NPIMap

Organization Active NPI

Commonwealth Care Alliance

  • Health Maintenance Organization
  • Charlestown, MA
National Provider Identifier
1295195162
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
RN211669 Issued in MA
Legal business name
COMMONWEALTH CARE ALLIANCE
Practice address
529 Main St
Suite 216
Charlestown, MA 02129-1125
Phone
(617) 600-3195
NPI assigned
Mar 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Ms. Cathy Ann Vincuilla, R.N.
Title
Registered Nurse
Phone
(508) 561-0067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X RN211669 MA Primary

Addresses

Primary practice location

529 Main St
Suite 216
Charlestown, MA 02129-1125

Mailing address

39 Oriole Dr
North Attleboro, MA 02760-2726
Phone (508) 561-0067

Other identifiers 1

IdentifierTypeStateIssuer
RN211669OtherMARN LICENSE

National Provider Directory

National Provider Directory

Locations

529 Main St
Ste 216
Charlestown, MA 02129
Phone (617) 600-3195

Interoperability endpoints

  • FHIR API: https://api.commonwealthcarealliance.org/fhir/patientaccess/

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1295195162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 ORIOLE DR",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027602726",
            "telephone_number": "508-561-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 MAIN ST",
            "address_2": "SUITE 216",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021291125",
            "telephone_number": "617-600-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH CARE ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "VINCUILLA",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "508-561-0067",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MA",
            "license": "RN211669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN211669",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.