NICOLE H. BOUDREAU,MD P.C. (NPI# 1396969226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396969226 |
| Entity Type | Organization |
| Organization Name | NICOLE H. BOUDREAU,MD P.C. |
| Practice Address |
1180 Beacon St Suite 2c Brookline MA 02446-3885 |
| Practice Telephone | 6172320440 |
| Practice Fax Number | 6172328444 |
| Mailing Telephone | 6172320440 |
| Mailing Fax Number | 6172328444 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-12-11 |
| Authorized Official Name | DR. NICOLE HURLEY BOUDREAU (PRESIDENT) |
| Authorized Official Telephone | 6172320440 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
205483 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0108197 | 05 |
| Street Address |
1180 BEACON ST SUITE 2C |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02446-3885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900473 | Richard Alan Brodie | Internal Medicine | 1180 Beacon St, Brookline, MA 02446-3885 | 2005-05-27 |
| 1386118099 | Fitzgerald Psychological Services LLC | Psychologist | 1180 Beacon St, Ste 4b, Brookline, MA 02446-3806 | 2019-01-15 |
| 1215475397 | Saillant Medical LLC | Pediatrics | 1180 Beacon St, Suite 7a, Brookline, MA 02446-3885 | 2017-02-08 |
| 1992241848 | Rebecca Horne Pediatrics, LLC | Pediatrics | 1180 Beacon St, Suite 7a, Brookline, MA 02446-3885 | 2017-01-17 |
| 1568919785 | Lulu Kablawi | Physical Therapist | 1180 Beacon St, Suite 6c, Brookline, MA 02446-3885 | 2016-09-06 |
| 1285187674 | Erin Mcconnell | Physical Therapist | 1180 Beacon St, 6c, Brookline, MA 02446-3885 | 2016-08-02 |
| 1396197091 | Kyoko Okamura Md PC | Obstetrics & Gynecology | 1180 Beacon St, Suite Lla, Brookline, MA 02446-3885 | 2016-07-06 |
| 1174987358 | Lisa Marie Schostok | Physical Therapist | 1180 Beacon St, Suite 6c, Brookline, MA 02446-3885 | 2016-04-13 |
| 1407230949 | Yuko Mccolgan Md LLC | Family Medicine | 1180 Beacon St, 3b, Brookline, MA 02446-3885 | 2015-07-15 |
| 1326420902 | Nancy Hoffman | Social Worker | 1180 Beacon St, Brookline, MA 02446-3885 | 2015-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218127 | Mohammad Ali Zafar | Social Worker | 11 Stearns Rd Apartment#1, Brookline, MA 02446 | 2019-08-01 |
| 1730659368 | Boston Family Therapy & Wellness Pllc | Clinic/Center | 1330 Beacon Street Suite 263, Brookline, MA 02446 | 2018-11-27 |
| 1518442078 | Elizabeth Dorsey | Social Worker | Boston Graduate School of Psychoanalysis, 1581 Beacon Street, Brookline, MA 02446 | 2018-10-01 |
| 1467936732 | Helen Elizabeth Weiner | Social Worker | 6 Churchill Sstreet, Brookline, MA 02446 | 2018-09-21 |
| 1285116640 | Dawn Higgins | Social Worker | 227 Summit Avenue W304, Brookline, MA 02446 | 2018-09-03 |
| 1528540978 | Shana Joan Turowitz | Social Worker | 156 Lawton Street, Brookline, MA 02446 | 2018-09-02 |
| 1528563996 | Lauren H Shin | Pediatrics | 150 Pleasant St Unit 309, Brookline, MA 02446 | 2018-03-28 |
| 1821512872 | Ilana Lindsay Cooper | Psychologist | 1093 Beacon St Ste 401, Brookline, MA 02446 | 2017-08-01 |
| 1538683735 | Elizabeth Apkin | Psychologist | 1330 Beacon Street Suite 201, Brookline, MA 02446 | 2017-07-29 |
| 1366963258 | Maria Antonietta Mazzola | Psychiatry & Neurology | 57 Manchester Rd, Brookline, MA 02446 | 2017-06-29 |
| Find all providers in zip 02446 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073976932 | Amir Mehdizadeh | Obstetrics & Gynecology | 328 Shrewsbury St Ste 100, Worcester, MA 01604-5465 | 2016-03-29 |
| 1295967669 | Robert Edward Dalessandro | Obstetrics & Gynecology | 23 Theresa Ave, Leominster, MA 01453-4631 | 2009-08-18 |
| 1508925801 | Carl Steven Bender | Obstetrics & Gynecology | One Acton Place, Suite 102, Acton, MA 01720 | 2006-12-06 |
| 1093899346 | New England Ob/gyn Associates,inc | Obstetrics & Gynecology | 200 Boylston St Ste 301, Chestnut Hill, MA 02467-2008 | 2006-10-24 |
| 1942249214 | Peter Brown | Obstetrics & Gynecology | 15 Columbia Rd, Pembroke, MA 02359-1841 | 2006-06-05 |
| 1053392019 | Debra M Papa | Obstetrics & Gynecology | 33 Kendall St, Department of Obstetrics & Gynecology, Worcester, MA 01605-2726 | 2005-11-08 |
| 1215413240 | Serena Fasano | Obstetrics & Gynecology | 13 Bradlee Rd, Medford, MA 02155-3110 | 2018-07-12 |
| 1619405594 | Dhp of Massachusetts, P.C. | Obstetrics & Gynecology | 70 East St, Methuen, MA 01844-4597 | 2017-05-23 |
| 1730540394 | Uhun Ro Lee M.d P.c | Obstetrics & Gynecology | 45 Pearl St, Brockton, MA 02301-2858 | 2016-03-10 |
| 1356737456 | Jean Chavez Hostage | Obstetrics & Gynecology | 800 Washington St, Boston, MA 02111 | 2015-04-15 |
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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.