KRISTIN BROGAN (NPI# 1851859276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851859276 |
| Entity Type | Individual |
| Full Name | KRISTIN BROGAN |
| Practice Address |
170 Morton St Jamaica Plain MA 02130-3735 |
| Practice Telephone | 7202733336 |
| Mailing Telephone | 7202733336 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA7511 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110161190 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2151 Old Brick Rd, Glen Allen, VA 230605837 | 7202733336 |
| Street Address |
170 MORTON ST |
| City | JAMAICA PLAIN |
| State | MA |
| Zip Code | 02130-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598745630 | Daniella Floru | Internal Medicine | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2006-01-17 |
| 1790390466 | Caz Novak | Social Worker | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-09-10 |
| 1215566849 | James William Assif | Student in an Organized Health Care Education/Training Program | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-04-06 |
| 1982233045 | Ramy Rashad | Student in an Organized Health Care Education/Training Program | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-04-02 |
| 1154958205 | Yu Sakai | Student in an Organized Health Care Education/Training Program | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-03-26 |
| 1447890785 | Joseph Philip Rearick | Counselor | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-01-15 |
| 1093359580 | Samuel Paul Newman | Counselor | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2019-10-29 |
| 1760044739 | Nicole Jean Dell'erario | Social Worker | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2019-07-01 |
| 1154986784 | Saliha Fatima Abdal-khabir | Registered Nurse | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2019-05-09 |
| 1659935351 | Johnny Jarnagin | Student in an Organized Health Care Education/Training Program | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2019-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598397291 | Jessica Surgenor | Physician Assistant | 45 Saint John St Apt 2, Jamaica Plain, MA 02130-2533 | 2020-02-10 |
| 1407404841 | Bailee Berry | Physician Assistant | 3611 Washington St Unit B338, Jamaica Plain, MA 02130-2955 | 2019-08-28 |
| 1023297793 | Scott Vincent Smalley | Physician Assistant | 17 Germania St, Unit 1, Jamaica Plain, MA 02130-2342 | 2007-10-30 |
| 1487756938 | K. Kittredge White | Physician Assistant | 1153 Centre St Ste 51, Jamaica Plain, MA 02130-3446 | 2006-09-05 |
| 1659838548 | Amy Leazes | Physician Assistant | 301 S Huntington Ave, Jamaica Plain, MA 02130-4807 | 2019-02-27 |
| 1659837813 | Kasey Lynn Hamel | Physician Assistant | 1153 Centre St, Jamaica Plain, MA 02130-3446 | 2019-02-13 |
| 1649712209 | Tracy Elizabeth Stanton | Physician Assistant | 1153 Centre St, Suite 4n, Jamaica Plain, MA 02130-3446 | 2016-11-14 |
| 1235592833 | Justine Kramer | Physician Assistant | 1153 Centre St, Ste. #5 South, Jamaica Plain, MA 02130-3446 | 2016-03-31 |
| 1033590120 | Elizabeth Willetts | Physician Assistant | 640 Centre St, Jamaica Plain, MA 02130-2555 | 2015-06-15 |
| 1548652480 | Andrea Yarmak | Physician Assistant | 1153 Centre St, Jamaica Plain, MA 02130-3446 | 2015-03-02 |
| Find all providers in JAMAICA PLAIN | ||||
| City | JAMAICA PLAIN |
| Zip Code | 02130 |
Please comment or provide details below to improve the information on KRISTIN BROGAN.
| 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.