Individual provider Active NPI

Jane A Angstrom, RN

  • Peritoneal Dialysis Registered Nurse
  • Woburn, MA
National Provider Identifier
1134311731
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peritoneal Dialysis Registered NurseTaxonomy code 163WD1100X
License
81735 Issued in MA
Practice address
400 W Cummings Park
Suite 2250
Woburn, MA 01801-6519
Phone
(800) 833-1220
Fax
(866) 932-1118
NPI assigned
Aug 16, 2007
Last updated
Aug 16, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peritoneal Dialysis Registered Nurse 163WD1100X 81735 MA Primary

Addresses

Primary practice location

400 W Cummings Park
Suite 2250
Woburn, MA 01801-6519

Mailing address

13 Broad St
Danvers, MA 01923-3709
Phone (978) 774-5783

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

LicenseStateTypeSpecialty
81735MAMDPeritoneal Dialysis Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dialysis at Home, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1134311731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BROAD ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233709",
            "telephone_number": "978-774-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CUMMINGS PARK",
            "address_2": "SUITE 2250",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016519",
            "telephone_number": "800-833-1220",
            "fax_number": "866-932-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGSTROM",
        "first_name": "JANE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "MA",
            "license": "81735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.