Active NPI
Heather Entwistle
- Critical Care Medicine Registered Nurse
- Beverly, MA
National Provider Identifier
1336019678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- RN270512
- Practice address
- 38 Jordan St
Beverly, MA 01915-2642 - Phone
- (978) 766-7408
- NPI assigned
- Nov 11, 2025
- Last updated
- Nov 19, 2025
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN270512 | MA | Primary |
Addresses
Primary practice location
38 Jordan St
Beverly, MA 01915-2642
Mailing address
38 Jordan St
Beverly, MA 01915-2642
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN270512 | MA | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1336019678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 JORDAN ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019152642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 JORDAN ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019152642",
"telephone_number": "978-766-7408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENTWISTLE",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-11",
"last_updated": "2025-11-19",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "MA",
"license": "RN270512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.