Active NPI
Healing Hearts Holistically Inc.
- Adult Health Clinical Nurse Specialist
- Brockton, MA
National Provider Identifier
1043562812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- RN173824
- Legal business name
- HEALING HEARTS HOLISTICALLY INC.
- Practice address
- 348 North Pearl St
Brockton, MA 02301-2135 - Phone
- (508) 584-3278
- Fax
- (508) 584-3279
- NPI assigned
- Oct 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Denise Lucille Jezewski, RN, ACNS-BC
- Title
- Owner
- Phone
- (508) 584-3278
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | RN173824 | MA | |
| Adult Health Clinical Nurse Specialist | 364SA2200X | RN173824 | MA | Primary |
Addresses
Primary practice location
348 North Pearl St
Brockton, MA 02301-2135
Mailing address
348 North Pearl St
Brockton, MA 02301-2135
Phone (508) 584-3278
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443657600000",
"number": "1043562812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 NORTH PEARL ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012135",
"telephone_number": "508-584-3278",
"fax_number": "508-584-3279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 NORTH PEARL ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012135",
"telephone_number": "508-584-3278",
"fax_number": "508-584-3279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING HEARTS HOLISTICALLY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-03",
"last_updated": "2015-10-01",
"status": "A",
"authorized_official_last_name": "JEZEWSKI",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "LUCILLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-584-3278",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "RN, ACNS-BC"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "MA",
"license": "RN173824",
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "MA",
"license": "RN173824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.