Active NPI
Joanne Carol Agnes, RN,AD
- Registered Nurse
- Everett, MA
National Provider Identifier
1073710224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 137536
- Practice address
- 103 Garland St
Everett, MA 02149-5066 - Phone
- (617) 389-7133
- Fax
- (617) 381-7199
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 137536 | MA | Primary |
Addresses
Primary practice location
103 Garland St
Everett, MA 02149-5066
Mailing address
181 Grover St
Everett, MA 02149-4309
Phone (617) 389-6615
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
| License | State | Type | Specialty |
|---|---|---|---|
| 137536 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073710224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 GROVER ST",
"city": "EVERETT",
"state": "MA",
"postal_code": "021494309",
"telephone_number": "617-389-6615",
"fax_number": "617-381-7199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 GARLAND ST",
"city": "EVERETT",
"state": "MA",
"postal_code": "021495066",
"telephone_number": "617-389-7133",
"fax_number": "617-381-7199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGNES",
"first_name": "JOANNE",
"middle_name": "CAROL",
"credential": "RN,AD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "137536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.