Individual provider Active NPI

Paula H Raha, NP

  • Nurse Practitioner
  • Babson Park, MA
National Provider Identifier
1174535942
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2321885 Issued in MA
Practice address
231 Forest St
Hollister Hall, First Floor, Suite 130
Babson Park, MA 02457-5353
Phone
(781) 239-6363
NPI assigned
Aug 12, 2006
Last updated
Apr 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP917407 FL
Nurse Practitioner 363L00000X RN2321885 MA Primary

Addresses

Primary practice location

231 Forest St
Hollister Hall, First Floor, Suite 130
Babson Park, MA 02457-5353

Mailing address

79 Buckman Dr
Lexington, MA 02421-6021
Phone (407) 592-4921

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP917407FLMDNurse Practitioner
RN2321885MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Group Past Accepting new patients
Primary Care Specialists LLC Past Accepting new patients

Organizations & group practices 2

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1174535942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 BUCKMAN DR",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024216021",
            "telephone_number": "407-592-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 FOREST ST",
            "address_2": "HOLLISTER HALL, FIRST FLOOR, SUITE 130",
            "city": "BABSON PARK",
            "state": "MA",
            "postal_code": "024575353",
            "telephone_number": "781-239-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHA",
        "first_name": "PAULA",
        "middle_name": "H",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP917407",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2321885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babson Park, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.