Individual provider Active NPI

Beatrice Nerettes, RN

  • Mental Health Counselor
  • Randolph, MA
National Provider Identifier
1013649789
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
17302 Chestnut W
Randolph, MA 02368-6380
Phone
(617) 642-1605
NPI assigned
Jun 30, 2022
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

17302 Chestnut W
Randolph, MA 02368-6380

Mailing address

17302 Chestnut W
Randolph, MA 02368-6380
Phone (617) 642-1605

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL beatrice_02138@yahoo.com Other

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1013649789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17302 CHESTNUT W",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023686380",
            "telephone_number": "617-642-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17302 CHESTNUT W",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023686380",
            "telephone_number": "617-642-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERETTES",
        "first_name": "BEATRICE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "beatrice_02138@yahoo.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "nursing",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17302 Chestnut W",
            "city": "Randolph",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023686380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.