Individual provider Active NPI

Teresia Garad, NP-C (PENDINGLICENSE

  • Family Nurse Practitioner
  • Chestnut Hill, MA
National Provider Identifier
1043863434
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2303266 Issued in MA
Practice address
329 Hammond St
Chestnut Hill, MA 02467-1207
Phone
(617) 251-1040
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2303266 MA Primary

Addresses

Primary practice location

329 Hammond St
Chestnut Hill, MA 02467-1207

Mailing address

329 Hammond St
Chestnut Hill, MA 02467-1207
Phone (617) 251-1040

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
I20200427000393 MA Practitioner - Nurse Practitioner 5395175749 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Jun 15, 2020 Accepting new patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Jun 15, 2020 Accepting new patients

Locations

354 Waverley St
Framingham, MA 01702
Phone (508) 270-5700

650 Lincoln St
Worcester, MA 01605
Phone (508) 532-7318

19 Tacoma St
Worcester, MA 01605
Phone (508) 854-2122

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1043863434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 HAMMOND ST",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671207",
            "telephone_number": "617-251-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 HAMMOND ST",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671207",
            "telephone_number": "617-251-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAD",
        "first_name": "TERESIA",
        "credential": "NP-C (PENDINGLICENSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2303266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

Verify at the official NPI Registry.