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).
| 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 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | MA |
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| 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 | ||||
| Street Address |
42 BORDER ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02128-1902 |
| 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 | ||||
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| 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.