Active NPI
Jodi Lisa Rome-Avrus, M.ED.
- Case Manager/Care Coordinator
- Quincy, MA
National Provider Identifier
1043377450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 171M00000X
- Practice address
- 500 Victory Rd
Quincy, MA 02171-3139 - Phone
- (617) 774-1089
- NPI assigned
- Jan 3, 2007
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 171M00000X | MA | Primary |
Addresses
Primary practice location
500 Victory Rd
Quincy, MA 02171-3139
Mailing address
41 Jones Ave
Randolph, MA 02368-3701
Phone (781) 986-7431
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171M00000X | Other | MA | CASE MANAGER |
| 270092 | Other | MA | TEACHER |
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
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171M00000X | MA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043377450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 JONES AVE",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023683701",
"telephone_number": "781-986-7431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 VICTORY RD",
"city": "QUINCY",
"state": "MA",
"postal_code": "021713139",
"telephone_number": "617-774-1089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROME-AVRUS",
"first_name": "JODI",
"middle_name": "LISA",
"name_prefix": "Ms.",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MA",
"license": "171M00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CASE MANAGER",
"identifier": "171M00000X",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEACHER",
"identifier": "270092",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.