Jacqueline Mmasi

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN10002074 Issued in MA

Practice address

5 Iceland Rd
Andover, MA 01810-2969

Phone

(617) 652-1689

NPI assigned

Nov 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• At Home Care LLC

  • In Home Supportive Care Agency
  • Andover, MA
  • NPI 1295447522
  NPD Authorized official
• At Home Care LLC

  • Home Health Agency
  • Middleton, MA
  • NPI 1902755291
  NPD Authorized official

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1265806988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ICELAND RD",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102969",
            "telephone_number": "617-652-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ICELAND RD",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102969",
            "telephone_number": "617-652-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MMASI",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN10002074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carie Miele, PT
• David C Miller, LMHC
• Khloe Nichloe Mitchell, LPN
• Veronica Mitko
• Amanda Mlekoday
• Nancyjo Khantzian Modlish
• Cherie Lynn Monahan, RN, CPNP
• Megan Monahan
• Chelsea Monfalcone
• Marco Christian Montecalvo

• Registered Nurse in Andover, MA
• Providers in Andover, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.