NPIMap

Organization Active NPI

Lucette Nadle DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Westborough, MA
National Provider Identifier
1275718934
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
55679 Issued in MA
Legal business name
LUCETTE NADLE DO
Practice address
160 E Main St
Ste 1E
Westborough, MA 01581-1758
Phone
(508) 366-9686
Fax
(508) 366-9435
NPI assigned
Dec 31, 2007
Last updated
Dec 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Dr. Lucette Nadle, DONPI 1104880483
Title
Owner
Phone
(508) 366-9686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 55679 MA Primary

Addresses

Primary practice location

160 E Main St
Ste 1E
Westborough, MA 01581-1758

Mailing address

160 E Main St
Ste 1E
Westborough, MA 01581-1758
Phone (508) 366-9686

Other identifiers 2

IdentifierTypeStateIssuer
9731041MedicaidMA
M19169OtherMAMA BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

160 E Main St
Ste 1E
Westborough, MA 01581
Phone (508) 366-9686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1275718934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E MAIN ST",
            "address_2": "STE 1E",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811758",
            "telephone_number": "508-366-9686",
            "fax_number": "508-366-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E MAIN ST",
            "address_2": "STE 1E",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811758",
            "telephone_number": "508-366-9686",
            "fax_number": "508-366-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCETTE NADLE DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "NADLE",
        "authorized_official_first_name": "LUCETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-366-9686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MA",
            "license": "55679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9731041",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA BLUE SHIELD",
            "identifier": "M19169",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.