MRS. ELIZABETH TEMPLE CORRIDAN (NPI# 1518373752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518373752 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH TEMPLE CORRIDAN |
| Practice Address |
409 W Broadway South Boston MA 02127-2245 |
| Practice Telephone | 6172697500 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2276831 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
409 W BROADWAY |
| City | SOUTH BOSTON |
| State | MA |
| Zip Code | 02127-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023081841 | Pamela Cattel | Internal Medicine | 409 W Broadway, South Boston, MA 02127-2245 | 2006-02-10 |
| 1215411749 | Kelly Anne Maloy | Nurse Practitioner | 409 W Broadway, South Boston, MA 02127-2245 | 2018-09-20 |
| 1437633401 | Veronica Lynn Hecht | Nurse Practitioner | 409 W Broadway, South Boston, MA 02127-2245 | 2018-09-17 |
| 1295221315 | South Boston Community Health Center | Clinic/Center | 409 W Broadway, South Boston, MA 02127-2245 | 2018-07-02 |
| 1427581727 | Jonathan Foster | Dentist | 409 W Broadway, South Boston, MA 02127-2245 | 2017-04-04 |
| 1306377049 | Isabella Buzzo Bellon Brout | Family Medicine | 409 W Broadway, South Boston, MA 02127-2245 | 2017-03-24 |
| 1548706187 | Mary Mcpherson | Social Worker | 409 W Broadway, South Boston, MA 02127-2245 | 2017-01-06 |
| 1902269202 | Katrina Jeanette Ciraldo | Family Medicine | 409 W Broadway, South Boston, MA 02127-2245 | 2016-04-04 |
| 1861837254 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 409 W Broadway, South Boston, MA 02127-2245 | 2013-04-30 |
| 1588920284 | Amelia Fisher | Pediatrics | 409 W Broadway, South Boston, MA 02127-2245 | 2012-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370629 | Peaceful Healing Soul Counseling Center, LLC | Counselor | Online Therapy, Boston, MA 02127 | 2020-09-15 |
| 1568964914 | Phuong Luu | Nurse Practitioner | 606 E Fourth St, Unit 204, Boston, MA 02127 | 2018-03-01 |
| 1700304367 | Kelsey L Donovan | Physician Assistant | 431 E 3rd Street Apt 2, Boston, MA 02127 | 2017-09-05 |
| 1255873733 | Janet Villafane | Social Worker | 23 Mcdonough Way, 691, Boston, MA 02127 | 2016-11-15 |
| 1083088470 | Katie Ryan | Counselor | 8 Rev Burke Street #151, South Boston, MA 02127 | 2015-11-23 |
| 1184005514 | Keith A Lombard | Counselor | 1226a Columbia Rd., South Boston, MA 02127 | 2015-06-11 |
| 1609213917 | Nicole Ashley Vandermay | Student in an Organized Health Care Education/Training Program | 9 Woodward St, Apt. 3, Boston, MA 02127 | 2013-05-28 |
| 1922359777 | Elizabeth Raggi | Counselor | 49 L Street, South Boston, MA 02127 | 2012-09-19 |
| 1205181021 | Massachusetts General Hospital | General Acute Care Hospital | 256 West Sixth Street Apt 2, South Boston, MA 02127 | 2012-07-18 |
| 1154602126 | Madeline F Brisotti | Counselor | 8 Reverend Burke Steet, South Boston, MA 02127 | 2011-09-06 |
| Find all providers in zip 02127 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270385 | Kelsey Sullivan | Nurse Practitioner | 799 E 6th St, South Boston, MA 02127-4317 | 2020-06-17 |
| 1649749250 | Lindsay Spencer | Nurse Practitioner | 3601 Old Halifax Rd Ste 100, South Boston, VA 24592-4953 | 2018-11-13 |
| 1538658703 | Amy Humphries | Nurse Practitioner | 3130 Halifax Rd Ste C, South Boston, VA 24592-4948 | 2018-05-03 |
| 1609473644 | Jacquelyn Elizabeth Adams | Nurse Practitioner | 3601 Old Halifax Rd Ste 100, South Boston, VA 24592-4953 | 2020-10-02 |
| 1225658206 | Brandi S Thompson | Nurse Practitioner | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2020-04-20 |
| 1215411749 | Kelly Anne Maloy | Nurse Practitioner | 409 W Broadway, South Boston, MA 02127-2245 | 2018-09-20 |
| 1437633401 | Veronica Lynn Hecht | Nurse Practitioner | 409 W Broadway, South Boston, MA 02127-2245 | 2018-09-17 |
| 1669988986 | Kelly Arendall Hill | Nurse Practitioner | 103 Rosehill Dr, South Boston, VA 24592-4843 | 2017-12-22 |
| 1063931897 | Jon Michael Hughes | Nurse Practitioner | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2017-09-13 |
| 1588189609 | Allison Newbill Pope | Nurse Practitioner | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2017-08-09 |
| Find all providers in SOUTH BOSTON | ||||
| City | SOUTH BOSTON |
| Zip Code | 02127 |
Please comment or provide details below to improve the information on MRS. ELIZABETH TEMPLE CORRIDAN.
| 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.