Provider Type Icon

NICOLE PRUDENT MD NPI 1528156999


NPI Information

NPI: 1528156999
Provider Name: NICOLE PRUDENT, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
850 HARRISON AVE
YACC5
BOSTON, MA
ZIP 02118
Phone: (617) 414-5946
Get Directions

Nicole Prudent, MD is a pediatrics in Boston, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Nicole Prudent, MD NPI is 1528156999. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

850 HARRISON AVE
YACC5
BOSTON, MA
ZIP 02118-001
Phone: (617) 414-5946
Fax: (617) 414-4541

The enumeration date for this NPI number is 10/11/2006 and was last updated on 4/4/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics46617MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1110002610AMEDICAIDMASSACHUSETTS
2E05415MEDICARE PINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.