Individual provider Active NPI

Jessica J Sheehan

  • Case Manager/Care Coordinator
  • Middleboro, MA
National Provider Identifier
1164811006
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1 High St
Middleboro, MA 02346
Phone
(508) 830-3444
Fax
(508) 830-3434
NPI assigned
Jan 15, 2015
Last updated
Aug 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1 High St
Middleboro, MA 02346

Mailing address

46 Acushnet Rd
Mattapoisett, MA 02739-1532
Phone (781) 422-1457

Other identifiers 1

IdentifierTypeStateIssuer
1164811006MedicaidMA

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

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1164811006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ACUSHNET RD",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027391532",
            "telephone_number": "781-422-1457",
            "fax_number": "508-771-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIGH ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "02346",
            "telephone_number": "508-830-3444",
            "fax_number": "508-830-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "JESSICA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164811006",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.