Individual provider Active NPI

Whitney Verdieu La Roche, M.M.,C.A.G.S.,

  • Personal Care Attendant
  • Boston, MA
National Provider Identifier
1235497579
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
3747P1801X Issued in MA
Practice address
27 Monponset St
Mattapan
Boston, MA 02126-3011
Phone
(617) 800-3665
NPI assigned
Apr 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 3747P1801X MA Primary
Home Health Aide 374U00000X 374U00000X MA
Homemaker 376J00000X 376J00000X MA

Addresses

Primary practice location

27 Monponset St
Mattapan
Boston, MA 02126-3011

Mailing address

27 Monponset St
Mattapan
Boston, MA 02126-3011
Phone (617) 800-3665

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

State licenses

LicenseStateTypeSpecialty
3747P1801XMAMDPersonal Care Attendant
374U00000XMAMDHome Health Aide
376J00000XMAMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
Custom Care and Coach Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1235497579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MONPONSET ST",
            "address_2": "MATTAPAN",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021263011",
            "telephone_number": "617-800-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MONPONSET ST",
            "address_2": "MATTAPAN",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021263011",
            "telephone_number": "617-800-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA ROCHE",
        "first_name": "WHITNEY",
        "middle_name": "VERDIEU",
        "name_prefix": "Mr.",
        "credential": "M.M.,C.A.G.S.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MA",
            "license": "3747P1801X",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MA",
            "license": "374U00000X",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "MA",
            "license": "376J00000X",
            "primary": false
        }
    ],
    "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 Apr 24, 2012; 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.