Organization Active NPI

Healing Hearts Holistically Inc.

  • Adult Health Clinical Nurse Specialist
  • Brockton, MA
National Provider Identifier
1043562812
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
RN173824 Issued in MA
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

Updated by the provider on Oct 1, 2015

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)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X RN173824 MA
Adult Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.