Active NPI
Teresa Catherine Tobin, RN
- Registered Nurse
- Brockton, MA
National Provider Identifier
1164600672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 279206
- Practice address
- 940 Belmont St
(118)
Brockton, MA 02301 - Phone
- (617) 230-9412
- Fax
- (617) 471-1670
- NPI assigned
- Feb 6, 2008
- 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 | 279206 | MA | Primary |
Addresses
Primary practice location
940 Belmont St
(118)
Brockton, MA 02301
Mailing address
22 Churchill Rd
Quincy, MA 02169-1708
Phone (617) 230-9412
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
| License | State | Type | Specialty |
|---|---|---|---|
| 279206 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1164600672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 CHURCHILL RD",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691708",
"telephone_number": "617-230-9412",
"fax_number": "617-471-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 BELMONT ST",
"address_2": "(118)",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02301",
"telephone_number": "617-230-9412",
"fax_number": "617-471-1670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIN",
"first_name": "TERESA",
"middle_name": "CATHERINE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-06",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "279206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.