Donna M Agave, APRN
Individual provider Active NPI Nurse Practitioner · Burlington, MA
NPI 1669656187 · NPPES record last updated Dec 16, 2021
Key facts
- NPI
- 1669656187
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 149537 (MA)
- Practice address
- 67 South Bedford St Ste 400W
Burlington, MA 01803 - Phone
- (781) 773-8200
- Fax
- (650) 282-4462
- NPI assigned
- Dec 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149537 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Minded Care, PLLC | Past | Accepting new patients | |
| Lynn Community Health, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 149537 | MA | |
| Nurse Practitioner | 363L00000X | 149537 | MA | Yes |
Addresses
Primary practice location
67 South Bedford St Ste 400W
Burlington, MA 01803
Mailing address
67 South Bedford St Ste 400W
Burlington, MA 01803
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149537 | Other | MA | LICENSE |
Other names
- Donna Abarbanel
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.