MS. ELYSE GOODMAN (NPI# 1225353873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225353873 |
Entity Type | Individual |
Full Name | MS. ELYSE GOODMAN |
Credential | NP |
Practice Address |
148 Linden St Suite 208 Wellesley MA 02482-7900 |
Practice Telephone | 7812390290 |
Practice Fax Number | 7812356819 |
Mailing Telephone | 7812390290 |
Mailing Fax Number | 7812356819 |
Enumeration Date | 2010-04-06 |
Last Update Date | 2010-04-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
207099 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
148 LINDEN ST SUITE 208 |
City | WELLESLEY |
State | MA |
Zip Code | 02482-7900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093700650 | Nancy J Roberge | Physical Therapist | 148 Linden St, Ste B-8, Wellesley, MA 02482-7900 | 2005-09-20 |
1306450341 | Healthcare Without Walls | General Practice | 148 Linden St, Wellesley, MA 02482-7900 | 2020-09-08 |
1528440336 | Eve Berman | Social Worker | 148 Linden St, Suite 209, Wellesley, MA 02482-7900 | 2015-06-29 |
1184045445 | Whole Health LLC | Chiropractor | 148 Linden St, Suite 208a, Wellesley, MA 02482-7900 | 2014-01-03 |
1972847929 | Karen J Silver | Psychologist | 148 Linden St, Suite 205, Wellesley, MA 02482-7900 | 2012-11-15 |
1174867329 | Caryl Copland | Chiropractor | 148 Linden St, Suite 101, Wellesley, MA 02482-7900 | 2012-11-11 |
1154615771 | Michael Yoo | Dentist | 148 Linden St, Suite B-3, Wellesley, MA 02482-7900 | 2011-05-31 |
1427202712 | Sospt, Inc. | Clinic/Center | 148 Linden St, Ste B-8, Wellesley, MA 02482-7900 | 2008-11-13 |
1285883504 | Gerald W Moore | Chiropractor | 148 Linden St, 101, Wellesley, MA 02482-7900 | 2008-09-10 |
1922263631 | Joseph C Lee Dmd PC | Clinic/Center | 148 Linden St, Suite B-3, Wellesley, MA 02482-7900 | 2008-07-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245830454 | Hope F. Schroy | Social Worker | 52 Cottage St, Wellesley, MA 02482 | 2020-10-27 |
1417586090 | Caroline Otoole | Pharmacist | 10 Thomas Rd, Wellesley, MA 02482 | 2020-04-06 |
1134767312 | Jordan David Moore | Specialist/Technologist | Boston Sports Institute, 900 Worcester St, Wellesley, MA 02482 | 2019-12-18 |
1386198422 | Bradford Richard Mattison | Dentist | 1 Hollis St Ste 340, Wellesley, MA 02482 | 2016-08-05 |
1245614957 | Alexandra Alexandra Rogers | Nurse Practitioner | 984 Worcester Street, Wellesley, MA 02482 | 2015-07-13 |
1467628347 | Marilyn D Feldman | Marriage & Family Therapist | 11 Turner Rd, Wellesley, MA 02482 | 2008-05-01 |
1093861668 | Joel Morris Prives | Dentist | 316 Weston Rd, Wellesley, MA 02482 | 2007-01-26 |
1679630826 | Richard H Stellar | Psychologist | 486 Washington Street, Wellesley, MA 02482 | 2007-01-03 |
1669540407 | Jane K Martin | Acupuncturist | Wellesley Acupuncture Center, 148 Linden Street - #104, Wellesley, MA 02482 | 2006-12-01 |
1568574788 | Kathleen Leah Macnaughton Rodrigue | Psychologist | 486 Washington St., Wellesley, MA 02482 | 2006-09-01 |
Find all providers in zip 02482 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023249190 | Julie S Coffey | Nurse Practitioner | 65 Walnut St Ste 500, Wellesley, MA 02481-2112 | 2009-08-06 |
1780004044 | Jeri Ricci | Nurse Practitioner | 106 Central St, Wellesley, MA 02481-8203 | 2014-04-24 |
1154670123 | Sophia Darosa-spillane | Nurse Practitioner | 170 Worcester St, Wellesley, MA 02481-5506 | 2012-09-05 |
1790919918 | Rachel R. Soffer | Nurse Practitioner | 65 Walnut St, Suite 420, Wellesley, MA 02481-2118 | 2009-05-04 |
1780829242 | Emily Howland | Nurse Practitioner | 378 Washington St, Wellesley, MA 02481-6207 | 2008-12-11 |
1861603896 | Martina Richards | Nurse Practitioner | 106 Central St, Wellesley, MA 02481-8268 | 2007-05-24 |
1003971995 | Ann N Kennefick | Nurse Practitioner | 332 Washington St, Suite 380, Wellesley, MA 02481-6219 | 2006-12-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619576121 | Alexander I Hoffman | Nurse Practitioner | 54 Southbourne Rd, Jamaica Plain, MA 02130-4633 | 2020-10-26 |
1104423482 | Paola Buchanan | Nurse Practitioner | 351 Engamore Ln Apt T3, Norwood, MA 02062-2505 | 2020-10-08 |
1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
1902411341 | Anne Marie Marie Dicredico | Nurse Practitioner | 916 Sherwood Forest Ln Unit 916, Saugus, MA 01906-1973 | 2020-09-12 |
1407460322 | Devi Sivanandan | Nurse Practitioner | 18 Dale St Unit 5c, Andover, MA 01810-5663 | 2020-09-08 |
1447863600 | Diana Stephanie Freiberger | Nurse Practitioner | 965 West St, Walpole, MA 02081-1200 | 2020-08-27 |
1063023216 | Christine Cibotti | Nurse Practitioner | 8 Forty Acres Dr, Wayland, MA 01778-2702 | 2020-08-12 |
1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
1295344547 | Janelle Sherry Romain | Nurse Practitioner | 91 Codman Hill Ave, Dorchester, MA 02124-4636 | 2020-07-23 |
1245848852 | Patrice Nicholas | Nurse Practitioner | 14 Shipway Pl, Charlestown, MA 02129-4301 | 2020-07-20 |
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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.