Organization Active NPI

Piesca LLC

  • General Practice Registered Nurse
  • Boston, MA
National Provider Identifier
1104563832
Registry record updated May 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
Legal business name
PIESCA LLC
Practice address
477 Beacon St Apt 6
Boston, MA 02115-1330
Phone
(954) 372-7536
NPI assigned
May 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2022

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

Authorized official

Name
Parker Kuivila, MD
Title
President
Phone
(954) 372-7536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WG0000X Primary

Addresses

Primary practice location

477 Beacon St Apt 6
Boston, MA 02115-1330

Mailing address

477 Beacon St Apt 6
Boston, MA 02115-1330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1652486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652486400000",
    "number": "1104563832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 BEACON ST APT 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021151330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 BEACON ST APT 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021151330",
            "telephone_number": "954-372-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIESCA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-14",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A",
        "authorized_official_last_name": "KUIVILA",
        "authorized_official_first_name": "PARKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-372-7536",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2022; 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.