Active NPI
Northeast Moms and Babies, PLLC
- Pediatric Nurse Practitioner
- Norfolk, MA
National Provider Identifier
1235784653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- Legal business name
- NORTHEAST MOMS AND BABIES, PLLC
- Practice address
- 19 Old Mill Rd
Norfolk, MA 02056-1435 - Phone
- (508) 203-1553
- NPI assigned
- Aug 2, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Byda, NP, IBCLC
- Title
- Co-Founder
- Phone
- (617) 875-8899
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | Primary | ||
| Women's Health Nurse Practitioner | 363LW0102X |
Addresses
Primary practice location
19 Old Mill Rd
Norfolk, MA 02056-1435
Mailing address
19 Old Mill Rd
Norfolk, MA 02056-1435
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564704000000",
"number": "1235784653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 OLD MILL RD",
"city": "NORFOLK",
"state": "MA",
"postal_code": "020561435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 OLD MILL RD",
"city": "NORFOLK",
"state": "MA",
"postal_code": "020561435",
"telephone_number": "508-203-1553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST MOMS AND BABIES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-02",
"last_updated": "2019-08-02",
"status": "A",
"authorized_official_last_name": "BYDA",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "CO-FOUNDER",
"authorized_official_telephone_number": "617-875-8899",
"authorized_official_credential": "NP, IBCLC"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.