Ms. Kevin Lyn Sisson
Student in an Organized Health Care Education/Training Program

Address: 417 Neponset Ave, Boston, MA 02122
Phone: 8572173700

Ms. Kevin Lyn Sisson (NPI# 1104372960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1104372960
Entity Type Individual
Full Name Ms. Kevin Lyn Sisson
Gender Female
Practice Address 417 Neponset Ave
Boston
MA 02122
Practice Telephone 8572173700
Mailing Address 80 Jewett St
Newton
MA 02458-1524
Mailing Telephone 3016933525
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2016-08-31
Last Update Date 2016-08-31

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy 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.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

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
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
1053923110 Wendy Tu Student in an Organized Health Care Education/Training Program 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 2020-08-20
Find all providers in BOSTON

Office Location

Street Address 417 NEPONSET AVE
City BOSTON
State MA
Zip Code 02122

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033720875 Joey Mark Nguyen Pharmacist 747 Gallivan Blvd, Dorchester, MA 02122 2020-08-14
1518575240 Hamilton Pharmacy LLC Pharmacy 246 Bowdoin St, Dorchester, MA 02122 2020-07-20
1336789528 Katheline Leconte Social Worker 230 Bowdoin Street, Dorchester, MA 02122 2020-01-15
1700374725 Renee Ahern Registered Nurse 398 Neponset Ave., Dorchester, MA 02122 2018-04-25
1861902371 Bridget Mary Walsh Specialist/Technologist 519 Ashmont St, Dorchester, MA 02122 2017-10-10
1649798133 Roosevelt Lewis IIi Registered Nurse 1486 Dorchester Ave Ste 206, Boston, MA 02122 2017-09-05
1811427404 Hanh Nguyen Counselor 50 Redfield St, Suite 300, Dorchester, MA 02122 2017-06-15
1669902474 Thuy T Nguyen Counselor 415 Neponset Avenue, Dorchester, MA 02122 2017-06-14
1093262651 David Scot Rapaport Counselor 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 2016-09-01
1891171021 Shannon K Mullen Registered Nurse 20 Thelma Rd, Dorchester, MA 02122 2015-08-11
Find all providers in zip 02122

Competitor

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City BOSTON
Zip Code 02122

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Dataset Information

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.