PHYLLIS CHINYANGA-EDOUARD (NPI# 1295261782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295261782 |
| Entity Type | Individual |
| Full Name | PHYLLIS CHINYANGA-EDOUARD |
| Credential | CNP |
| Practice Address |
451 Andover St Ste 110 North Andover MA 01845-5069 |
| Mailing Address |
35 United Dr Ste 102 West Bridgewater MA 02379-1056 |
| Practice Telephone | 9787942000 |
| Practice Fax Number | 9787942007 |
| Mailing Telephone | 5082388646 |
| Mailing Fax Number | 5082309772 |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
259006 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
451 ANDOVER ST STE 110 |
| City | NORTH ANDOVER |
| State | MA |
| Zip Code | 01845-5069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912106691 | Faisal Malik | Internal Medicine | 451 Andover St Ste 110, North Andover, MA 01845-5069 | 2007-07-13 |
| 1225657604 | Bashir Aden Ahmed | Registered Nurse | 451 Andover St Ste 110, North Andover, MA 01845-5069 | 2020-04-15 |
| 1013482538 | Michelle Gelinas | Nurse Practitioner | 451 Andover St Ste 110, North Andover, MA 01845-5069 | 2018-10-11 |
| 1194215210 | Pinnacle Medical Group, LLC | Internal Medicine | 451 Andover St Ste 110, North Andover, MA 01845-5069 | 2018-05-14 |
| 1962804096 | Afia Fatima Mirza | Internal Medicine | 451 Andover St Ste 110, North Andover, MA 01845-5069 | 2014-09-19 |
| 1083028716 | Tiffany Rhodes | Nurse Practitioner | 451 Andover St Ste 110, North Andover, MA 01845-5069 | 2014-06-20 |
| 1811311160 | Kristin Tierney | Nurse Practitioner | 451 Andover St Ste 110, North Andover, MA 01845-5069 | 2014-02-06 |
| 1487924445 | Julie Marie Jamgochian | Nurse Practitioner | 451 Andover St Ste 110, North Andover, MA 01845-5069 | 2012-01-09 |
| 1447411764 | Akindele Majekodunmi | Internal Medicine | 451 Andover St Ste 110, North Andover, MA 01845-5069 | 2008-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780222091 | Bh Brightview North Andover Opco, LLC | Alzheimer Center (Dementia Center) | 1275 Turnpike Street, North Andover, MA 01845 | 2019-12-17 |
| 1770132052 | Nancy Boshar | Social Worker | 109 Saw Mill Road, North Andover, MA 01845 | 2019-09-09 |
| 1497307854 | Maria Nappa | Nurse Practitioner | 47 High Street, Suite 101, North Andover, MA 01845 | 2019-07-15 |
| 1235794041 | North Andover Women's Care Pllc | Obstetrics & Gynecology | 100 Andover Bypass, Suite 300, North Andover, MA 01845 | 2019-05-07 |
| 1891278040 | Kristen Dee | Counselor | 6 Garnet Circle, North Andover, MA 01845 | 2018-09-13 |
| 1154809770 | Oped Medical, Inc. | Durable Medical Equipment & Medical Supplies | 37 Flagship Drive, North Andover, MA 01845 | 2018-08-06 |
| 1902382658 | Barry Myers | Physical Therapist | 231 Sutton Street, Suite 1c, North Andover, MA 01845 | 2018-07-16 |
| 1174042337 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | Lahey Health Primary Care, North Andover, 170 Pleasant St., N. Andover, MA 01845 | 2017-09-19 |
| 1174041792 | Eric Tweedie | Specialist/Technologist | 72 Fernview Ave Apt 2, North Andover, MA 01845 | 2017-09-04 |
| 1043734379 | Hiron Health | Internal Medicine | 820a Turnpike Street, North Andover, MA 01845 | 2017-07-28 |
| Find all providers in zip 01845 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639450141 | Laurice M Canning | Nurse Practitioner | 31 Candlestick Road, North Andover, MA 01845-3235 | 2011-08-30 |
| 1851726970 | Jill Francisco | Nurse Practitioner | 231 Sutton St Ste 1d, North Andover, MA 01845-1620 | 2013-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244770 | Paul Thomas Bruemmer | Nurse Practitioner | 23 Captain Curtis Way, Orleans, MA 02653-2601 | 2020-10-27 |
| 1962001693 | Joseph Prendergast | Nurse Practitioner | 5 Jasmine Rd, Oxford, MA 01540-3304 | 2020-10-23 |
| 1669071601 | Katherine Parrott | Nurse Practitioner | 95 Prince St Apt 8, Boston, MA 02113-1738 | 2020-10-21 |
| 1154928687 | Mary A Hodgerney | Nurse Practitioner | 3 Johnny Cake Rd, Centerville, MA 02632-2446 | 2020-10-07 |
| 1083221659 | Alexis Casimir | Nurse Practitioner | 495 Varnum Ave, Lowell, MA 01854-2123 | 2020-09-28 |
| 1760009476 | Rohit Prakash Shah | Nurse Practitioner | 1884 River St, Hyde Park, MA 02136-1419 | 2020-06-29 |
| 1790307825 | Erin Anne Hennigan | Nurse Practitioner | 54 Payson St, Attleboro, MA 02703-1612 | 2020-05-12 |
| 1639712060 | Elizabeth Gina Hayden | Nurse Practitioner | 330 Brookline Ave # Baker304, Boston, MA 02215-5400 | 2019-10-17 |
| 1477107910 | Deanna Louise Benjamin | Nurse Practitioner | Harvard Rd, Shirley, MA 01464 | 2019-08-01 |
| 1295397545 | Sandy Love Hunt | Nurse Practitioner | 994 Middle St, Weymouth, MA 02188-3957 | 2019-07-07 |
| Find all providers with the same taxonomy | ||||
| City | NORTH ANDOVER |
| Zip Code | 01845 |
Please comment or provide details below to improve the information on PHYLLIS CHINYANGA-EDOUARD.
| 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.