Taeseon J Adams, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Bedford, MA
NPI 1043364029 · NPPES record last updated Jun 4, 2013
Key facts
- NPI
- 1043364029
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 192447 (MA)
- Practice address
- 200 Springs Rd
Bedford, MA 01730-1114 - Phone
- (781) 687-2000
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192447 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ajay Anand MD PC | Past | Accepting new patients | |
| Nova Psychiatric Services, PC | Past |
Accepting new patients | |
| Ajay Anand MD PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 192447 | MA | |
| Adult Health Nurse Practitioner | 363LA2200X | 192447 | MA | Yes |
Addresses
Primary practice location
200 Springs Rd
Bedford, MA 01730-1114
Mailing address
34 Newport St
Arlington, MA 02476-6207
Phone (781) 641-0495
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0357375 | Medicaid | MA |
Other providers in Bedford, MA
- Lucas Pinheiro Abreu
- Access Physical Therapy, LLC
- Katherine Ackerman
- Acupuncture & Herbal Health Care
- Sydney Adams
- Katherine Adorno
- Carl Andrew Agne
- Kenneth John Ahern
- Meghan Elizabeth Ahern
- Riley Eileen Ahern
All providers in Bedford, MA · Adult Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.