Active NPI
Caitlin Marie Dacey, RN, CPNP
- Pediatric Nurse Practitioner
- Jamaica Plain, MA
National Provider Identifier
1023390655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 277386
- Practice address
- 75 Bickford St
Jamaica Plain, MA 02130-1401 - Phone
- (617) 971-2100
- Fax
- (617) 983-1377
- NPI assigned
- Sep 9, 2011
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 277386 | MA | Primary |
Addresses
Primary practice location
75 Bickford St
Jamaica Plain, MA 02130-1401
Mailing address
75 Bickford St
Jamaica Plain, MA 02130-1401
Phone (617) 971-2100
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
- Certified Pediatric Nurse Practitioner, Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1023390655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 BICKFORD ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021301401",
"telephone_number": "617-971-2100",
"fax_number": "617-983-1377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 BICKFORD ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021301401",
"telephone_number": "617-971-2100",
"fax_number": "617-983-1377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DACEY",
"first_name": "CAITLIN",
"middle_name": "MARIE",
"credential": "RN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "277386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.