MARYBETH MESERVEY (NPI# 1538342811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538342811 |
| Entity Type | Individual |
| Full Name | MARYBETH MESERVEY |
| Credential | RNC, WHNP |
| Practice Address |
55 Dimock St Roxbury MA 02119-1029 |
| Practice Telephone | 6174428800 |
| Practice Fax Number | 6175418334 |
| Mailing Telephone | 6174428800 |
| Mailing Fax Number | 6175418334 |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
164453 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
55 DIMOCK ST |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831197896 | Kelly Flynn | Obstetrics & Gynecology | 55 Dimock St, Roxbury, MA 02119-1029 | 2005-07-13 |
| 1114574019 | Mary Rose Maiullari | Pharmacist | 55 Dimock St, Roxbury, MA 02119-1029 | 2019-08-25 |
| 1508421033 | Zachary Biedermann | Developmental Therapist | 55 Dimock St, Roxbury, MA 02119-1029 | 2019-05-09 |
| 1851858401 | Yvelande Boursiquot | Social Worker | 55 Dimock St, Roxbury, MA 02119-1029 | 2019-03-01 |
| 1790268837 | Danielle Sharon Ederi | Counselor | 55 Dimock St, Roxbury, MA 02119-1029 | 2018-09-14 |
| 1225527914 | Jevae Nelson | Dentist | 55 Dimock St, Roxbury, MA 02119-1029 | 2018-05-08 |
| 1760996821 | Rachel Shotkin | Social Worker | 55 Dimock St, Roxbury, MA 02119-1029 | 2017-11-28 |
| 1568981421 | Marzieh Bonakdarhashemi | Counselor | 55 Dimock St, Roxbury, MA 02119-1029 | 2017-09-12 |
| 1225554140 | Stacy Lin Longo | Pharmacist | 55 Dimock St, Roxbury, MA 02119-1029 | 2017-08-22 |
| 1639624703 | Cindy Stafford | Counselor | 55 Dimock St, Roxbury, MA 02119-1029 | 2016-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487902979 | Danielle Drake Grimm | Nurse Practitioner | 45 Dimock St, Roxbury, MA 02119-1208 | 2012-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590514 | Shaina Kulbersh | Nurse Practitioner | 701 Cambridge St Unit A, Brighton, MA 02135-2803 | 2019-10-21 |
| 1215484761 | Kimberly Angelini | Nurse Practitioner | 2 Haven St., Suite 309, Reading, MA 01867 | 2016-09-01 |
| 1588117188 | Carolina Lopes | Nurse Practitioner | 48 Carlotta Ave, Hyannis, MA 02601-3432 | 2016-07-29 |
| 1780093757 | Sarah Epstein | Nurse Practitioner | 100 Andover Bypass Ste 300, North Andover, MA 01845 | 2014-08-04 |
| 1235441957 | Marina D Goldman | Nurse Practitioner | 395 Pleasant Street, Northampton, MA 01060 | 2010-07-10 |
| 1164654190 | Kirsten T Kowalski | Nurse Practitioner | 34 Main St Ste 1, Amherst, MA 01002-2356 | 2009-08-09 |
| 1952428815 | Natalya Carney | Nurse Practitioner | 10 Westgate Rd, Framingham, MA 01701-8836 | 2007-03-24 |
| 1689747164 | Makeda Kamara | Nurse Practitioner | 39 Dracut St, Dorchester Center, MA 02124-3818 | 2006-11-15 |
| 1699866970 | Maria Lopiano | Nurse Practitioner | 1 Park Way Fl 4, Haverhill, MA 01830-6278 | 2006-09-28 |
| 1427059021 | Cindy Munro Popovic | Nurse Practitioner | 100 Medway Rd, Milford, MA 01757-2923 | 2005-08-03 |
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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.