Active NPI
Carine Plymouth, NP, CRNA
- Certified Registered Nurse Anesthetist
- Stoughton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN201984
- Practice address
- 150 York St
Stoughton, MA 02072-1829 - Phone
- (781) 344-0600
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN201984 | MA | |
| Certified Registered Nurse Anesthetist | 367500000X | RN201984 | MA | Primary |
Addresses
Primary practice location
150 York St
Stoughton, MA 02072-1829
Mailing address
74 Howland St
Brockton, MA 02302-2855
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110099918A | Medicaid | MA | |
| 110099918B | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101022001144 | MA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9032213707 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7000
Hospital & facility affiliations
- Brown University Health Morton Hospital
- Signature Healthcare Brockton Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group of Massachusetts Inc | Current | Accepting new patients | |
| Lifespan of Massachusetts - Taunton Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
795 Middle St
Fall River, MA 02721
Phone (508) 235-5046
531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Taunton, MA
- NPI 1235957713
MA
-
- General Acute Care Hospital
- Taunton, MA
- NPI 1609603877
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Taunton, MA
- NPI 1609603877
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1295889681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 HOWLAND ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023022855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 YORK ST",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020721829",
"telephone_number": "781-344-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLYMOUTH",
"first_name": "CARINE",
"credential": "NP, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN201984",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN201984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110099918A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110099918B",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.