dentist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-06-22 |
| 1194347849 | Amanda Vessels | Student in an Organized Health Care Education/Training Program | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-05-15 |
| 1275155947 | Rachel Nicole Werner | Student in an Organized Health Care Education/Training Program | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-05-15 |
| 1235750639 | Michelle Lee Bourgeois | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-04-27 |
| 1962031617 | Tina Khieu | Student in an Organized Health Care Education/Training Program | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-04-05 |
| 1083240238 | Southey Saul | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058463 | Alexandra Paz | Nurse Practitioner | 55 Dartmouth St, Boston, MA 02116-5906 | 2020-09-23 |
| 1730795238 | Eun Chung Hong | Nurse Practitioner | 2 Sheldon St Apt 1, Boston, MA 02131-2613 | 2020-09-20 |
| 1306450309 | Latoya Browne | Nurse Practitioner | 33 Taunton Ave, Boston, MA 02136-6027 | 2020-09-07 |
| 1649897778 | Molly Rose | Nurse Practitioner | 118 Commonwealth Ave Apt 4, Boston, MA 02116-2901 | 2020-07-06 |
| 1528686680 | Stephanie Marie Devito | Nurse Practitioner | 55 Fruit Street, Ellison 16, Boston, MA 02114-0211 | 2020-07-06 |
| 1558988832 | Skyla Barnett | Nurse Practitioner | 21 Winfield St Apt 1, Boston, MA 02127-3485 | 2020-07-02 |
| 1871130831 | Sarah Chu | Nurse Practitioner | 5 Longfellow Pl Ste 209, Boston, MA 02114-2839 | 2019-12-09 |
| 1851935134 | Melissa Anne Coates | Nurse Practitioner | 330 Brookline Ave # Shapiro7, Boston, MA 02215-5400 | 2019-10-30 |
| 1992348502 | Paula Jeanne Mooney | Nurse Practitioner | 800 Washington St # 70, Boston, MA 02111-1552 | 2019-10-26 |
| 1538712997 | Valerie Kiers | Nurse Practitioner | 55 Fruit St Ste 3e, Boston, MA 02114-2696 | 2019-07-24 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on REAVA KHRISTENKO.
| 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.