Active NPI
Ellen T Chen, RN CPNP
- Registered Nurse
- Boston, MA
National Provider Identifier
1316167752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 111097
- Practice address
- Mass Health
600 Washington Street
Boston, MA 02111-1172 - Phone
- (800) 841-2900
- NPI assigned
- Apr 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 111097 | MA | Primary |
Addresses
Primary practice location
Mass Health
600 Washington Street
Boston, MA 02111-1172
Mailing address
14 Keene Street
Stoneham, MA 02180
Phone (781) 438-4090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0707678 | Medicaid | MA |
Other names 1
- Ms. Ellen Gaffney Chen
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
- Credentials
- Certified Pediatric Nurse Practitioner, Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316167752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 KEENE STREET",
"city": "STONEHAM",
"state": "MA",
"postal_code": "02180",
"telephone_number": "781-438-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MASS HEALTH",
"address_2": "600 WASHINGTON STREET",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111172",
"telephone_number": "800-841-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "ELLEN",
"middle_name": "T",
"name_prefix": "Ms.",
"credential": "RN CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "111097",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0707678",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELLEN",
"last_name": "CHEN",
"middle_name": "GAFFNEY",
"prefix": "MS.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.