Individual provider Active NPI

Sandra Ventura, NP

  • Pediatric Nurse Practitioner
  • Westwood, MA
National Provider Identifier
1023218112
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
712733 Issued in MA
Practice address
541 High St
Westwood, MA 02090-1628
Phone
(781) 326-7700
Fax
(781) 251-0910
NPI assigned
Jul 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 712733 MA Primary

Addresses

Primary practice location

541 High St
Westwood, MA 02090-1628

Mailing address

541 High St
Westwood, MA 02090-1628
Phone (781) 326-7700

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
712733MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgewater Pediatrics LLC Past Accepting new patients
Westwood-Mansfield Pediatric Associates, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sventura7161@direct.chppoc.masshiway.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1023218112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 HIGH ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901628",
            "telephone_number": "781-326-7700",
            "fax_number": "781-251-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 HIGH ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901628",
            "telephone_number": "781-326-7700",
            "fax_number": "781-251-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTURA",
        "first_name": "SANDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "712733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.