Individual provider Active NPI

Guerdine Berard-Cely

  • Licensed Practical Nurse
  • Malden, MA
National Provider Identifier
1013601889
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LN91539 Issued in MA
Practice address
60 Cliff St # 1
Malden, MA 02148-1841
Phone
(857) 237-4833
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
LN91539MAMDLicensed Practical Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LN91539 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

60 Cliff St # 1
Malden, MA 02148-1841

Mailing address

60 Cliff St # 1
Malden, MA 02148-1841
Phone (857) 237-4833

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 6, 2023.

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1013601889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CLIFF ST # 1",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021481841",
            "telephone_number": "857-237-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CLIFF ST # 1",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021481841",
            "telephone_number": "857-237-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERARD-CELY",
        "first_name": "GUERDINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN91539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.