Denise C. Reardon, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

153978 Issued in MA

Practice address

541 Main St
Suite 400
South Weymouth, MA 02190-1868

Phone

(781) 952-1200

Fax

(781) 340-1610

NPI assigned

Dec 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Harbor Medical Associates, Inc.

  • Cardiovascular Disease Physician
  • South Weymouth, MA
  • NPI 1124079561
  Medicare reassignment NPD
• Harbor Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • S. Weymouth, MA
  • NPI 1689909723
  NPD

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1275510364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 MAIN ST",
            "address_2": "SUITE 400",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901868",
            "telephone_number": "781-952-1200",
            "fax_number": "781-340-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 MAIN ST",
            "address_2": "SUITE 400",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901868",
            "telephone_number": "781-952-1200",
            "fax_number": "781-340-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "DENISE",
        "middle_name": "C.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "153978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NP0999",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deepanwita Prusty, MD PHD
• Devin Quinn
• Afreen Rahman, M.ED
• Rebecca Ramirez-McKinely, MS, LAT, ATC, CSCS,
• Carissa C Rand, PHYSICIAN ASSISTANT
• Pranitha Reddy, M.D.
• Shane Thomas Reilly, PA-C
• Ching Chan Reisig, M.D.
• Mary Clare Rhodes, RN
• Kimberly A Riley, LICSW

• Nurse Practitioner in South Weymouth, MA
• Providers in South Weymouth, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.

Verify at the official NPI Registry.