MICHELLE VIDAL (NPI# 1164576229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
236195 | MA | Physician Assistants & Advanced Practice Nursing Providers |
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 |
Street Address |
15 PARKMAN ST WANG BUILDING ROOM 745 |
City | BOSTON |
State | MA |
Zip Code | 02114-3117 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 02114 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
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.