Bowdoin Street Health Center

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

122639 Issued in MA

Legal business name

BOWDOIN STREET HEALTH CENTER

Practice address

230 Bowdoin St
Dorchester, MA 02122-1817

Phone

(617) 754-0102

Fax

(617) 754-0230

NPI assigned

Mar 30, 2007

Last updated

Aug 7, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Rose Ann O'Brien, RN

Title

Clinical Nurse Speciallist617

Phone

(617) 754-0058

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1225158538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 REEDSDALE RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021864535",
            "telephone_number": "617-754-0102",
            "fax_number": "617-754-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BOWDOIN ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221817",
            "telephone_number": "617-754-0102",
            "fax_number": "617-754-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWDOIN STREET HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL NURSE SPECIALLIST617",
        "authorized_official_telephone_number": "617-754-0058",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MA",
            "license": "122639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Habiba Bouhou
• Elmehdi Boujida, D.M.D
• Emmanuel Bouloute, NP
• Bowdoin St. Health Center
• Bowdoin Street Health Ceneter
• Bowdoin Street Health Center
• Vanessa C Bowen Newton, LMHC 5478
• Myles Bowen, M.A.
• Ivy Lynn Brackup, MD
• Kelley D Bradshaw

• General Practice Registered Nurse in Dorchester, MA
• Providers in Dorchester, MA by specialty
• General Practice Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.