Individual provider Active NPI

Joanne Piecka, NP

  • Pediatric Nurse Practitioner
  • Auburn, MA
National Provider Identifier
1093816142
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
182398 Issued in MA
Practice address
105 Millbury St
Auburn, MA 01501
Phone
(508) 832-9691
Fax
(508) 832-7670
NPI assigned
Sep 25, 2006
Last updated
Dec 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 182398 MA Primary

Addresses

Primary practice location

105 Millbury St
Auburn, MA 01501

Mailing address

105 Millbury St
Auburn, MA 01501
Phone (508) 832-9691

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
182398MAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1093816142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MILLBURY ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "01501",
            "telephone_number": "508-832-9691",
            "fax_number": "508-832-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MILLBURY ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "01501",
            "telephone_number": "508-832-9691",
            "fax_number": "508-832-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIECKA",
        "first_name": "JOANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "182398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.