Active NPI
William Joseph O'Shea, CNP
- Gerontology Nurse Practitioner
- East Boston, MA
National Provider Identifier
1205235462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- RN2293229
- Practice address
- 10 Gove St
East Boston, MA 02128-1920 - Phone
- (617) 569-5800
- Fax
- (617) 568-4756
- NPI assigned
- Aug 13, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | RN2293229 | MA | Primary |
Addresses
Primary practice location
10 Gove St
East Boston, MA 02128-1920
Mailing address
10 Gove St
East Boston, MA 02128-1920
Phone (617) 569-5800
Other practice location 1
110 W Squantum St
Quincy, MA 02171-2122
Phone (617) 376-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2293229 | MA | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1205235462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 GOVE ST",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "021281920",
"telephone_number": "617-569-5800",
"fax_number": "617-568-4756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 GOVE ST",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "021281920",
"telephone_number": "617-569-5800",
"fax_number": "617-568-4756"
}
],
"practiceLocations": [
{
"address_1": "110 W Squantum St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "MA",
"postal_code": "021712122",
"country_code": "US",
"telephone_number": "617-376-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'SHEA",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-13",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "RN2293229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Boston, MA
- Christian F Nunez, NP
- John Paul O'Brien, D.O.
- Katherine E O'Brien, NP
- Mary Jane F O'Brien, RNP
- Patricia O'Hagan, LADC1
- Margaret Oakland, M.D.
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
- Nelson Ochoa, LICSW
- Nairobi Oller-Laureano, CNP
- Orient Heights Chiropractic Office
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.