Jordan Alexandra Gittzus
Student in an Organized Health Care Education/Training Program

Address: 42 Border St, Boston, MA 02128-1902
Phone: 4134466331

Jordan Alexandra Gittzus (NPI# 1164041950) 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) 1164041950
Entity Type Individual
Full Name Jordan Alexandra Gittzus
Credential PA STUDENT
Gender Female
Practice Address 42 Border St
Boston
MA 02128-1902
Practice Telephone 4134466331
Mailing Address 42 Border St
Boston
MA 02128-1902
Mailing Telephone 4134466331
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-04-11
Last Update Date 2020-04-11

Taxonomy Codes

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

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
1265054571 Nathaniel Moulson Student in an Organized Health Care Education/Training Program 125 Nashua St Massachusetts General Hospital, Suite 260, Boston, MA 02114-1109 2020-05-08
1275154940 Jorge Nicolas Ruiz Student in an Organized Health Care Education/Training Program Shapiro Primary Care 725 Albany Street, Boston, Ma, 021, Boston, MA 02128 2020-05-04
1407477359 Nayana Ramesh Somayaji Student in an Organized Health Care Education/Training Program 820 Harrison Ave Fgh Bldg 4th Floor, Boston, MA 02118-2905 2020-05-01
1982225090 Emily Blake Student in an Organized Health Care Education/Training Program 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 2020-04-29
1982225223 Stephanie Mccarthy Brooks Student in an Organized Health Care Education/Training Program 63 Rutland St Apt 2, Boston, MA 02118-1586 2020-04-28
1982224523 Victoria Ann Grunberg Student in an Organized Health Care Education/Training Program 1 Bowdoin St Fl 7, Boston, MA 02114-4201 2020-04-23
1891315495 Stephanie Schoch Student in an Organized Health Care Education/Training Program 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 2020-04-23
1548880131 Kristine Ravina Student in an Organized Health Care Education/Training Program 725 Albany St Ste 7c, Boston, MA 02118-3549 2020-04-23
1558981142 Shraya Sharma Student in an Organized Health Care Education/Training Program 1 Kneeland St Rm 1157, Boston, MA 02111-1529 2020-04-23
1932729597 Jacob Joseph Kosarchuk Student in an Organized Health Care Education/Training Program 800 Washington Street, Proger 7, Boston, MA 02111 2020-04-23
Find all providers in BOSTON

Office Location

Street Address 42 BORDER ST
City BOSTON
State MA
Zip Code 02128-1902

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275154940 Jorge Nicolas Ruiz Student in an Organized Health Care Education/Training Program Shapiro Primary Care 725 Albany Street, Boston, Ma, 021, Boston, MA 02128 2020-05-04
1881155414 Lucas Felipe Bastos Horta Student in an Organized Health Care Education/Training Program 725 Albany Street, Shapiro Primary Care, Precepting Room, Boston, MA 02128 2019-03-27
1245729763 Josie A Kramer Registered Nurse 213 Webster Street, Unit 1, Boston, MA 02128 2018-05-10
1457875775 Bremen Physical Therapy Clinic/Center 464 Bremen St. Suite 4b, East Boston, MA 02128 2017-07-28
1174907588 Vivian Karina Ibanez Specialist 130 Condor Street, East Boston, MA 02128 2015-07-15
1326459546 Excel Physical Therapy, Inc. Clinic/Center 2 Neptune Rd Suite 171, East Boston, MA 02128 2014-05-09
1427394824 D.a.w., L.l.c. Durable Medical Equipment & Medical Supplies 20 Maverick Sq, East Boston, MA 02128 2012-12-13
1356600019 Rebekah Bronwyn Sheppard Doula 253 Webster Street, Boston, MA 02128 2012-05-15
1629340484 Shahi Lavail Smart Sr. Counselor 512 Border Street, #d, East Boston, MA 02128 2012-02-08
1598048522 Rebecca Taylor Social Worker 120 Condor St, East Boston, MA 02128 2011-09-26
Find all providers in zip 02128

Competitor

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City BOSTON
Zip Code 02128

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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.

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