NPIMap

Individual provider Active NPI

Maddison Pirner

  • Community Health Worker
  • Sunderland, MA
National Provider Identifier
1265942684
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
108 N Main St
Sunderland, MA 01375-9502
Phone
(413) 665-8717
Fax
(413) 665-9383
NPI assigned
Oct 11, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NU Primary

Addresses

Primary practice location

108 N Main St
Sunderland, MA 01375-9502

Mailing address

PO Box 85
Petersham, MA 01366-0085
Phone (978) 998-0195

Other practice location 1

108 N Main St
Sunderland, MA 01375-9502
Phone (413) 665-8717 ext. 400

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

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265942684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "PETERSHAM",
            "state": "MA",
            "postal_code": "013660085",
            "telephone_number": "978-998-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N MAIN ST",
            "city": "SUNDERLAND",
            "state": "MA",
            "postal_code": "013759502",
            "telephone_number": "413-665-8717",
            "fax_number": "413-665-9383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sunderland",
            "state": "MA",
            "postal_code": "013759502",
            "country_code": "US",
            "telephone_number": "413-665-8717 x400",
            "fax_number": "413-665-9383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIRNER",
        "first_name": "MADDISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunderland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.