Active NPI
Elza Riedl, NP
- Nurse Practitioner
- Braintree, MA
National Provider Identifier
1245419035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 232272
- Practice address
- 111Grossman Drvie
Braintree, MA 02184 - Phone
- (781) 849-2300
- Fax
- (781) 849-2314
- NPI assigned
- Oct 29, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 232272 | MA | Primary |
Addresses
Primary practice location
111Grossman Drvie
Braintree, MA 02184
Mailing address
111Grossman Drvie
Braintree, MA 02184
Phone (781) 849-2300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eriedlnp19359@direct.atrius.masshiway.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232272 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Atrius Health, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Atrius Health, Inc. | Nurse Practitioner | Current | Accepting new patients |
Locations
147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
111 Grossman Dr
Braintree, MA 02184
Phone (781) 849-1000
Organizations & group practices 3
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": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1245419035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111GROSSMAN DRVIE",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "02184",
"telephone_number": "781-849-2300",
"fax_number": "781-849-2314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111GROSSMAN DRVIE",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "02184",
"telephone_number": "781-849-2300",
"fax_number": "781-849-2314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEDL",
"first_name": "ELZA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-29",
"last_updated": "2021-03-30",
"certification_date": "2021-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "232272",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eriedlnp19359@direct.atrius.masshiway.net",
"affiliation": "N",
"address_1": "111Grossman Drvie",
"city": "Braintree",
"state": "MA",
"country_code": "US",
"postal_code": "02184",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.