CHITHRA SUSAN KURIAKOSE


Address: Waltham Medical Group, 6 Lexington St., 2nd Floor, Waltham, MA 02452
Phone: 7818995555

CHITHRA SUSAN KURIAKOSE (NPI# 1497256374) 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) 1497256374
Entity Type Individual
Full Name CHITHRA SUSAN KURIAKOSE
Credential FNP-C
Practice Address Waltham Medical Group
6 Lexington St., 2nd Floor
Waltham
MA 02452
Practice Telephone 7818995555
Mailing Telephone 7818995555
Enumeration Date 2018-02-26
Last Update Date 2018-02-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN2293187 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address WALTHAM MEDICAL GROUP
6 LEXINGTON ST., 2ND FLOOR
City WALTHAM
State MA
Zip Code 02452

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1659915064 Stephanie M Bryson Nurse Practitioner 21 Fuller St Apt 1, Waltham, MA 02453-5082 2019-10-30
1124683545 Beatrice Kamya Nurse Practitioner 4206 Stearns Hill Rd, Waltham, MA 02451-7122 2019-05-02
1457722340 Albert Y Kim Nurse Practitioner 130 Forest St, Waltham, MA 02452-4712 2015-10-17
1568654598 Dawn Marie O'toole Nurse Practitioner 950 Winter St Fl 4, Optum, Waltham, MA 02451-1424 2007-08-14
1588704522 Kimberly Allen Kerrigan Nurse Practitioner 175 Forest St, Waltham, MA 02452-4713 2007-02-07
1013975424 Kristen Ferreira Nurse Practitioner 8 Common St, Ste 2, Waltham, MA 02451-4421 2006-05-03
1194792481 Xin Ning Nurse Practitioner 950 Winter St, Suite 3800, Waltham, MA 02451-1424 2006-03-05
1174019590 Jocelyn Hulburt Nurse Practitioner 9 Hope Ave, Waltham, MA 02453-2741 2018-07-09
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Competitor

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City WALTHAM
Zip Code 02452

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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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