Active NPIIndividual providerSole proprietor

Emilia Higinbotham

Physician Assistant in Peabody, Massachusetts

NPI Number1104717156
Practice location
2 Pontiac RD, Peabody, MA 01960-3320
Fax
—
Last updated
July 9, 2025

Emilia Higinbotham is a Physician Assistant based in Peabody, MA. Emilia Higinbotham practices in Peabody, MA. The NPI Number for Emilia Higinbotham is 1104717156. The current practice location address for Emilia Higinbotham is 2 Pontiac RD, Peabody, MA 01960-3320 and can be reached out via phone at 978-587-6310.

Provider Profile Details

NPI Number
1104717156
Provider Name
Emilia Higinbotham
Provider Entity Type
Individual
Gender
Female
Address
2 Pontiac RD, Peabody, MA 01960-3320
Phone Number
978-587-6310
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 9, 2025
Last Update Date
July 9, 2025
Certification Date
July 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Pontiac RD
Peabody, MA 01960-3320
Zip
01960-3320
Phone Number
978-587-6310
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
2 Pontiac RD
Peabody, MA 01960-3320
City
Peabody
State
MA
Zip
01960-3320
Phone Number
978-587-6310

License Information

Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Emilia Higinbotham?

The NPI number of Emilia Higinbotham is 1104717156. It was assigned on July 9, 2025 and is currently active in the NPPES registry.

What is the specialty of Emilia Higinbotham?

Emilia Higinbotham is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Emilia Higinbotham practice?

The practice location is 2 Pontiac RD, Peabody, MA 01960-3320. The office can be reached at 978-587-6310 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104717156 directly on the NPPES registry website.

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