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

BETINA LIRIO DE SOUZA-BAGLEY
NPI 1962324129
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since July 29, 2026
1 KNEELAND ST, BOSTON, MA 02111(617) 636-6828 Get Directions Write a Review

NPPES record added: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Betina Lirio De Souza-bagley NPPES

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

BETINA LIRIO DE SOUZA-BAGLEY (NPI 1962324129) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1962324129
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBETINA LIRIO DE SOUZA-BAGLEY
Location Address1 KNEELAND STBoston, MA 02111-1527
Mailing Address11 Buttermilk WayUxbridge, MA 01569-1480 · (508) 654-7979
Phone(617) 636-6828
Sole ProprietorYes
Enumeration DateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1962324129 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.
1 KNEELAND ST, 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.

DR. ROCIO SAAVEDRA DDS
Dentist
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6971
EIRRION DOMINIQUE TIMMONS
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
MICHELLE IRENE VALDES
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
NORAH ALAJAJI
Dental Assistant
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6591
DR. ANUJA CHUMBLE PANDA DMD
Dentist (General Practice)
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-2163
GRACE WANG
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
YEHAN KIM
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
GRACE DAVIS
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828

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 Betina Souza-bagley's NPI number?

The NPI number for Betina Souza-bagley is 1962324129. It was assigned to this individual provider in the NPPES registry on July 29, 2026.

Where is Betina Souza-bagley located?

Betina Souza-bagley practices at 1 Kneeland St, Boston, MA 02111. The listed phone number is (617) 636-6828.

What is Betina Souza-bagley'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 Betina Souza-bagley was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.