Active NPI
Patricia Veronica Feeley, RNC,NP
- Primary Care Nurse Practitioner
- Jamaica Plain, MA
National Provider Identifier
1174619621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 94852
- Practice address
- 3297 Washington St
Jamaica Plain, MA 02130-2655 - Phone
- (617) 983-6082
- Fax
- (617) 983-6058
- NPI assigned
- Oct 4, 2006
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 94852 | MA | Primary |
Addresses
Primary practice location
3297 Washington St
Jamaica Plain, MA 02130-2655
Mailing address
69 Paul Gore St
Jamaica Plain, MA 02130-1838
Phone (617) 522-7974
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174619621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 PAUL GORE ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021301838",
"telephone_number": "617-522-7974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3297 WASHINGTON ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021302655",
"telephone_number": "617-983-6082",
"fax_number": "617-983-6058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEELEY",
"first_name": "PATRICIA",
"middle_name": "VERONICA",
"name_prefix": "Ms.",
"credential": "RNC,NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MA",
"license": "94852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.