HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC
NPI 1154435915
Nurse Practitioner in Boston, MA

Active since August 18, 2006
330 BROOKLINE AVE # E/TCC-2, BOSTON, MA 02215(617) 667-3940 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2024, Jun 18, 2018 (2 updates tracked since 2018).

About Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC (NPI 1154435915) is a healthcare organization registered as a nurse practitioner in Boston, Massachusetts and active in the NPI registry since August 2006. The organization lists Sharon Gates, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1154435915
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameHARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC
Location Address330 BROOKLINE AVE # E/TCC-2Boston, MA 02215
Mailing AddressOrthopaedic Surgery 330 Brookline Ave, E/tcc-2Boston, MA 02215
Organization SubpartNo
Authorized OfficialSharon GatesNurse Practitioner · (617) 667-3940
Enumeration DateAugust 18, 2006
Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
NPI 1154435915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · 78636
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
330 BROOKLINE AVE # E/TCC-2, Boston, MA 02215

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc's NPI number?

The NPI number for Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc is 1154435915. It was assigned to this organization in the NPPES registry on August 18, 2006.

Where is Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc located?

Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc is located at 330 Brookline Ave # E/Tcc-2, Boston, MA 02215. The listed phone number is (617) 667-3940.

What is Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.