Active NPI
Taylor Brennan
- Student in an Organized Health Care Education/Training Program
- Randolph, MA
National Provider Identifier
1316699192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2 Smith Rd
Randolph, MA 02368-2942 - Phone
- (781) 635-2434
- NPI assigned
- Jan 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2 Smith Rd
Randolph, MA 02368-2942
Mailing address
2 Smith Rd
Randolph, MA 02368-2942
Phone (781) 635-2434
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230530001093 | MA | Practitioner - Physician Assistant | 0042677528 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mass General Brigham Medical Group Suburban Massachusetts Inc
Practice addresses (Care Compare)
2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000
Hospital & facility affiliations
- Newton-Wellesley Hospital
- Massachusetts General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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
- Newton, MA
- NPI 1538191218
MA
-
- Clinical Medical Laboratory
- South Weymouth, MA
- NPI 1699622134
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1316699192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SMITH RD",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023682942",
"telephone_number": "781-635-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SMITH RD",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023682942",
"telephone_number": "781-635-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-22",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.
- 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.