Individual provider Active NPI

Bridget Fonseca, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Middleton, MA
National Provider Identifier
1043985948
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
RN2333421 Issued in MA
Practice address
20 Manning Rd
Middleton, MA 01949-1526
Phone
(978) 750-1900
NPI assigned
Aug 12, 2021
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN233421 MA
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN2333421 MA Primary

Addresses

Primary practice location

20 Manning Rd
Middleton, MA 01949-1526

Mailing address

20 Manning Rd
Middleton, MA 01949-1526
Phone (978) 750-1900

Other identifiers 1

IdentifierTypeStateIssuer
RN2333421OtherMABOARD OF REGISTRY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address BFonseca@wellpath.com Direct
Direct Messaging Address BFonseca@wellpath.us Direct

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2333421MAMDAddiction (Substance Use Disorder) Registered Nurse
RN233421MAMDAddiction (Substance Use Disorder) Registered Nurse

Interoperability endpoints

  • Direct secure messaging: bfonseca@wellpath.com
  • Direct secure messaging: bfonseca@wellpath.us

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1043985948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MANNING RD",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019491526",
            "telephone_number": "978-750-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MANNING RD",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019491526",
            "telephone_number": "978-750-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA",
        "first_name": "BRIDGET",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "RN233421",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "RN2333421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTRY",
            "identifier": "RN2333421",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BFonseca@wellpath.com",
            "affiliation": "N",
            "endpointDescription": "Work e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20 Manning Rd",
            "city": "Middleton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019491526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BFonseca@wellpath.us",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20 Manning Rd",
            "city": "Middleton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019491526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middleton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.