Anne Herzog, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

223197 Issued in MA

Practice address

175 Forest St
Bentley College Student Health Services- Rhodes Hall
Waltham, MA 02452-4713

Phone

(781) 891-2222

NPI assigned

Mar 3, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Maxim Health Systems, LLC

  • Home Health Agency
  • Columbia, MD
  • NPI 1356455380
  NPD (past)

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083743470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 PEMBROKE ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554835",
            "telephone_number": "781-874-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FOREST ST",
            "address_2": "BENTLEY COLLEGE STUDENT HEALTH SERVICES- RHODES HALL",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024524713",
            "telephone_number": "781-891-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "223197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne Conole Henry, LICSW
• Peter J Henry, PT
• Emily Jayne Herbert
• Milcah Esther Hernandez, MA,MA
• Jacqueline Marisol Herrera
• Jocelyn Gwyneth Hesse, MS OT
• Molly Heverling, LICSW
• Felicia M Heywood, LICSW
• Catherine Eileen Hicks
• Nicole Higden

• Adult Health Nurse Practitioner in Waltham, MA
• Providers in Waltham, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• 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.

Verify at the official NPI Registry.