Marianne Shakespeare, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

122171 Issued in MA

Practice address

67 Union St.
Suite 407
Natick, MA 01760

Phone

(508) 651-9503

Fax

(508) 881-1752

NPI assigned

Oct 27, 2006

Last updated

May 4, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGFCDD

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

• Worcester Internal Medicine, Inc.

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1063565422
  NPD
• Medical Care of Boston Management Corporation

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1437196359
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1073699716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 UNION ST.",
            "address_2": "SUITE 407",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "01760",
            "telephone_number": "508-651-9503",
            "fax_number": "508-370-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 UNION ST.",
            "address_2": "SUITE 407",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "01760",
            "telephone_number": "508-651-9503",
            "fax_number": "508-881-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKESPEARE",
        "first_name": "MARIANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "122171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0342700",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael L Sganga, DPM
• Rahim Shafa, MD
• Adviti Shah, PT
• Agam Shah, M.D.
• Kimaya Shahi
• Alyssa Shambo
• Heather Shanley
• Steven Shapiro, DMD
• Anni Sharma, O.D.
• Neha Trilok Sharma, MS CCC-SLP

• Nurse Practitioner in Natick, MA
• Providers in Natick, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.