Active NPI
Betty F Chu, R.N.
- Medical-Surgical Registered Nurse
- Medford, MA
National Provider Identifier
1003071093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 167768
- Practice address
- 10 Adam Cir
Medford, MA 02155-1755 - Phone
- (626) 274-0990
- NPI assigned
- Jul 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 167768 | MA | Primary |
Addresses
Primary practice location
10 Adam Cir
Medford, MA 02155-1755
Mailing address
13 Wareham St
Medford, MA 02155-6221
Phone (629) 943-1667
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167768 | MA | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216425600000",
"number": "1003071093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 WAREHAM ST",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021556221",
"telephone_number": "629-943-1667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 ADAM CIR",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021551755",
"telephone_number": "626-274-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "BETTY",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-19",
"last_updated": "2008-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "MA",
"license": "167768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.