Active NPI
Elizabeth Tavares
- Behavior Technician
- New Bedford, MA
National Provider Identifier
1013406164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 85 Luke St
New Bedford, MA 02740-1329 - Phone
- (774) 992-6465
- NPI assigned
- May 4, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
85 Luke St
New Bedford, MA 02740-1329
Mailing address
85 Luke St
New Bedford, MA 02740-1329
Phone (774) 992-6465
Other practice location 1
141 Park St
Attleboro, MA 02703-3020
Phone (508) 226-1445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801935176 | Other | ARC |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Arc of Bristol County Inc. | Past | Accepting new patients | |
| The Arc of Bristol County, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmentally Disabled Services Day Training Agency
- Smithfield, RI
- NPI 1801935176
-
- Developmentally Disabled Services Day Training Agency
- Smithfield, RI
- NPI 1730476029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1013406164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 LUKE ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027401329",
"telephone_number": "774-992-6465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 LUKE ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027401329",
"telephone_number": "774-992-6465"
}
],
"practiceLocations": [
{
"address_1": "141 Park St",
"address_purpose": "LOCATION",
"city": "Attleboro",
"state": "MA",
"postal_code": "027033020",
"country_code": "US",
"telephone_number": "508-226-1445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAVARES",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-04",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARC",
"identifier": "1801935176",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.