Active NPI
Andrea Gayle-Bennett, PA
- Physician Assistant
- Boston, MA
National Provider Identifier
1497728026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 480
- Practice address
- 300 Longwood Ave
Children'S Hospital
Boston, MA 02115-5724 - Phone
- (617) 355-7953
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 480 | MA | Primary |
Addresses
Primary practice location
300 Longwood Ave
Children'S Hospital
Boston, MA 02115-5724
Mailing address
27 Savoy St
Floor
Lynn, MA 01904-2119
Phone (781) 581-2232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 480 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497728026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 SAVOY ST",
"address_2": "FLOOR",
"city": "LYNN",
"state": "MA",
"postal_code": "019042119",
"telephone_number": "781-581-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"address_2": "CHILDREN'S HOSPITAL",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "617-355-7953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYLE-BENNETT",
"first_name": "ANDREA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.