MR. CHRISTIAN SHAUNLYN CHAN (NPI# 1720236847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720236847 |
| Entity Type | Individual |
| Full Name | MR. CHRISTIAN SHAUNLYN CHAN |
| Practice Address |
26 Central St Somerville MA 02143-2827 |
| Mailing Address |
26 Central Street Somerville MA 02143 |
| Practice Telephone | 6175916033 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649704172 | Christian Nicholas Chan | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd, #400, Las Vegas, NV 89102-2325 | 2017-04-11 |
| Street Address |
26 CENTRAL ST |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720060155 | Miriam Cohen Tepper | Psychiatry & Neurology | 26 Central St, Cambridge Health Alliance, Somerville, MA 02143-2827 | 2005-11-21 |
| 1124667183 | Marie N Paul | Licensed Practical Nurse | 26 Central St, Somerville, MA 02143-2827 | 2019-12-22 |
| 1558906388 | Manouchka Desir | Case Manager/Care Coordinator | 26 Central St, Somerville, MA 02143-2827 | 2019-11-15 |
| 1891341293 | David Nguyen | Psychologist | 26 Central St, Somerville, MA 02143-2827 | 2019-08-13 |
| 1447813472 | Cassie Brooke Aponas | Registered Nurse | 26 Central St, Somerville, MA 02143-2827 | 2019-04-16 |
| 1417418336 | Ineida Barros | Registered Nurse | 26 Central St, Somerville, MA 02143-2827 | 2019-03-26 |
| 1487119327 | Bernardo Nava Ponte | Case Manager/Care Coordinator | 26 Central St, Somerville, MA 02143-2827 | 2019-02-05 |
| 1699247163 | Mary Katherine Wollstadt | Case Manager/Care Coordinator | 26 Central St, Somerville, MA 02143-2827 | 2018-12-21 |
| 1811469711 | Mary Fortin | Licensed Practical Nurse | 26 Central St, Somerville, MA 02143-2827 | 2018-12-18 |
| 1326520669 | Diana Kimberly Zambrano Vanderley | Clinic/Center | 26 Central St, Somerville, MA 02143-2827 | 2018-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568075471 | Chace Nolen | Student in an Organized Health Care Education/Training Program | 125 Morrison Ave Apt 1, Somerville, MA 02144-2126 | 2020-08-29 |
| 1558981944 | Kylie Morgan Steinhilber | Student in an Organized Health Care Education/Training Program | 739 Broadway Apt 2, Somerville, MA 02144-2141 | 2020-04-26 |
| 1982224051 | Chris Raftelis | Student in an Organized Health Care Education/Training Program | 35 Fairfax St, Somerville, MA 02144-1107 | 2020-04-19 |
| 1679193874 | Sarah Burke | Student in an Organized Health Care Education/Training Program | 27 1/2 Boston St, Somerville, MA 02143-2005 | 2020-04-17 |
| 1316566094 | Melanie Choi | Student in an Organized Health Care Education/Training Program | 5 Maxwells Grn Apt 102, Somerville, MA 02144-2685 | 2020-04-13 |
| 1518586312 | Nicolas Pytel | Student in an Organized Health Care Education/Training Program | 7 Franklin St Apt 1, Somerville, MA 02145-3235 | 2020-04-11 |
| 1255986238 | Josephine Sheron Au | Student in an Organized Health Care Education/Training Program | 33 Linden Ave # 1, Somerville, MA 02143-2221 | 2019-08-06 |
| 1417436585 | Quang Pho | Student in an Organized Health Care Education/Training Program | 115 Thurston St Apt 3, Somerville, MA 02145-2847 | 2018-08-09 |
| 1114417524 | Dae Kim | Student in an Organized Health Care Education/Training Program | Somerset Family Practice, 110 Rehill Avenue, Somerville, NJ 08876 | 2018-05-11 |
| 1720529951 | Madeline Ray | Student in an Organized Health Care Education/Training Program | 37 Cherry St, Somerville, MA 02144-3253 | 2017-03-20 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
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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.