Individual provider Active NPI

Judith Elaine Lengieza, MS RNC

  • Adult Health Nurse Practitioner
  • Charlton, MA
National Provider Identifier
1255460770
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
155088 Issued in MA
Practice address
88 Masonic Home Road
Charlton, MA 01507
Phone
(508) 434-3200
Fax
(508) 434-3218
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 155088 MA Primary

Addresses

Primary practice location

88 Masonic Home Road
Charlton, MA 01507

Mailing address

8 Karen Ave
Auburn, MA 01501-1209
Phone (508) 832-6191

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
155088MAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1255460770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 KAREN AVE",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015011209",
            "telephone_number": "508-832-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MASONIC HOME ROAD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "01507",
            "telephone_number": "508-434-3200",
            "fax_number": "508-434-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENGIEZA",
        "first_name": "JUDITH",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "MS RNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "155088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.