JULIE L WENTWORTH


Address: 850 Harrison Ave, Yacc, 3rd Floor, Boston, MA 02118-4001
Phone: 6176386100

JULIE L WENTWORTH (NPI# 1487719951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487719951
Entity Type Individual
Full Name JULIE L WENTWORTH
Credential N.P.
Practice Address 850 Harrison Ave
Yacc, 3rd Floor
Boston
MA 02118-4001
Mailing Address 720 Harrison Ave
Dob 503
Boston
MA 02118
Practice Telephone 6176386100
Practice Fax Number 6176386179
Enumeration Date 2006-12-26
Last Update Date 2014-07-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
271026 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 110074615A 05

Office Location

Street Address 850 HARRISON AVE
YACC, 3RD FLOOR
City BOSTON
State MA
Zip Code 02118-4001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659373397 Ana C. Sanchez Pediatrics 850 Harrison Ave, Yacc 6, Boston, MA 02118-4001 2005-08-12
1558972927 Kendra Harris Social Worker 850 Harrison Ave, Boston, MA 02118-4001 2020-08-11
1912517855 Kathryn Elizabeth Snyder Social Worker 850 Harrison Ave, Boston, MA 02118-4001 2020-08-05
1194334235 Kelsey Spratt Social Worker 850 Harrison Ave, Boston, MA 02118-4001 2020-07-24
1972131720 Avani Vaishnav Student in an Organized Health Care Education/Training Program 850 Harrison Ave, Boston, MA 02118-4001 2020-03-28
1518594944 Lulu Li Student in an Organized Health Care Education/Training Program 850 Harrison Ave, Boston, MA 02118-4001 2020-03-25
1730715608 Zachary Emmanuel Zeller Orthopaedic Surgery 850 Harrison Ave, Boston, MA 02118-4001 2020-03-23
1043850167 Lindsey Smith Pharmacist 850 Harrison Ave, Boston, MA 02118-4001 2020-01-07
1235778523 Kim Nguyen Pharmacist 850 Harrison Ave, Boston, MA 02118-4001 2020-01-03
1770121634 Elaine Lebel Social Worker 850 Harrison Ave, Boston, MA 02118-4001 2019-12-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649870023 Carlos E Salazar Counselor Hcrc 23 Bradston St., Boston, MA 02118 2020-10-27
1780292607 Jinal Gandhi Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 2020-07-16
1669094777 German Eduardo Velez Student in an Organized Health Care Education/Training Program One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 2020-05-12
1255969895 Isabela Medeiros Heringer Pereira Student in an Organized Health Care Education/Training Program 670 Albany Stree, 4th Floor, Boston, MA 02118 2020-03-30
1033746466 Karan Sunil Hingorani Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 2020-03-25
1326672791 Azza Ahmed Dentist 635 Albany St. G-744, Boston, MA 02118 2020-02-25
1538707401 Jane Margolis Social Worker 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 2019-12-11
1871134833 Supontep Teerakanok Dentist Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 2019-10-01
1750939583 Qasim Silman Ajmi Orthopaedic Surgery Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 2019-08-26
1922655539 Jami Ryan Pollard Physician Assistant 840 Harrison Avenue, Menino Building, Boston, MA 02118 2019-08-20
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669018370 Ashley Erin Dimauro Nurse Practitioner 155 Federal St Ste 700, Boston, MA 02110-1727 2019-11-18
1366961310 Christine Anna Corallino Nurse Practitioner 14 Foster Street, #3, Boston, MA 02109 2017-09-11
1366593774 Laurie A Talarico Nurse Practitioner 239 Causeway St, 2nd Floor, Boston, MA 02114-2130 2007-01-13
1235237173 Katherine Concilio Nurse Practitioner 72 E Concord Street, Robinson 2, Boston, MA 02118 2006-09-21
1770191868 Lindsey Anne Landwehrle Nurse Practitioner 10 Gove St, Boston, MA 02128-1931 2020-07-15
1356977193 Ricky Pamphile Nurse Practitioner 75 Francis St, Boston, MA 02115-6110 2020-03-12
1184271637 Susan Jane Ulery Nurse Practitioner 800 Washington St, Boston, MA 02111-1552 2019-08-20
1952865735 Vanny Mclean Nurse Practitioner 72 E Concord Street, Robinson 2, Boston, MA 02118 2019-01-26
1699276808 Neuza Barros Fernandes Nurse Practitioner 150 S Huntington Ave, Boston, MA 02130-4817 2018-02-22
1023522497 Tram T Tran Nurse Practitioner 732 Harrison Ave, Preston, 2nd Floor, Boston, MA 02118 2017-11-21
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Competitor

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City BOSTON
Zip Code 02118

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Dataset Information

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.

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