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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

VANESSA MIRAGE
NPI 1881506467
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since September 19, 2026
136 HARRISON AVE, BOSTON, MA 02111(617) 636-7000 Get Directions Write a Review

NPPES record added: September 19, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Vanessa Mirage NPPES

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

VANESSA MIRAGE (NPI 1881506467) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1881506467
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameVANESSA MIRAGE
Location Address136 HARRISON AVEBoston, MA 02111-1800
Mailing Address136 Harrison AveBoston, MA 02111-1817
Phone(617) 636-7000
Sole ProprietorNo
Enumeration DateSeptember 19, 2026
NPPES CertifiedSeptember 19, 2026
✔ NPI 1881506467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
136 HARRISON AVE, Boston, MA 02111
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY E FARRELL
Physician Assistant
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (404) 401-8489
CATHERINE AHOLA
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-7000
BARBARA SOGOLOFF
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (781) 771-7987
PEYTON NICKERSON
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (207) 408-0825
HAMIE HAMIE
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-0405
JOHN CURLEY
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-0405
JENNA GOLD
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-7000
ALEX ADAMS NICKERSON
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-6613

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 Vanessa Mirage's NPI number?

The NPI number for Vanessa Mirage is 1881506467. It was assigned to this individual provider in the NPPES registry on September 19, 2026.

Where is Vanessa Mirage located?

Vanessa Mirage practices at 136 Harrison Ave, Boston, MA 02111. The listed phone number is (617) 636-7000.

What is Vanessa Mirage's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Vanessa Mirage was last updated on September 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.