MRS. LADY-THELMA W BOLDUC (NPI# 1447562335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447562335 |
| Entity Type | Individual |
| Full Name | MRS. LADY-THELMA W BOLDUC |
| Credential | NP |
| Practice Address |
30 Winter St Boston MA 02108-4720 |
| Practice Telephone | 6174260660 |
| Mailing Telephone | 6174260600 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2018-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN2283758 | MA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2283758 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
30 WINTER ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02108-4720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588626501 | Peggy Lyn Johnson | Psychiatry & Neurology | 30 Winter St, Suite 802, Boston, MA 02108-4720 | 2006-04-05 |
| 1417554858 | Robin Alsarras | Registered Nurse | 30 Winter St, Boston, MA 02108-4720 | 2020-10-08 |
| 1780231779 | Andrew Mendonsa | Registered Nurse | 30 Winter St, Boston, MA 02108-4720 | 2019-08-23 |
| 1427605997 | Sergio Serpa | Registered Nurse | 30 Winter St, Boston, MA 02108-4720 | 2019-08-20 |
| 1013570605 | Changhee Park | Nurse Practitioner | 30 Winter St, Boston, MA 02108-4720 | 2019-04-18 |
| 1164801486 | Artemis Diane Panagopoulos | Physician Assistant | 30 Winter St, 12th Floor, Boston, MA 02108-4720 | 2015-05-19 |
| 1851797542 | Commonwealth Care Alliance, Inc. | Exclusive Provider Organization | 30 Winter St, Boston, MA 02108-4720 | 2014-11-07 |
| 1245640853 | Zelys Yiseirie Adorno | Pharmacist | 30 Winter St, Boston, MA 02108-4720 | 2014-05-05 |
| 1205252731 | Brynn O'donnell | Registered Nurse | 30 Winter St, Boston, MA 02108 | 2014-03-07 |
| 1740579499 | Amparo Velasquez | Counselor | 30 Winter St, Boston, MA 02108-4720 | 2011-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366947954 | Karrin Weisenthal | Emergency Medicine | 1 Boston Pl Rm 1322, Boston, MA 02108 | 2018-03-27 |
| 1619225786 | Ahmed M Hamada-ibrahim | Dentist | 32 Tremont Sytreet, Citidental, Boston, MA 02108 | 2012-08-21 |
| 1114226750 | Richard J Osorio | Counselor | 30 Winter Street, Boston Asap, Boston, MA 02108 | 2011-03-22 |
| 1487956835 | Melissa Jean Leite | Dental Hygienist | 250 Washington Street, Boston, MA 02108 | 2010-11-17 |
| 1518274117 | Ada Stefanescu | Internal Medicine | Mgh Downtown Associates, 294 Washington St Ste 210, Boston, MA 02108 | 2010-09-03 |
| 1679798599 | Lauren Carter Ledbetter | Social Worker | Ten Milk Street, Boston, MA 02108 | 2007-04-16 |
| 1790900157 | Lawrence K Gottlieb | Internal Medicine | Intermed Advisors Inc., One Boston Place, Suite 2815, Boston, MA 02108 | 2007-04-13 |
| 1285761841 | Gerardo A Yanayaco | Internal Medicine | Laser Hair Removal, LLC, 333 Washington Street, #221, Boston, MA 02108 | 2007-02-28 |
| 1295863603 | William F Sullivan | Counselor | Adcare, 14 Beacon Street, 801, Boston, MA 02108 | 2007-02-28 |
| 1659432573 | Madeleine I Littman | Psychologist | 15 Court Square, Suite 830, Boston, MA 02108 | 2006-12-13 |
| Find all providers in zip 02108 | ||||
| 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.