Individual provider Active NPI

Melissa Gardner, CNP

  • Addiction (Substance Use Disorder) Registered Nurse
  • East Boston, MA
National Provider Identifier
1033652987
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
RN2280655 Issued in MA
Practice address
59 Meridian St
East Boston, MA 02128-1959
Phone
(413) 584-2173
NPI assigned
Nov 27, 2016
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170223002477 MA Practitioner - Nurse Practitioner 2062796758 Reassigns benefits to 3 organizations

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

OrganizationSpecialtyStatusNew patients
Alterna-Healing LLC CurrentSince Jan 7, 2024 Accepting new patients
High Point Treatment Center Inc. CurrentSince Apr 30, 2018 Accepting new patients
Family and Community Resources, Inc. CurrentSince Mar 27, 2024 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.

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

Verify at the official NPI Registry.