Individual provider Active NPI

Radoslava Radev

  • Acupuncturist
  • Cataumet, MA
National Provider Identifier
1265066302
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
285532 Issued in MA
Practice address
1379 RT 28a # Po667
Cataumet, MA 02534-1079
Phone
(508) 369-2356
NPI assigned
Feb 27, 2020
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X
Acupuncturist 171100000X 285532 MA Primary

Addresses

Primary practice location

1379 RT 28a # Po667
Cataumet, MA 02534-1079

Mailing address

30 Hope St
Mansfield, MA 02048-2320
Phone (508) 369-2356

Other practice location 1

30 Hope St
Mansfield, MA 02048-2320
Phone (508) 369-2356

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rradev27@gmail.com Direct

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
285532MAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1265066302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HOPE ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482320",
            "telephone_number": "508-369-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1379 RT 28A # PO667",
            "city": "CATAUMET",
            "state": "MA",
            "postal_code": "025341079",
            "telephone_number": "508-369-2356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Hope St",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "MA",
            "postal_code": "020482320",
            "country_code": "US",
            "telephone_number": "508-369-2356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADEV",
        "first_name": "RADOSLAVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "285532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rradev27@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30 Hope St",
            "city": "Mansfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020482320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cataumet, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.