MICHELLE VIDAL


Address: 15 Parkman St, Wang Building Room 745, Boston, MA 02114-3117
Phone: 6177263303

MICHELLE VIDAL (NPI# 1164576229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164576229
Entity Type Individual
Full Name MICHELLE VIDAL
Credential NP
Practice Address 15 Parkman St
Wang Building Room 745
Boston
MA 02114-3117
Mailing Address 2 Eastland Rd
Jamaica Plain
MA 02130-4617
Practice Telephone 6177263303
Mailing Telephone 6176991738
Enumeration Date 2007-01-23
Last Update Date 2013-12-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
236195 MA Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHELLE VIDAL

NPI Name Taxonomy Address Enumeration
1154790673 Michelle Vidal Physical Therapy Assistant 2265 Glover Pl, Los Angeles, CA 90031-1128 2015-09-15
1326232596 Michelle Vidal Counselor 2837 Mission St, San Francisco, CA 94110-3907 2007-08-30
1467971366 Michelle Vidal Counselor 400 N Main St, Randolph, MA 02368-4104 2017-09-12
1124362389 Michelle Vidal Social Worker 170 Governors Ave, Lawrence Memorial Hospital, Medford, MA 02155-1643 2012-11-12

Office Location

Street Address 15 PARKMAN ST
WANG BUILDING ROOM 745
City BOSTON
State MA
Zip Code 02114-3117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972505402 Mira Kautzky Internal Medicine 15 Parkman St, Suite 645, Wacc, Boston, MA 02114 2005-08-15
1528678646 Lizabeth J Flash Psychiatry & Neurology 15 Parkman St, Boston, MA 02114-3117 2020-08-04
1710513726 Travis Robert Hallett Student in an Organized Health Care Education/Training Program 15 Parkman St, Wacc-6-635, Boston, MA 02114 2020-03-21
1679118780 Loren Hasse Physical Medicine & Rehabilitation 15 Parkman St, Boston, MA 02114-3117 2019-11-12
1891344354 Wallace Leo Frigon Jr. Physical Therapist 15 Parkman St, Boston, MA 02114-3117 2019-09-08
1447818539 Catherine Moore Registered Nurse 15 Parkman St, Boston, MA 02114-3117 2019-06-03
1285197038 Ashley Marie O'brien Physical Therapist 15 Parkman St, Wac 134, Boston, MA 02114-3117 2019-04-09
1386105302 Ayana Robertson Physical Therapist 15 Parkman St, Boston, MA 02114-3117 2019-03-31
1407315765 Griffin Ayaz Tyree Student in an Organized Health Care Education/Training Program 15 Parkman St, Wang 812, Boston, MA 02114-3117 2019-03-17
1962987172 Joshua Connor Torrey Physical Therapist 15 Parkman St, Boston, MA 02114-3117 2018-10-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588276281 Guoliang Qiao Student in an Organized Health Care Education/Training Program Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 2020-08-24
1881223741 Alexander Wesley Zirulnik Student in an Organized Health Care Education/Training Program 55 Fruit St. Boston, Boston, MA 02114 2020-04-03
1376170548 Mia Yu Bothwell Student in an Organized Health Care Education/Training Program Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 2020-03-26
1225661036 David Dongkyung Kim Student in an Organized Health Care Education/Training Program 6 Whittier Place, Apartment 15b, Boston, MA 02114 2020-02-20
1124651658 Madeleine Sertic Student in an Organized Health Care Education/Training Program Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 2020-02-12
1285274498 Jiuk James Jung Student in an Organized Health Care Education/Training Program 15 Parkman Ave, Wang 4-460, Boston, MA 02114 2020-01-15
1831740448 Jennifer Hughes Physician Assistant 55 Fruit Street, Founders 110, Boston, MA 02114 2019-09-25
1558827220 Aluma Chovel Sella Student in an Organized Health Care Education/Training Program Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 2019-02-18
1083187140 Henry Oliveras Massage Therapist 102 Charles Street, Boston, MA 02114 2019-01-10
1720550031 Nicole M Price Social Worker 29 Staniford St, Boston, MA 02114 2018-12-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558968461 Naira Aleksanyan Nurse Practitioner 5 Ellis St, Boston, MA 02119-3728 2020-10-04
1154930048 Patricia M Ciarleglio Nurse Practitioner 51 Franklin St Ste 400, Boston, MA 02110-1335 2020-07-27
1689292161 Barbara Regina Massa Nurse Practitioner 738 E 5th St, Boston, MA 02127-3260 2020-07-10
1114541976 Ellie Gonyeau Nurse Practitioner 17 S Russell St, Boston, MA 02114-3990 2020-06-07
1295357390 Margaret Sherwood Nurse Practitioner 155 W Concord St # 1, Boston, MA 02118-1507 2020-05-12
1760017008 Venifa White Nurse Practitioner 40 Kingsdale St Apt 4, Boston, MA 02124-1700 2020-03-06
1063059467 Shevonne Renee Linnane Nurse Practitioner 619 Adams St Apt 1, Boston, MA 02122-2569 2019-12-04
1730737602 Melanie Matthews Nurse Practitioner 14 Worthington St, Boston, MA 02120-1605 2019-09-03
1114585940 Jessica Paige Oliver Nurse Practitioner 2557 State Line Rd, Boston, GA 31626-2441 2019-06-05
1760944748 Melissa Stanvick Nurse Practitioner 117 Park Dr Apt 5, Boston, MA 02215-5114 2019-04-01
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Competitor

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City BOSTON
Zip Code 02114

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Dataset Information

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.

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