Active NPI
Brianna Rose Eble, NP
- Primary Care Nurse Practitioner
- Boston, MA
National Provider Identifier
1194122465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- RN2261806
- Practice address
- 400 The Fenway
Health Services, 210 Marian Hall
Boston, MA 02115 - Phone
- (617) 264-7678
- NPI assigned
- Dec 2, 2014
- 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 | RN2261806 | MA | Primary |
Addresses
Primary practice location
400 The Fenway
Health Services, 210 Marian Hall
Boston, MA 02115
Mailing address
400 The Fenway
Health Services, 210 Marian Hall
Boston, MA 02115-5725
Phone (617) 264-7678
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2261806 | MA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlos a del Rio PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FGBBAA
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Dracut, MA
- NPI 1043406416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1194122465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 THE FENWAY",
"address_2": "HEALTH SERVICES, 210 MARIAN HALL",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155725",
"telephone_number": "617-264-7678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 THE FENWAY",
"address_2": "HEALTH SERVICES, 210 MARIAN HALL",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-264-7678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBLE",
"first_name": "BRIANNA",
"middle_name": "ROSE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-02",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MA",
"license": "RN2261806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.