ANDREA DEL MAR SOTO ORDONEZ (NPI# 1740817006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740817006 |
Entity Type | Individual |
Full Name | ANDREA DEL MAR SOTO ORDONEZ |
Practice Address |
15 Parkman Street Wacc 812b Boston MA 02114 |
Mailing Address |
10150 Whisper Pointe Dr Tampa FL 33647-2904 |
Practice Telephone | 3058577411 |
Mailing Telephone | 3058577411 |
Enumeration Date | 2020-03-26 |
Last Update Date | 2020-03-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
15 PARKMAN STREET WACC 812B |
City | BOSTON |
State | MA |
Zip Code | 02114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578563680 | Britain Welton Nicholson | Internal Medicine | 15 Parkman Street, Bulfinch Medical Group, Wang 535, Boston, MA 02114-2621 | 2005-07-29 |
1689209603 | Brianna Walsh | Social Worker | 15 Parkman Street, Wac037, Boston, MA 02114 | 2020-03-10 |
1285292565 | Ivar Snorrason | Psychologist | 15 Parkman Street, Wang 8, Boston, MA 02114-3117 | 2019-06-03 |
1831753862 | John Alexander Brooks | Psychiatry & Neurology | 15 Parkman Street, Wang Ambulatory Care Center (wacc), Suite 835, Boston, MA 02114 | 2019-04-25 |
1366933160 | Bonnie Chang | Social Worker | 15 Parkman Street, Wac 037, Boston, MA 02114 | 2018-05-29 |
1639660491 | Ashley Doan | Social Worker | 15 Parkman Street, Acc037, Boston, MA 02114 | 2018-05-28 |
1124518428 | Michael Jason Mintz | Student in an Organized Health Care Education/Training Program | 15 Parkman Street, Boston, MA 02114 | 2018-05-14 |
1205324217 | Zachary Michael Feldman | Student in an Organized Health Care Education/Training Program | 15 Parkman Street, Wacc 442-a, Boston, MA 02114 | 2018-04-25 |
1740714807 | Carrie Michelle Potter | Psychologist | 15 Parkman Street, Wac 812, Boston, MA 02114 | 2017-04-16 |
1851787824 | Mary Kathryn Hannan | Internal Medicine | 15 Parkman Street, Wang Building, 5th Floor, Boston, MA 02114 | 2015-04-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
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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 |
---|---|---|---|---|
1306447636 | Sarah Wieman | Student in an Organized Health Care Education/Training Program | 16 Blossom St Fl 1, Boston, MA 02114-3104 | 2020-11-03 |
1932709938 | Brianna Mae Duval | Student in an Organized Health Care Education/Training Program | 58 Colborne Rd, Boston, MA 02135-4103 | 2020-10-28 |
1780281279 | Sarah Hamad Alsaggabi | Student in an Organized Health Care Education/Training Program | 55 Traveler St Apt 1310, Boston, MA 02118-2973 | 2020-10-07 |
1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
1962018069 | Cara Connors | Student in an Organized Health Care Education/Training Program | 18 Wiget St Apt 1, Boston, MA 02113-2363 | 2020-09-23 |
1023624608 | Bernadette Avila | Student in an Organized Health Care Education/Training Program | 19 Peterborough St Apt 5, Boston, MA 02215-4409 | 2020-09-19 |
1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
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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.