Active NPI
Robyn Michelle Gentilotti-Simone, N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Worcester, MA
National Provider Identifier
1235433178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 265650
- Practice address
- 52 Cedar St
Worcester, MA 01609-2134 - Phone
- (508) 752-5191
- NPI assigned
- Jan 7, 2011
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 265650 | MA | Primary |
Addresses
Primary practice location
52 Cedar St
Worcester, MA 01609-2134
Mailing address
52 Cedar St
Worcester, MA 01609-2134
Phone (508) 752-5191
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404172800000",
"number": "1235433178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 CEDAR ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016092134",
"telephone_number": "508-752-5191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 CEDAR ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016092134",
"telephone_number": "508-752-5191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTILOTTI-SIMONE",
"first_name": "ROBYN",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-07",
"last_updated": "2014-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "265650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.