Active NPI
Antoinette Donovan
- Registered Nurse
- Worcester, MA
National Provider Identifier
1144645946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN107895
- Practice address
- 180 Prescott St
Worcester, MA 01605 - Phone
- (508) 792-9999
- Fax
- (508) 798-0667
- NPI assigned
- Mar 3, 2014
- Last updated
- May 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN107895 | MA | Primary |
Addresses
Primary practice location
180 Prescott St
Worcester, MA 01605
Mailing address
180 Prescott St
Worcester, MA 01605-1708
Phone (508) 792-9999
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN107895 | MA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nu-Checker, Inc. | Current | Accepting new patients |
Locations
180 Prescott St
Worcester, MA 01605
Phone (508) 751-8004
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": "1393804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1144645946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 PRESCOTT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016051708",
"telephone_number": "508-792-9999",
"fax_number": "508-798-0667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 PRESCOTT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01605",
"telephone_number": "508-792-9999",
"fax_number": "508-798-0667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "ANTOINETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-03",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN107895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.