Active NPI
Michelle Webb, P.A.-C.
- Physician Assistant
- Boston, MA
National Provider Identifier
1851723639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 55 Fruit St
Hmu Blake 1500
Boston, MA 02114 - Phone
- (617) 724-3874
- NPI assigned
- Aug 5, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA4790 | MA | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
55 Fruit St
Hmu Blake 1500
Boston, MA 02114
Mailing address
55 Fruit St
Hmu Blake 1500
Boston, MA 02114-2696
Phone (617) 724-3874
Other practice location 1
55 Fruit St
HMU Blake 1500
Boston, MA 02114
Phone (617) 724-3874
Other practice location 2
330 Mount Auburn St
Department of Medicine
Cambridge, MA 02138-5502
Phone (609) 892-2280
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA4790 | MA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561248000000",
"number": "1851723639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"address_2": "HMU BLAKE 1500",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696",
"telephone_number": "617-724-3874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"address_2": "HMU BLAKE 1500",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-724-3874"
}
],
"practiceLocations": [
{
"address_1": "55 Fruit St",
"address_2": "HMU Blake 1500",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02114",
"country_code": "US",
"telephone_number": "617-724-3874",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "330 Mount Auburn St",
"address_2": "Department of Medicine",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021385502",
"country_code": "US",
"telephone_number": "609-892-2280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBB",
"first_name": "MICHELLE",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-05",
"last_updated": "2019-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "PA4790",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"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 Jun 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.