Alanna M Basquiat
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
1154032852- Practice location
- 680 Centre St, Brockton, MA 02302-3308
- Phone
- 508-941-7700
- Fax
- 508-941-6334
- Last updated
- August 6, 2026
Alanna M. Basquiat is a Student in an Organized Health Care Education/Training Program based in Brockton, MA. Alanna M. Basquiat practices in Brockton, MA. The NPI Number for Alanna M. Basquiat is 1154032852 and holds a License No. PA100257 (MA). The current practice location address for Alanna M. Basquiat is 680 Centre St, Brockton, MA 02302-3308 and can be reached out via phone at 508-941-7700 and via fax at 508-941-6334.
Provider Profile Details
- NPI Number
- 1154032852
- Provider Name
- Alanna M. Basquiat
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 680 Centre St, Brockton, MA 02302-3308
- Phone Number
- 508-941-7700
- Fax Number
- 508-941-6334
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 13, 2022
- Last Update Date
- August 6, 2026
- Certification Date
- August 6, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 680 Centre St
Brockton, MA 02302-3308 - City
- Brockton
- State
- Massachusetts
- Zip
- 02302-3308
- Phone Number
- 508-941-7700
- Fax Number
- 508-941-6334
Provider Business Mailing Address Details
- Address
- 18 Washburn St Apt 2
Dorchester, MA 02125-4744 - City
- Dorchester
- State
- MA
- Zip
- 02125-4744
- Phone Number
- 508-941-7700
- Fax Number
- 508-941-6334
License Information
- License Number (1)
- PA100257
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License State (2)
- MA
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Alanna M Basquiat?
The NPI number of Alanna M Basquiat is 1154032852. It was assigned on December 13, 2022 and is currently active in the NPPES registry.
What is the specialty of Alanna M Basquiat?
Alanna M Basquiat is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in MA under license number PA100257.
Where does Alanna M Basquiat practice?
The practice location is 680 Centre St, Brockton, MA 02302-3308. The office can be reached at 508-941-7700 (phone) or 508-941-6334 (fax).
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 1154032852 directly on the NPPES registry website.