Active NPI
Melissa Gardner, CNP
- Addiction (Substance Use Disorder) Registered Nurse
- East Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- RN2280655
- Practice address
- 59 Meridian St
East Boston, MA 02128-1959 - Phone
- (413) 584-2173
- NPI assigned
- Nov 27, 2016
- Last updated
- Apr 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN2280655 | MA | |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | RN2280655 | MA | Primary |
Addresses
Primary practice location
59 Meridian St
East Boston, MA 02128-1959
Mailing address
59 Meridian St
East Boston, MA 02128-1959
Phone (413) 584-2173
Other practice location 1
360 Brockton Ave
Abington, MA 02351-2186
Phone (784) 878-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
36 N Bedford St
C22
East Bridgewater, MA 02333-1186
Phone (508) 243-2985
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alterna-Healing LLC | Current | Accepting new patients | |
| High Point Treatment Center Inc. | Current | Accepting new patients | |
| Family and Community Resources, Inc. | Current | Accepting new patients |
Locations
10 Meadowbrook Rd
Brockton, MA 02301
Phone (508) 584-9210
18 Newton St
Brockton, MA 02301
Phone (508) 583-5498
30 Meadowbrook Rd
Brockton, MA 02301
Phone (508) 408-6190
36 N Bedford St
#C22
East Bridgewater, MA 02333
Phone (508) 243-2985
108 N Front St
New Bedford, MA 02740
Phone (508) 689-5576
72 Kilburn St
New Bedford, MA 02740
Phone (774) 213-8448
1233 State Rd
Plymouth, MA 02360
Phone (508) 224-6527
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Health Clinic/Center
- E Bridgewater, MA
- NPI 1134819816
-
- Community/Behavioral Health Agency
- Brockton, MA
- NPI 1821159880
-
- Counselor
- New Bedford, MA
- NPI 1518996354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1033652987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 MERIDIAN ST",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "021281959",
"telephone_number": "413-584-2173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 MERIDIAN ST",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "021281959",
"telephone_number": "413-584-2173"
}
],
"practiceLocations": [
{
"address_1": "360 Brockton Ave",
"address_purpose": "LOCATION",
"city": "Abington",
"state": "MA",
"postal_code": "023512186",
"country_code": "US",
"telephone_number": "784-878-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARDNER",
"first_name": "MELISSA",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-27",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "RN2280655",
"primary": false
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "RN2280655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.