MELISSA BROUGHTON (NPI# 1376153494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376153494 |
| Entity Type | Individual |
| Full Name | MELISSA BROUGHTON |
| Credential | PMHNP-BC |
| Practice Address |
110 Salem St Apt 4 Boston MA 02113-1763 |
| Mailing Address |
47 Seaverns Ave # 5 Boston MA 02130-2876 |
| Practice Telephone | 6034558198 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2321864 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
110 SALEM ST APT 4 |
| City | BOSTON |
| State | MA |
| Zip Code | 02113-1763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790934602 | Adela Agolli | Dentist | 44 Prince Street, Apt 510, Boston, MA 02113 | 2008-09-16 |
| 1417103193 | Loren Jean D'angelo | Nurse Practitioner | 300 Longwood Ave -, Children's Hospital Boston Fegan 707, Boston, MA 02113 | 2008-08-13 |
| 1073635793 | Anthony Vincent Bova | Dentist | 79 A Prince Street, Boston, MA 02113 | 2007-04-04 |
| 1932274941 | Janet Mou Lan Kwan | Nurse Practitioner | 70 Fulton Street, Boston, MA 02113 | 2006-11-22 |
| 1780606608 | North End Community Health Committee Inc | Preventive Medicine | 332 Hanover Street, Boston, MA 02113 | 2006-07-24 |
| 1124510847 | Alexandra Jamieson | Social Worker | 332 Hanover St, Boston, MA 02113 | 2018-05-30 |
| 1003361551 | Christine Elizabeth O'connor | Registered Nurse | 332 Hanover St, Boston, MA 02113 | 2016-08-24 |
| 1639502438 | Deepti Singh | Dentist | 332 Hanover St, Boston, MA 02113 | 2013-08-15 |
| 1427278191 | Amy Elizabeth Snell | Social Worker | 332 Hanover Street, Boston, MA 02113 | 2007-04-26 |
| 1154496172 | Clara M Gona | Nurse Practitioner | 70 Fulton Street, Boston, MA 02113 | 2006-11-22 |
| Find all providers in zip 02113 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780239483 | Dallas Michelle Ducar | Nurse Practitioner | 55 Fruit St Fl Hall4, Boston, MA 02114-2696 | 2019-08-08 |
| 1295258259 | Joseph F Toomey IIi | Nurse Practitioner | 48 Melrose St., Boston, MA 02116-2409 | 2017-07-21 |
| 1871950733 | Rebecca Donadio | Nurse Practitioner | 84 State Stareet, Suite 660, Boston, MA 02109-2200 | 2016-01-24 |
| 1811320559 | Alexandra Paige Libon Strack | Nurse Practitioner | 10 Newbury St Fl 4, Boston, MA 02116-3290 | 2013-08-16 |
| 1174806046 | Donald L Payette Jr. | Nurse Practitioner | 40 River St Unit 208, Boston, MA 02126-2983 | 2011-09-27 |
| 1134759665 | Sokhira Christina Yang | Nurse Practitioner | Boston Medical Center, 88 E Newton Street, Boston, MA 02118 | 2020-01-23 |
| 1730661042 | Brittany Catherine Hughes | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2018-09-04 |
| 1528549425 | Adekemi Victoria Adeleye | Nurse Practitioner | 1 Boston Medical Center Place, Boston, MA 02118 | 2018-08-28 |
| 1174022693 | Ally Integrated Healthcare LLC | Nurse Practitioner | 30 Newbury St Ste 3, Boston, MA 02116-3239 | 2018-02-10 |
| 1841799046 | Brian Paul Jewers | Nurse Practitioner | 1 Boston Medical Center, Boston, MA 02118 | 2018-02-03 |
| 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.