Individual provider Active NPI

Nadia Bernard

  • Family Nurse Practitioner
  • Quincy, MA
National Provider Identifier
1104285931
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1215338 Issued in MA
Practice address
626 Southern Artery
Quincy, MA 02169-5648
Phone
(617) 969-4660
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2276318 MA
Family Nurse Practitioner 363LF0000X F1215338 MA Primary

Addresses

Primary practice location

626 Southern Artery
Quincy, MA 02169-5648

Mailing address

626 Southern Artery
Quincy, MA 02169-5648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160414000493 MA Practitioner - Nurse Practitioner 4486952025 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F1215338MAMDFamily Nurse Practitioner
RN2276318MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Insight Inc Psychiatric/Mental Health CurrentSince Apr 25, 2021 Accepting new patients
Care Promotion PC Family CurrentSince Jun 15, 2020 Accepting new patients
Parity Urgent Care Plus, LLC CurrentSince Jul 1, 2024 Accepting new patients
Newton Healthcare Center Past Accepting new patients

Locations

105 Webster St
Ste 8
Hanover, MA 02339
Phone (781) 312-7457

950 American Legion Hwy
Roslindale, MA 02131
Phone (617) 323-3000

950 American Legion Hwy
Unit 10
Roslindale, MA 02131
Phone (617) 991-2931

300 Friberg Pkwy
Westborough, MA 01581
Phone (508) 329-6158

100 Century Dr
Worcester, MA 01606
Phone (508) 762-5400

100 Century Dr
Fl 1
Worcester, MA 01606

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1104285931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 SOUTHERN ARTERY",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 SOUTHERN ARTERY",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695648",
            "telephone_number": "617-969-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "NADIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2276318",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "F1215338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.